Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT Summer Trainee The University of the Incarnate Word Preceptor: Deanna M. Hoelscher, PhD, RD, LD, CNS

Overview – Funded by a $6.25 million grant from the Centers for Disease Control & Prevention – Involve families, pediatricians, schools, and local youth organizations to develop community capacity for early detection and effective management of obesity using evidence-based programs such as: Coordinated Approach to Child Health (CATCH) program: Preschool, Elementary, Middle School Mind, Exercise, Nutrition, Do It! (MEND) Program Goals – Develop, implement and evaluate an integrated, systems-oriented approach to obesity prevention & weight management for underserved, ethnically diverse children ages 2-12 in Austin & Houston – Eventually integrate models of obesity prevention within primary health programs & schools around the United States by September 2015 Partners: UTSPH, Baylor College of Medicine, TX Dept. of State Health Services, Univ. of Nebraska Medical Center, Seton Healthcare System, Duke University, Singapore Texas CORD Centers for Disease Control & Prevention- Childhood Obesity Demonstration Project

Identifying the Problem Flegal KM, et al., JAMA Ogden CL et al., JAMA American Cancer Society, Cancer Facts & Figures Atlanta. American Cancer Society; 2011.

Frame Shifting Childhood obesity prevention efforts should focus on parents Common FrameAlternative Frame Childhood obesity prevention efforts should focus on everyone involved in a child’s life Parents Health care providers Teachers School workers Cafeteria Staff Physical Educators Principals & Administration Community Organizations

Outcomes Community Engagement Around Health Change in Environment Increase adoption of evidence-based nutrition & physical activity behaviors shown to reduce cancer risk Reduce Cancer Risk Related to Obesity GOAL #2 GOAL #3

Tasks & Accomplishments Assisted in measurement development, data collection, and data analysis for Texas CORD. Created & designed primary intervention materials for: CATCH (Coordinated Approach to Child Health) Program: Student Module to CATCH Coordination Toolkit Series of healthy, easy, and affordable recipes for families to make Developed manuscript on how to use the CATCH Coordination Toolkit as an innovative guide for every level of the school to effectively coordinate and implement school health Composed blog post for Michael & Susan Dell Center for Healthy Living Blog on physical activity and nutrition’s effect on cancer Created webinar on Obesity & Cancer: Epidemiology, Causes, and Costs, which was presented to the Cancer Alliance of Texas on June 25, 2012

Hands-on approach in conducting innovative research that educates, empowers and informs all facets of a community on how to protect children from obesity Childhood obesity prevention efforts  holistic approach to cancer prevention in adulthood Strong interest in health promotion & community- based research in underserved populations Training will assist in future career in public health & medicine Personal Impact

Deanna Hoelscher, PhD, RD, LD, CNS Tiffni Menendez, MPH Joey Walker, MPH The Michael & Susan Dell Center for Healthy Living Acknowledgements

Laura D. Molinar Undergraduate Student Department of Biology The University of the Incarnate Word San Antonio, Texas Contact Information

Questions/Comments? “We can never get a re-creation of community and heal our society without giving our citizens a sense of belonging.” – Hunter Campbell, “Patch Adams”