1. Mass in Motion Kids
Community-Clinical Partnerships to Reduce Childhood Obesity
A partnership between the Massachusetts Department of Public Health, the cities of Fitchburg and New Bedford, the National Initiative for Children’s Health Care Quality, and Harvard University

2. Childhood Obesity is Not Randomly Distributed Among our Communities

3. CDC “Health Impact Pyramid”
Examples
Largest
Impact
Smallest
Eat healthy, be physically active
Counseling
& Education
Clinical
Interventions
Rx for high blood pressure, high cholesterol, diabetes
Long-lasting
Protective Interventions
Immunizations, brief intervention, cessation treatment, colonoscopy
The goal of mass in motion kids is to reduce the prevalence of obesity among 2-12 year old children. The interventions are focused on several levels of the health impact and links different sectors for long-lasting effect
Changing the Context
to make individuals’ default
decisions healthy
Fluoridation, trans fat, smoke-free laws, tobacco tax
Socioeconomic Factors
Poverty, education, housing, inequality

4. Mass in Motion: Eat Better, Move More
Multifaceted state initiative
Call to Action report
Governor’s Executive Order 509
BMI regulation
School Nutrition Standards
Public information campaigns
Municipal wellness grants
Worksite initiative
Website
Info on physical activity and nutrition
Calendars
Blogs
Links to state and local resources
Mass in Motion was launched in 2009.
a Massachusetts state initiative to promote healthy living through a multi-faceted approach.

6. Childhood Obesity Research Demonstration (CORD) Project
CDC Funded
Childhood Obesity Research Demonstration (CORD) Project
Division of Nutrition,
Physical Activity and Obesity
Obesity Prevention & Control Branch
Massachusetts
San Diego
Texas
Evaluation Center
University of Houston
Fitchburg
New Bedford

7. Overall Approach Build on successful Mass in Motion Approach
Enhance connections between sectors
Maintain the focus on evidence-based strategies
Policies
Systems
Environmental changes

8. 5 Key Target Behaviors
Decrease in children’s consumption of sugar-sweetened beverages
Decrease in screen time & TVs in children’s bedrooms
Increase in children’s moderate & vigorous physical activity
Substitution of empty-calories/nutrient poor foods with fruits and vegetables
Increase in children’s sleep quality & duration

9. Project Overview Individual/ Family System Community Health Care
Assessment
Coaching
Coordinated support
Obesity Learning Collaborative to improve quality of care
CHWs & physician champion link w/ local Mass in Motion initiative
Schools/ After schools
Motivates students/parents to eat better, move more
Policy & practice changes w/I 2 school systems
Implementation will link with Mass in Motion community initiatives
Child care
I Am Moving, I Am Learning promotes physical activity & healthy food choices
NAP SACC supports policy, practice change in child care sites
Training of child care licensing staff to include elements in licensing visits
Support for activity groups, healthier decision making
Environment & policy change focused on increased activity and increased access to healthy food
Youth-driven media campaign to change community norms.
Environment & policy change

10. Primary Care: Primary Prevention
Activities
Goal: Prevention of childhood obesity.
Efforts targeting the entire population
Healthy weight as well as overweight & obese children
Obesity Learning Collaborative
Be Our Voice Advocacy
EMR Best Practice Alerts
Patient education materials
Improve the healthfulness of the health center

11. Primary Care: Secondary Prevention
Activities
Goal: Prevent disease progression and development of comorbidities and complications
Efforts focus on overweight & obese children
EMR decision support tools for obesity management
Healthy Weight Clinics
Community Health Worker support of overweight/obese children and their families

12. Schools and After Schools
Activities
Elementary & Middle Schools
Eat Well, Keep Moving, Planet Health
Curriculum and materials
Staff training
Wellness champion
Fitness equipment
Support for wellness plan
Student survey during BMI measurement (4th & 7th grades)
Afterschool
Food and Fun
Curriculum
Support for environment changes

13. Child Care and Early Education
Activities
NAP SACC
Complete self-assessment for center
Set goals to improve nutrition and physical activity
Receive training, resources and materials from Mentors
I am Moving,
I am Learning
Receive training on
↑ physical activity
↓sugar-sweetened beverages and calorically dense foods
↑Fruit and vegetable consumption
Educate staff and parents on IM/IL practice

14. Women, Infants, and Children (WIC) Nutrition Program
Activities
WIC
Complete readiness for change assessment
Receive training, resources, and materials
Obesity Learning Collaborative
Be Our Voice Advocacy

15. Community Interventions
Building on foundation of Mass in Motion
Evidenced-based strategies focused on policy, system and environmental change
Creating environments that support healthy living
Media campaign
Youth empowerment approach
Will be developed in collaboration with schools to integrate school efforts into community approaches

16. Mass in Motion as a Foundation
Enhance community action plans
Focus on evidenced-based strategies that have the largest impact on the 5 obesity related behaviors, eg, IOM’s 2009 Local Government Actions to Prevent Childhood Obesity
Ensure coordination and integration of the multiple sectors at the local level
Special role of the Physician Champion and the Community Health Worker in clinical sites
Engage champions from all sectors in community-wide efforts

17. Proposed MiM Kids Community Activities
Fitchburg
Implement at least 2 environmental changes at Big Field/Green Acres to increase physical activity
Increase healthy options among park vendors
Market Basket grocery stores will implement at least 1 change promoting healthy eating, with focus on fresh fruits and vegetables and healthy beverages
Fitchburg will adopt Complete Streets policy, including Safe Routes to Schools and Parks
Increase sustainability of Fun N Fitchburg
New Bedford
Increase the number of restaurants in NB from 0 to 5 that offer healthy childrens’ options
Increase number of corner stores from 0 to 3 that participate in MiM New Bedford Healthy Corner Store Initiative
Increase the number of elementary and middle schools from 0 to 3 that have well established and consistently active Safe Routes to School programs

18. Poster

19. Booklet

20. Banner