texas childhood obesity research demonstration (cord) a systems approach to obesity prevention in...

Texas Childhood Obesity Research Demonstration (CORD)

A Systems Approach to Obesity Prevention in Underserved Children In Texas

Laura D. Molinar2012 CPRIT Summer Trainee

The University of the Incarnate WordPreceptor: 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 2012.Ogden CL et al., JAMA 2012.American Cancer Society, Cancer Facts & Figures 2011. Atlanta. American Cancer Society; 2011.

Frame Shifting

Childhood obesity

prevention efforts should

focus on parents

Common Frame Alternative 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. MolinarUndergraduate StudentDepartment of BiologyThe University of the Incarnate WordSan Antonio, Texaslmolinar@student.uiwtx.edu

Contact Information

Questions/Comments?

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– Hunter Campbell, “Patch Adams”