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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

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Page 1: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

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

Page 2: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

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

Page 3: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

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.

Page 4: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

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

Page 5: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

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

Page 6: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

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

Page 7: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

• 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

Page 8: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

Deanna Hoelscher, PhD, RD, LD, CNS

Tiffni Menendez, MPH

Joey Walker, MPH

The Michael & Susan Dell Center for Healthy Living

Acknowledgements

Page 9: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

Laura D. MolinarUndergraduate StudentDepartment of BiologyThe University of the Incarnate WordSan Antonio, [email protected]

Contact Information

Page 10: Texas Childhood Obesity Research Demonstration (CORD) A Systems Approach to Obesity Prevention in Underserved Children In Texas Laura D. Molinar 2012 CPRIT

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”