Table 1.

Overview of CORD Demonstration Sites^23–27

CORD project	TX-CORD	CA-CORD	MA-CORD
Program name	• Texas CORD	• Our Choice, Nuestra Opción	• Mass in Motion Kids
Cooperative agreement funded institutions	• The University of Texas Health Science Center at Houston	• San Diego State University	• Massachusetts State Department of Public Health
Brief descriptiona	• The Texas CORD project in Austin and Houston, Texas, works within defined high-needs catchment areas of both cities to integrate primary care systems, local YMCAs, ECE centers and public schools to deliver prevention. • Primary prevention interventions are delivered in the community over a 2-year time period. • The TX-CORD intervention site has a secondary prevention randomized trial (only children with BMI >85th percentile) embedded within the community approach. It compares an enhanced primary care approach to an intensive 1-year behavioral modification program in the YMCAs.	• The Our Choice/Nuestra Opción project in Brawley, El Centro, and Calexico, California, represents a newly formed collaborative comprising a research institute, a federally qualified health center (Clinicas), a county public health department, ECE centers, public schools, local recreation departments and agencies, and restaurants. • This study implements varying combinations of intervention activities across two cities to compare the relative effects of an integrated primary care and public health, primary care alone, and public health alone approaches to a control condition located in the third city.	• The Mass in Motion Kids project in Fitchburg and New Bedford, Massachusetts, builds on an existing state department of public health program, Mass in Motion, by enhancing systems and practices of primary care services in federally qualified healthcare centers, WIC facilities, ECE centers, public schools and associated afterschool programs, and community-specific media activities. • A subset of the children with BMI >85th percentile in the MA-CORD intervention group will receive an enhanced primary care approach in a healthy weight clinic.
Community demographics	• >50% students in catchment areas on assisted lunch program • 19% of preschoolers and 35% of fifth graders are obese • Largely recent immigrant parents from Mexico and other Latin American countries	• 23% of children below poverty line • 47% of children in county overweight or obese • Immigrant populations from Mexico	• 24–27% of children below poverty line in intervention cities • ∼40% of children overweight or obese in intervention cities • Immigrant populations from Portugal and West Africa
Inclusion criteria	• Child, ages 2–12 years • BMI ≥85th percentile for randomized trial	• Child, ages 2–11 at baseline • No BMI criteria for sample	• Child, ages 2–12 years • BMI ≥85th percentile for healthy weight clinic
CHW component	• CHWs are based in the community setting and their role includes that of counselors at community organizations and assisting in delivery of packaged wellness programs for secondary prevention.	• CHWs are based in the healthcare setting and their roles include conducting a family wellness program, serving as part of an obesity care team, and serving on various committees for policy and system changes.	• CHWs are based in the healthcare setting and they serve as wellness navigators with educational and community involvement roles.

^aInterventions promote healthy eating, active living, and obesity prevention and control by using multisetting, multilevel approaches that address policy, system, and environment changes as well as individual and family counseling and behavior change.

CORD, the Childhood Obesity Research Demonstration (CORD) project; CHW, community health worker; ECE, early care and education; WIC, Special Supplemental Nutrition Program for Women, Infants, and Children.