Table 5.

Description of Childhood Obesity Research Demonstration (CORD) studies

	California CORD [13]	Massachusetts CORD [14]	Texas CORD [15]
Institutions, PIs Grant #s	San Diego State University and the Institute for Behavioral and Community Health	Massachusetts Department of Public Health Harvard TH Chan School of Public Health Massachusetts General Hospital for Children.	Michael and Susan Dell Center for Healthy Living at University of Texas, UT School of Public Health, UT Health
	Clínicas de Salud del Pueblo, Inc.,	Thomas Land, PhD	Children’s Nutrition Research Center, Baylor College of Medicine
	Imperial County Public Health Department	Elsie M. Taveras, MD, MPH	Dell Children’s Hospital
	Guadalupe X. Ayala, PhD, MPH	Kirsten K. Davison, PhD	Texas Children’s Hospital
	Leticia Ibarra, MPH	Steven Gortmaker, PhD	Deanna Hoelscher, PhD, RD
	Amy Binggeli-Vallarta, MPH, DrPH		Nancy Butte, PhD, MPH, RD
	U1 8DP003377	U1 8DP003370	U1 8DP003367
Primary outcomes	Height, weight, BMI	Height, weight, BMI	Height, weight, BMI
	Behavioral changes	Behavioral changes	Behavioral changes
	-Fruit & vegetable consumption	-Fruit & vegetable consumption	-Fruit & vegetable consumption
	-Sweetened beverage consumption	-Sweetened beverage consumption	-Sweetened beverage consumption
	-Water consumption	-Water consumption	-Water consumption
	-Physical activity	-Physical activity	-Physical activity
	-Screen time	-Screen time	-Screen time
	-Sleep time	-Sleep time	-Sleep time
	Satisfaction with healthcare	Satisfaction with healthcare	Satisfaction with healthcare
	Quality of life	Quality of life	Quality of life
Major inclusion criteria	Child, aged 2–10 years	Child, aged 2–12 years	Primary Prevention: Preschoolers, 2nd graders, and 5th graders
	Parent able to respond to interviews and questionnaires in English or Spanish.	Parent able to respond to interviews and questionnaires in English, Spanish, or Portuguese.
	Low-income; CHIP eligible	Child has obtained well-child care from the community health center for at least the previous 12 months	Secondary prevention: Children, aged 2–12 years, BMI >85th percentile
		Patient of community health center and plan to remain a patient for the next two years	Parents able and willing to bring their children to the primary healthcare clinic or YMCA sessions over the 12 months.
			Low-income; CHIP eligible
Sample size	Total n = 1186 children. (328 in Health Care (HC) plus Public Health (PH) condition, 278 in HC only condition, 308 in PH only condition, and 272 in. control condition). Three Clinics. Twenty-six Early Care/Education (ECE). Thirteen Elementary Schools and two School Districts, three Restaurants, and three Community Recreation organizations.	Clinical cohort total n = 515 (333 intervention, 182 control). Schools, total students completing evaluation surveys n = 7114. Three clinics. Nine ECE. Twenty-eight Schools.	Primary prevention: n = 1614 child–parent dyads (807 intervention; 807 control) Secondary prevention: n = 549. Eleven clinics. Twenty-three ECE. Sixteen schools.
Recruitment site(s)	Brawley, Calexico and El Centro, California	Fitchburg, New Bedford and Lowell, Massachusetts	Austin and Houston, Texas
Interventions:	Multi-level multi-setting interventions linking primary care and community-wide obesity prevention and control	Multi-level multi-setting interventions linking primary care and community-wide obesity prevention and control	Multi-level multi-setting interventions linking primary care and community-wide obesity prevention and control
Brief descriptions	Health Care Policy adoption and practice changes including obesity care clinic days, hiring of patient care coordinator, electronic health record (EHR) modifications, provider trainings, and integration of a CHW-led family wellness program adapted from Entre Familia.	Health Care EHR modifications, provider toolkits, Obesity Learning Collaborative (action calls), Be Our Voice Advocacy, CHW (manage/coordinate family care), healthy weight clinic for a select group of children >85th %-tile, Physician Champions, engagement of WIC.	Health Care 1) Primary Prevention: Next Steps, EHR modifications 2) Secondary Prevention: Next Steps at clinic or MEND/CATCH and transition programs at YMCA (Youth Sports, family support book club, cooking classes, MEND World, text msg; CHW (family liaison)
	Early Care/Education (ECE) Policy, Systems and Environment (PSE) assessments with NAPSACC; SPARK to promote active play; water availability; provider toolkit; BMI measurements and parent notification; technical assistance and support	Early Care/Education PSE assessments with WELLCAT and NAPSACC (enhances policies in childcare settings), I Am Moving I Am Learning (physical activity and healthy food choices)	Early Care/Education CATCH-Early Childhood (Nutrition and physical health activities)
	Schools SPARK for physical education; water jets and containers; BMI measurement and notification; policy adoption through school wellness committee; technical assistance and support	Schools Eat Well Keep Moving and Planet Health in public schools (Nutrition and physical activity curriculum), Food and Fun in select afterschool programs(develops healthy eating habits outside of school settings Media competition promoting MA-CORD interventions messages.	Schools CATCH Elementary Plus (Nutrition and physical health activities, child nutrition services, physical education)
	Community restaurants: Introduction of healthy child menus and promotion of said menus through wait-staff training and marketing materials	Community Community activities led by Mass in Motion coalitions, such as social media campaign, Safe Routes to School, Complete Streets, community events, Summer Parks programs, Healthy Dining/Corner Stores, , and “Mass in Motion Kids” marketing and branding (consistent messaging and images throughout)	Community Advisory committee; Your Health Matters: Growing Active Healthy Communities Training, and “Texas CORD” marketing and branding (consistent messaging and images throughout)
	Community recreation: SPARK for active play; water containers; community gardens; provider toolkit
	Community Advisory Committee All settings Our Choice/Nuestra Opción marketing and branding (consistent messaging and images throughout)