Table 1. Summary of Key Intervention Components in Each Sector,^a California Childhood Obesity Research Demonstration Project (CA-CORD), 2013.

Sector/Personnel	Intervention Component
Health care Providers, medical assistants, patient care coordinator, CHWs, and CHW coordinator	3 largest primary care clinics within 1 federally qualified health center Delivery system design (eg, obesity care team, modifications to electronic health records to facilitate assessment and treatment of childhood overweight and obesity) Practice team preparation including staff and provider training (4.5 hours for providers, 4 hours for staff, 136.5 hours for CHWs) CHW-led family wellness and physical activity workshops (11 hours total per family) based on previous, evidence-based interventions (24–26)
Schoolsb Administrators, teachers, school nurses, school wellness committee	All public elementary schools (N = 13) School wellness policy change SPARK (19) (3–6 hours of training and curriculum access) BMI measurement (4–8 hours of training) Structural water promotion Sleep curriculum and tip sheets Parent outreach (eg, letter tailored to child BMI) Social marketing campaign
Early care and education centersc Directors, providers	Early care and education centers in 4 agencies (N = 13) NAP SACC (27) Wellness policy change SPARK (19) (7 hours of training and curriculum access) Quarterly trainings (3 hours each) and technical assistance Physical activity equipment Cooking toolkits Social marketing campaign
Community Coalition coordinator, public health officials, parks and recreation coordinators, restaurant managers/owners	CA-CORD Advisory Committee that included members of COPA, which is led by local public health department (quarterly meetings to raise awareness of activities in each sector) Community-level social marketing campaign

Abbreviations: BMI, body mass index; CHW, community health worker; COPA, Imperial County Childhood Obesity Prevention Alliance; NAP SACC, Nutrition and Physical Activity Self-Assessment for Child Care; SPARK, Sports, Play, and Active Recreation for Kids.

^a This study focused only on facilitators of and barriers to implementation experienced by key stakeholders in the health care, schools, and early care and education sectors. Data on community recreation departments are not included, because intervention activities were being conceptualized during intervention year one; data on restaurants and on factors affecting family engagement with CA-CORD are described elsewhere (28,29).

^b To be eligible for CA-CORD, school-aged children needed to attend one of these schools.

^c Early care and education intervention activities were conducted in 2 temporally distinct waves; this study includes only the 13 early care and education centers that participated in intervention year-one CA-CORD activities.