Primary aim(s) |
To increase healthy eating and decrease sedentary behavior |
To facilitate the development of and to support social/cultural, physical/built and political/economic environment to promote active play and intake of healthy food to prevent young child obesity |
To increase affordability, availability, purchase, and consumption of healthy foods by low income AA children, and reduce obesity |
Setting |
3 villages, middle income, above average rates of overweight, high blood pressure |
27 predominantly indigenous Pacific island and Alaska communities in 5 Pacific Jurisdictions (Alaska, American Samoa, Commonwealth of the Northern Mariana Islands, Guam, Hawaii) |
30 low income, urban communities/neighborhoods in Baltimore City, MD, USA |
Study Design |
Community trial, baseline, follow-up 1 and 2 |
Community randomized trial |
Neighborhood randomized controlled trial |
Institutions involved in intervention |
Supermarket/retail, schools/daycare and media (TV, Radio, Print media) |
Preschools, stores, parks, Physical Activity facilities, Fastfood restaurants, community-based agencies |
Recreation centers, corner stores, carryouts, wholesalers |
Target population |
Children aged 3–8 years and their families 1st target. Other islanders 2nd target |
Indigenous 2–8 year-old children and their families, preschool and native communities |
Low income African American children, aged 10–14 years, and their adult caregivers |
Duration of intervention, months |
24 |
24 |
8–10 months in 2 overlapping waves |
Key stakeholders |
Representatives from health, youth/school and culture/leisure. Elected and civil servant level. High level and local management level of retailers. Local school and daycare headmasters. Local TV station manager and other local media actors. The three academic partners. |
Preschool teachers, school administrators, health center personnel, parents, community not-for-profit agencies, elected officials, store owners, park officials, community leaders, role models, local college/university faculty staff and students. |
Policymakers, city agency staff, wholesale store managers, small store and carryout owners, recreation center directors and staff, youth leaders, low income families. School of public health faculty, staff and students. |
Forms of engagement of policymakers and key stakeholders |
Three local village based citizen actions groups (CAGs). One island wide loosely couple partnership alliance consisting of key stakeholders from market, public and civil society |
Guided by local advisory committees, support community role models from different sectors, support and facilitate action by community coalitions, convene stakeholder groups, enhance work of preschools and other community groups working with young children; provide scholarships to college for 2 students from each Pacific jurisdiction |
Policy working group, Use of systems science modeling for engagement, regular meetings with key stakeholder groups, trainings (in person and online) of food source owners and youth leaders, social media |