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. 2018 Feb 22;15:E24. doi: 10.5888/pcd15.170306

Figure.

Box A. Policy, systems, and environmental practices and consistent messaging for childhood obesity prevention. An arrow leads from Box A to Box B. Box B. Implementation strategies provided by the Healthy Lifestyles Initiative: These engagement efforts included training sessions, a structured action plan, coalition support, one-on-one support, and materials dissemination and resource sharing. An arrow leads from Box B to Box C and Box D. Box C. Use of Healthy Lifestyles Initiative messaging materials by targeted organizations: Multiple materials (eg, handouts, posters, assessment forms) were provided and branded with the 12345 Fit-Tastic! healthy lifestyles message. Box D. Implementation outcomes: uptake and penetration of activities targeted by the Healthy Lifestyles Initiative: Organizations were supported to implement multiple activities related to policy, systems, and environmental practices for childhood obesity prevention. A double-headed arrow between Box C and Box D shows that use of messaging materials could influence or co-occur with the implementation activities. An arrow from Box C and an arrow from Box D lead to Box E. Box E. Health outcomes: The ultimate goal of the Healthy Lifestyles Initiative was to improve healthy eating and active living and reduce obesity rates in children and families.

Conceptual model of the Healthy Lifestyles Initiative, Kansas City, Missouri, and Kansas City, Kansas, 2016. Model was mapped to Proctor and colleagues’ implementation science framework (16). Health outcomes were not assessed in this study.