Table 2.

Selected frameworks to facilitate systematic approaches to equity-focused obesity efforts

Framework	Description
Getting to Equity in Obesity Prevention Framework	Facilitates the process of identifying potentially synergistic combinations of policy, systems, and environmental change interventions to increase options for healthy eating and physical activity or to decrease factors that work against these options as well as identifying strategies to address social needs and community capacity. Associated tools (supplemental files) include definitions of terms, a food-related example of the Centers for Disease Control Practitioner’s Guide for Advancing Health Equity (28), examples of logic whereby potential intervention approaches might vary according to contexts, and a tool for assessment of equity considerations in research proposals (87).
Council on Black Health (formerly the African American Collaborative Obesity Research Network) Expanded Obesity Research Paradigm	Uses a people-oriented lens to consider historical and social factors, influences of culture and mind-set, and environments to navigate in relation to healthy eating and physical activity and weight control (90). An accompanying community-centered view of influences on eating, activity, and body weight is designed to guide community-engaged discussions of these issues (56). Also see https://councilbh.org/research-frameworks/.
Taxonomy of Disparities Interventions in Health Care Settings	Provides a taxonomic categorization of elements of health equity research conducted in health-care settings in terms of strategies and tactics used to reduce racial and ethnic disparities in care through changes in behavior, systems, or services and through interventions directed to providers, patients, systems, organizations, and communities or at the policy level (36).
Tool Kit of Adaptation Approaches	Offers a typology of cultural adaptation approaches of behavior change interventions to improve minority health by intervention stages and contexts and decision tools for selecting adaptations across intervention stages (41).
Division of Community Health Twin Approach to Health Equity	Gives guidance for and illustration of the twin or dual approach to health equity in which public health programs simultaneously address the needs of the whole population and population subgroups at high chronic disease risk (32). Illustrations in a two-page fact sheet include healthy eating and active living examples and one for clinical and community linkages (31).
Centers for Disease Control Practitioner’s Guide for Advancing Health Equity	Includes guiding questions to help make the case for why a proposed intervention poses health equity issues, key factors to consider for program design and implementation from a health equity perspective, and the identification of potential barriers or unintended consequences as well as opportunities to maximize impact, needed resources, and potential partners. Illustrations in the guide cover five categories of food-related interventions and six categories related to physical activity (28).