Table 4.

Overview of Pilot Studies Selected by the Four Community Health 571 Improvement and Research Partnerships (CHIRPs)

	Lincoln County	Linn County	Jefferson County	Crook County
Potential Research Questions *	19	13	10	8
Selected Research Question	Does participation in the Shopping (Cooking) Matters program by high school students affect understanding of nutrition labels and shopping patterns?	Are Pick of Month (POM) food flyers more effective when used in conjunction with tasting tables in schools?	Will elementary students continue to drink milk if chocolate milk is no longer an option in the lunchroom?	What are the facilitators and barriers in using recreation services and programs in Crook County?
Methods	The CHIRP partnered with a local high school to deliver the curriculum, and used mixed methods (food quality, observational fieldnotes) to evaluate student shopping patterns before and after receiving the training.	Six regional elementary schools with and without tasting tables were matched based on ethnicity, students on free- and-reduced lunch. Parents received a survey exploring nutrition habits and exposure to the POM flier.	A partnering K-2 elementary removed flavored milk from the school lunch menu for three weeks. We evaluated the impact on student beverage consumption and behaviors using mixed methods (observational fieldnotes, beverage waste).	Key informant interviews with 40 non-, low-, medium-, and high- users of local Parks & Recreation services.
Results Summary	The CHIRP recorded observations and collected nutrition label readings, but end-of year conflicts limited participation levels.	Despite interest, Spanish speaking families used the flyers at a much lower rate.	Adults, rather than students, were resistant to changes. White milk drinkers obtained more protein and calcium, and less sugar.	Positive awareness and access to offerings. Limited services for teen, park safety, and bike path inadequacies identified for improvement.
Actions or Next Steps	The coalition is exploring opportunities to repeat the study.	A small-group is improving POM flier readability and translating it into Spanish.	The group is working with school officials to reduce or remove chocolate milk from school lunches.	Findings used to obtain a grant to build a new bike path and as part of an ongoing environmental scan.

^*Number of PICO (Population, Intervention, Comparator, Outcomes) Statements 573 Identified by CHIRP members.