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EMMELINE OCHIAI: The first question is for Kari. The question is: Are the tools being
discussed ready available for replication? Specifically, will the Healthy Weight Plan
for the school setting be available? KARI ELLINGSTAD: Yeah, I think that's on
our website currently and if it's not you can email me and I would be glad to send it.
With the school we include, we created a Healthy Weight Plan for general use that has been
offered to the broad school community and many schools and some cases the principal
sent out a letter to help that be completed. And then we have also created an obesity-focused
individual health plan like school nurses implement for kids that have asthma, or diabetes,
or those types of things. This one is focused on obesity and again aligns with the 5210
message and it sort of dictates the work flow that that our nurses follow when they work
with a patient, or a student, that has obesity. And they are encouraged to work with 6-8 students
per school that are obese.
But yes, we are happy to share anything that we have created
and are using and if it is not on the website please feel free to email me.
EMMELINE OCHIAI: Thank you, Kari. The next question is for Shaila. Could you share where
we can find evaluation data for the 5210 approach. We would like to know where we can find evidence
that this approach is effective. SHAILA SERPAS: Yes, so thanks for that question.
That was the exactly the question that all 10 teams at the table for our very first Healthy
Weight Collaborative activity. We had several of the NICHQ and HRSA expertise at the table
and a binder of incredible resources and background that was looked into. So I'm wondering if
maybe some of that material -- maybe NICHQ can comment -- if that's available for public
access. Because a lot of that was vetted before we even arrived.
Looking at messaging and
effectiveness of messaging, not just 5210 but there's a clock program in Chicago that
has messaging as well. And many of these programs, the one in Maine that we chose, has done some
local research, not on a national level, that we saw two years ago when we were looking
and reviewing which messaging had the best data to support its effectiveness and also
how easy was it to implement in our own community. So we considered those factors.
And what we saw in the evidence for 5210 specifically was that if the families that were surveyed
-- and they've published it, I can forward the references that I recall reading, two
published studies -- one was regarding the effectiveness of reaching the families with
the messaging and could they recall it. So that's just a recalling ability of being exposed
to the message, not an assessment of behavior change. And what they found was that if the
families were exposed in more than one setting -- so school and the business or in their
doctor's office -- two settings, the likelihood of their recall was much higher.
And then the second one, which I think we're more apt to be interested in is not just that
they can recall the message, but does it in fact lead to behavior change, which has been,
I think lacking in the evidence at that time. There was really a paucity of material that
we could see that really demonstrated behavior change as a result of the messaging, but there
was a small study that they did show us that showed. And I'm thinking, I'm recalling now,
and I might be wrong, but I'm thinking that there was behavior change in consumption of
fruits and vegetables in people that were able to recall the message more clearly and
perhaps a little bit higher physical activity level. So I would have to forward those references
for you, but there was a small amount of data again, like I said, at the local level and
nothing at this national level at that time and maybe we've moved forward on more evidence
behind those messaging efforts since that time.
EMMELINE OCHIAI: Thank you so much, Shaila. The next question is for Dr. Linde. How does
the Healthy Weight Collaborative align with other federal initiatives.
SARAH LINDE: Well the Healthy Weight Collaborative from the start was designed with other federal
initiatives in mind and it was designed to be complementary to work going on at CDC and
that's probably the primary agency that has significant obesity initiatives. Of course
we also aligned it with the First Lady's Let's Move initiative and throughout the Collaborative
in addition to the teams that you've heard from today we've had lots of partners and
stakeholders. So, partners within the federal Department of Health and Human Services, from
other federal departments, and with numerous outside stakeholders. For example we've had
a representative from the Let's Move initiative with us in the various meetings and planning.
So what distinguishes this collaborative is the focus on bringing together the primary
care, public health, and the community using the evidence base and then testing it through
the Breakthrough Series model, revising things and then moving on and of course the scale
up and sustainability beyond that.