TY - JOUR
T1 - OPREVENT2
T2 - Design of a multi-institutional intervention for obesity control and prevention for American Indian adults
AU - Gittelsohn, Joel
AU - Jock, Brittany
AU - Redmond, Leslie
AU - Fleischhacker, Sheila
AU - Eckmann, Thomas
AU - Bleich, Sara N.
AU - Loh, Hong
AU - Ogburn, Elizabeth
AU - Gadhoke, Preety
AU - Swartz, Jacqueline
AU - Pardilla, Marla
AU - Caballero, Benjamin
N1 - Funding Information:
Funding for this study was provided by the National Heart, Lung, and Blood Institute (R01HL122150; J. Gittelsohn).
Publisher Copyright:
© 2017 The Author(s).
PY - 2017/1/23
Y1 - 2017/1/23
N2 - Background: Obesity and other nutrition-related chronic disease rates are high in American Indian (AI) populations, and an urgent need exists to identify evidence-based strategies for prevention and treatment. Multi-level, multi-component (MLMC) interventions are needed, but there are significant knowledge gaps on how to deliver these types of interventions in low-income rural AI communities. Methods: OPREVENT2 is a MLMC intervention targeting AI adults living in six rural reservations in New Mexico and Wisconsin. Aiming to prevent and reduce obesity in adults by working at multiple levels of the food and physical activity (PA) environments, OPREVENT2 focuses on evidence-based strategies known to increase access to, demand for, and consumption of healthier foods and beverages, and increase worksite and home-based opportunities for PA. OPREVENT2 works to create systems-level change by partnering with tribal stakeholders, multiple levels of the food and PA environment (food stores, worksites, schools), and the social environment (children as change agents, families, social media). Extensive evaluation will be conducted at each level of the intervention to assess effectiveness via process and impact measures. Discussion: Novel aspects of OPREVENT2 include: active engagement with stakeholders at many levels (policy, institutional, and at multiple levels of the food and PA system); use of community-based strategies to engage policymakers and other key stakeholders (community workshops, action committees); emphasis on both the built environment (intervening with retail food sources) and the social environment. This paper describes the design of the intervention and the evaluation plan of the OPREVENT2.
AB - Background: Obesity and other nutrition-related chronic disease rates are high in American Indian (AI) populations, and an urgent need exists to identify evidence-based strategies for prevention and treatment. Multi-level, multi-component (MLMC) interventions are needed, but there are significant knowledge gaps on how to deliver these types of interventions in low-income rural AI communities. Methods: OPREVENT2 is a MLMC intervention targeting AI adults living in six rural reservations in New Mexico and Wisconsin. Aiming to prevent and reduce obesity in adults by working at multiple levels of the food and physical activity (PA) environments, OPREVENT2 focuses on evidence-based strategies known to increase access to, demand for, and consumption of healthier foods and beverages, and increase worksite and home-based opportunities for PA. OPREVENT2 works to create systems-level change by partnering with tribal stakeholders, multiple levels of the food and PA environment (food stores, worksites, schools), and the social environment (children as change agents, families, social media). Extensive evaluation will be conducted at each level of the intervention to assess effectiveness via process and impact measures. Discussion: Novel aspects of OPREVENT2 include: active engagement with stakeholders at many levels (policy, institutional, and at multiple levels of the food and PA system); use of community-based strategies to engage policymakers and other key stakeholders (community workshops, action committees); emphasis on both the built environment (intervening with retail food sources) and the social environment. This paper describes the design of the intervention and the evaluation plan of the OPREVENT2.
KW - Adults
KW - American Indian
KW - Multi-level interventions
KW - Obesity
KW - Policy
KW - Rural
KW - Study design
UR - http://www.scopus.com/inward/record.url?scp=85010849984&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85010849984&partnerID=8YFLogxK
U2 - 10.1186/s12889-017-4018-0
DO - 10.1186/s12889-017-4018-0
M3 - Article
C2 - 28114926
AN - SCOPUS:85010849984
SN - 1471-2458
VL - 17
SP - 1
EP - 9
JO - BMC public health
JF - BMC public health
IS - 1
M1 - 105
ER -