Foltz Jennifer L, Belay Brook, Dooyema Carrie A, Williams Nancy, Blanck Heidi M
1 Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, GA.
Child Obes. 2015 Feb;11(1):4-10. doi: 10.1089/chi.2014.0159.
This is the first of a set of articles in this issue on the Childhood Obesity Research Demonstration (CORD) project and provides an overview of the multisite approach and community-wide interventions. Innovative multisetting, multilevel approaches that integrate primary healthcare and public health interventions to improve outcomes for children with obesity need to be evaluated. The CORD project aims to improve BMI and obesity-related behaviors among underserved 2- to 12-year-old children by utilizing these approaches.
The CORD consortium, structure, model terminology and key components, and common measures were solidified in year 1 of the CORD project. Demonstration sites applied the CORD model across communities in years 2 and 3. Evaluation plans for year 4 include site-specific analyses as well as cross-site impact, process, and sustainability evaluations.
The CORD approach resulted in commonalities and differences in participant, intervention, comparison, and outcome elements across sites. Products are to include analytic results as well as cost assessment, lessons learned, tools, and materials.
Foreseen opportunities and challenges arise from the similarities and unique aspects across sites. Communities adapted interventions to fit their local context and build on strengths, but, in turn, this flexibility makes cross-site evaluation challenging.
The CORD project represents an evidence-based approach that integrates primary care and public health strategies and evaluates multisetting multilevel interventions, thus adding to the limited research in this field. CORD products will be disseminated to a variety of stakeholders to aid the understanding, prevention, and management of childhood obesity.
本文是本期关于儿童肥胖研究示范（CORD）项目系列文章中的第一篇，概述了多地点研究方法和社区范围的干预措施。需要对整合初级医疗保健和公共卫生干预措施以改善肥胖儿童结局的创新型多环境、多层次方法进行评估。CORD项目旨在通过运用这些方法，改善服务不足的2至12岁儿童的体重指数及与肥胖相关的行为。
CORD联盟、结构、模型术语和关键组成部分以及通用测量方法在CORD项目的第1年得到了确定。示范地点在第2年和第3年将CORD模型应用于各个社区。第4年的评估计划包括针对各地点的分析以及跨地点的影响、过程和可持续性评估。
CORD方法在各地点的参与者、干预措施、对照和结局要素方面产生了共性和差异。成果将包括分析结果以及成本评估、经验教训、工具和材料。
各地点的相似性和独特之处带来了可预见的机遇和挑战。社区对干预措施进行调整以适应当地情况并发挥优势，但反过来，这种灵活性使得跨地点评估具有挑战性。
CORD项目代表了一种基于证据的方法，该方法整合了初级保健和公共卫生策略，并对多环境多层次干预措施进行评估，从而增加了该领域有限的研究。CORD成果将传播给各种利益相关者，以帮助理解、预防和管理儿童肥胖。
