New approaches are needed when working in rural communities to identify and communicate holistic evaluation impacts related to community-based health promotion efforts of Cooperative Extension. Specifically, there is a lack of recorded long-term programmatic impacts of these programs, including behavior changes related to consuming nutritious and…

Through a community-focused needs assessment conducted in rural Appalachia, we gauged perceptions of facilitators and barriers related to healthful eating and physical activity for young children and identified suggestions for improvement. Thirty-seven key informant interviews and three caregiver focus group sessions were coded and analyzed for…

This article describes the adaptation of a parent-focused evidence-based childhood obesity intervention program for implementation by county-based Extension educators in coordination with school district personnel in rural Pennsylvania. The Lifestyle Positive Parenting Program was designed and evaluated in Australia in clinical settings. Several…

The issue of obesity continues to be a concern in the US. Throughout the years, research has shown that adopting healthier eating habits and increasing physical activity can help people lead healthier lives. Families of low socioeconomic status suffer disproportionately from poor health. Nutrition education programs have been successful in…

With an adult obesity rate of 35.6%, Alabama is the second most obese state in the United States. Alabama Extension and the Centers for Disease Control and Prevention (CDC) joined in the first collaboration between the CDC and land-grant institutions to prevent further incidence and reduce the prevalence of obesity. The objective of our study was…

The tool kit Mobilizing Rural Communities to Prevent Childhood Obesity is the product of a seven-state multidisciplinary research project focused on enhancing obesity prevention efforts by integrating community coaching into the work of rural community coalitions. The interactive tool kit is available at no cost both in print form and online, and…

This edition of "The State of the World's Children" report examines children, food and nutrition. It seeks to deepen understanding around the causes and consequences of children's malnutrition in all its forms and to highlight how governments, business, families and other stakeholders can best respond. Chapter 1 examines the changing…

This community-based participatory research (CBPR) project used a collaborative process to develop a culturally relevant workbook for parents of overweight children. We followed a mixed methods iterative process to assess clear communication using a CBPR approach. Materials were evaluated using readability tests, the Clear Communication Index…

Objective: This study investigated the feasibility of delivering health-related short text messages to parents with the goal of reducing obesity risk among their children aged 3--5 years. Design: Quasi-experimental design involving one experimental group of 17 parents. Setting: Rural American Indian reservation. Methods: During the 5-week…

Objective: Due to the disproportionately high rates of obesity within the US Hispanic community, there is a critical need to address this health disparity issue. The aim of this study is to examine the relationship between parents' socio-demographic characteristics and their children's food consumption. Design: Cross-sectional study. Setting:…

Engaging youth from racial and ethnic minority communities as leaders for change is a potential strategy to mobilize support for addressing childhood obesity, but there are limited curricula designed to help youth understand the complex influences on obesity. Our aim was to develop and pilot test a systems science curriculum to elicit rural…

Niños Sanos, Familia Sana (NSFS) is a 5-year multi-intervention study aimed at preventing childhood obesity among Mexican-origin children in rural California. Using a transdisciplinary approach and community-based participatory research (CBPR) methodology, NSFS's development included a diversely trained team working in collaboration with community…

As youth obesity rates remain at unacceptably high levels, particularly across underserved populations, the promotion of physical activity has become a focus of youth obesity prevention across the United States. Thus, the purpose of this study was to develop and test the reliability and validity of a self-reported questionnaire on home, school,…

Purpose: The purpose of this paper is to test the feasibility of implementing a healthy lifestyles intervention to maintain or achieve healthy weight for low-income young adults in vocational education. Design/methodology/approach: Non-randomized, quasi-experimental feasibility test of a ten-week intervention with follow-up assessment designed…

Signal detection analysis was used to evaluate a combination of sociodemographic, acculturation, mental health, health care, and chronic disease risk factors potentially associated with diabetes in a sample of 4,505 semirural Mexican American adults. Overall, 8.9% of adults had been diagnosed with diabetes. The analysis resulted in 12 mutually…