title: Development of the Community Healthy Living Index: a tool to foster healthy environments for the prevention of obesity and chronic disease.
abstract: OBJECTIVE
  This paper presents a new, comprehensive tool for communities to assess opportunities for active living and healthy eating and to mobilize all sectors of society to conquer obesity and chronic disease.
  
  
  METHODS
  Relevant existing tools and input from an expert panel were considered to draft the Community Healthy Living Index (CHLI). CHLI covers five major sectors where people live, work, learn, and play: schools, afterschools, work sites, neighborhoods, and the community-at-large. CHLI and the accompanying procedures enable community teams to assess programs, the physical environment, and policies related to healthy living and to plan improvement strategies. In 2008, with local YMCAs acting as conveners, community assessment teams from six US communities pilot-tested CHLI for cognitive response testing, inter-rater reliability, and implementation feasibility. CHLI was revised to reflect the test results.
  
  
  RESULTS
  Pilot analyses demonstrated that the process was feasible, with most questions being interpreted as intended and showing substantial to almost perfect agreement between raters. The final CHLI is being disseminated nationally.
  
  
  CONCLUSIONS
  Preliminary data illustrate CHLI obtains reliable results and is feasible to implement. CHLI is a promising tool for community-based prevention efforts to draw attention to opportunities for healthy living and create impetus for community changes.
authors.affiliation: Health Improvement Program, Stanford Prevention Research Center, Stanford University School of Medicine, Suite 300, Palo Alto, CA 94304-1334, USA. soowon.kim@stanford.edu
authors.forename: Soowon
authors.initials: S
authors.lastname: Kim
authors.forename: Katie Clarke
authors.initials: KC
authors.lastname: Adamson
authors.forename: Deborah R
authors.initials: DR
authors.lastname: Balfanz
authors.forename: Ross C
authors.initials: RC
authors.lastname: Brownson
authors.forename: Jean L
authors.initials: JL
authors.lastname: Wiecha
authors.forename: Dennis
authors.initials: D
authors.lastname: Shepard
authors.forename: Wesley F
authors.initials: WF
authors.lastname: Alles
mesh_terms: D001642:Bicycling; D002908:Chronic Disease; D003159:Community-Institutional Relations; D004032:Diet; D004779:Environment Design; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D009043:Motor Activity; D009765:Obesity / Q000517:prevention & control*; D016730:Program Development / Q000379:methods; D012111:Residence Characteristics; D012574:Schools; D016138:Walking