title: Lessons learned from community-based approaches to sodium reduction.
abstract: OBJECTIVE
  This article describes lessons from a Centers for Disease Control and Prevention initiative encompassing sodium reduction interventions in six communities.
  
  
  METHODS
  A multiple case study design was used.
  
  
  METHODS
  This evaluation examined data from programs implemented in six communities located in New York (Broome County, Schenectady County, and New York City); California (Los Angeles County and Shasta County); and Kansas (Shawnee County).
  
  
  METHODS
  Participants (n = 80) included program staff, program directors, state-level staff, and partners.
  
  
  METHODS
  Measures for this evaluation included challenges, facilitators, and lessons learned from implementing sodium reduction strategies.
  
  
  METHODS
  The project team conducted a document review of program materials and semistructured interviews 12 to 14 months after implementation. The team coded and analyzed data deductively and inductively.
  
  
  RESULTS
  Five lessons for implementing community-based sodium reduction approaches emerged: (1) build relationships with partners to understand their concerns, (2) involve individuals knowledgeable about specific venues early, (3) incorporate sodium reduction efforts and messaging into broader nutrition efforts, (4) design the program to reduce sodium gradually to take into account consumer preferences and taste transitions, and (5) identify ways to address the cost of lower-sodium products.
  
  
  CONCLUSIONS
  The experiences of the six communities may assist practitioners in planning community-based sodium reduction interventions. Addressing sodium reduction using a community-based approach can foster meaningful change in dietary sodium consumption.
authors.forename: Heather
authors.initials: H
authors.lastname: Kane
authors.forename: Karen
authors.initials: K
authors.lastname: Strazza
authors.forename: Jan L
authors.initials: JL
authors.lastname: Losby
authors.forename: Rashon
authors.initials: R
authors.lastname: Lane
authors.forename: Kristy
authors.initials: K
authors.lastname: Mugavero
authors.forename: Andrea S
authors.initials: AS
authors.lastname: Anater
authors.forename: Corey
authors.initials: C
authors.lastname: Frost
authors.forename: Marjorie
authors.initials: M
authors.lastname: Margolis
authors.forename: James
authors.initials: J
authors.lastname: Hersey
mesh_terms: D019058:Community Networks; D005069:Evaluation Studies as Topic; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D015397:Program Evaluation; D012982:Sodium, Dietary / Q000008:administration & dosage*; D014481:United States
chemical_list: D012982:Sodium, Dietary
keywords: Health focus: nutrition; Manuscript format: research; Nutrition, Case Study; Outcome measure: behavioral; Prevention Research; Research purpose: descriptive; Setting: local community; Sodium Reduction; Strategy: skill building/behavior change; Study design: qualitative; Target population age: youth, adults, seniors; Target population circumstances: geographic location