title: Accelerating efforts to prevent childhood obesity: spreading, scaling, and sustaining healthy eating and physical activity.
abstract: During the past decade, progress has been made in addressing childhood obesity through policy and practice changes that encourage increased physical activity and access to healthy food. With the implementation of these strategies, an understanding of what works to prevent childhood obesity is beginning to emerge. The task now is to consider how best to spread, scale, and sustain promising childhood obesity prevention strategies. In this article we examine a project led by Nemours, a children's health system, to address childhood obesity. We describe Nemours's conceptual approach to spreading, scaling, and sustaining a childhood obesity prevention intervention. We review a component of a Nemours initiative in Delaware that focused on early care and education settings and its expansion to other states through the National Early Care and Education Learning Collaborative to prevent childhood obesity. We also discuss lessons learned. Focusing on the spreading, scaling, and sustaining of promising strategies has the potential to increase the reach and impact of efforts in obesity prevention and help ensure their impact on population health.
authors.affiliation: Debbie I. Chang (Deborah.chang@nemours.org) is enterprise vice president of policy and prevention at Nemours, in Washington, D.C.
authors.forename: Debbie I
authors.initials: DI
authors.lastname: Chang
authors.affiliation: Allison Gertel-Rosenberg is director of national prevention and practice in the National Office of Policy and Prevention, Nemours.
authors.forename: Allison
authors.initials: A
authors.lastname: Gertel-Rosenberg
authors.affiliation: Kim Snyder is a program and policy analyst II in the National Office of Policy and Prevention, Nemours.
authors.forename: Kim
authors.initials: K
authors.lastname: Snyder
mesh_terms: D002648:Child; D003691:Delaware / Q000453:epidemiology; D004032:Diet; D006293:Health Promotion / Q000379:methods; D006801:Humans; D009043:Motor Activity; D063766:Pediatric Obesity / Q000453:epidemiology / Q000517:prevention & control*; D015397:Program Evaluation; D014481:United States / Q000453:epidemiology
keywords: Children’s Health; Health Promotion/Disease Prevention; Public Health