title: Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013-2014.
abstract: Childhood obesity is a multifaceted disease that requires sustainable, multidimensional approaches that support change at the individual, community, and systems levels. The Massachusetts Childhood Obesity Research Demonstration project addressed this need by using clinical and public health evidence-based methods to prevent childhood obesity. To date, little information is known about successes and lessons learned from implementing such large-scale interventions. To address this gap, we examined perspectives of community stakeholders from various sectors on successes achieved and lessons learned during the implementation process.
  
  
  
  We conducted 39 semistructured interviews with key stakeholders from 6 community sectors in 2 low-income communities from November 2013 through April 2014, during project implementation. Interviews were audio-recorded, transcribed, and analyzed by using the constant comparative method. Data were analyzed by using QSR NVivo 10.
  
  
  
  Successes included increased parental involvement in children's health and education, increased connections within participating organizations and within the broader community, changes in organizational policies and environments to better support healthy living, and improvements in health behaviors in children, parents, and stakeholders. Lessons learned included the importance of obtaining administrative and leadership support, involving key stakeholders early in the program planning process, creating buffers that allow for unexpected changes, and establishing opportunities for regular communication within and across sectors.
  
  
  
  Study findings indicate that multidisciplinary approaches support health behavior change and provide insight into key issues to consider in developing and implementing such approaches in low-income communities.
authors.affiliation: Harvard T.H. Chan School of Public Health, Boston, Massachusetts.|Technical University Berlin, Berlin, Germany.
authors.forename: Claudia
authors.initials: C
authors.lastname: Ganter
authors.affiliation: Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Aftosmes-Tobio
authors.affiliation: University of California, Los Angeles, Fielding School of Public Health, Los Angeles, California.
authors.forename: Emmeline
authors.initials: E
authors.lastname: Chuang
authors.affiliation: Massachusetts Department of Public Health, Boston, Massachusetts.
authors.forename: Jo-Ann
authors.initials: JA
authors.lastname: Kwass
authors.affiliation: Massachusetts Department of Public Health, Boston, Massachusetts.
authors.forename: Thomas
authors.initials: T
authors.lastname: Land
authors.affiliation: Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA 02115 MA. Email: kdavison@hsph.harvard.edu.
authors.forename: Kirsten K
authors.initials: KK
authors.lastname: Davison
mesh_terms: D000328:Adult; D002648:Child; D002662:Child Health Services; D002675:Child, Preschool; D003159:Community-Institutional Relations; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008404:Massachusetts; D063766:Pediatric Obesity / Q000517:prevention & control*; D011203:Poverty; D012572:School Health Services; D000073597:Stakeholder Participation