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Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 10/2014

Open Access 01-12-2014

A Community Engagement Process Identifies Environmental Priorities to Prevent Early Childhood Obesity: The Children’s Healthy Living (CHL) Program for Remote Underserved Populations in the US Affiliated Pacific Islands, Hawaii and Alaska

Authors: Marie Kainoa Fialkowski, Barbara DeBaryshe, Andrea Bersamin, Claudio Nigg, Rachael Leon Guerrero, Gena Rojas, Aufa’i Apulu Ropeti Areta, Agnes Vargo, Tayna Belyeu-Camacho, Rose Castro, Bret Luick, Rachel Novotny, the CHL Team

Published in: Maternal and Child Health Journal | Issue 10/2014

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Abstract

Underserved minority populations in the US Affiliated Pacific Islands (USAPI), Hawaii, and Alaska display disproportionate rates of childhood obesity. The region’s unique circumstance should be taken into account when designing obesity prevention interventions. The purpose of this paper is to (a), describe the community engagement process (CEP) used by the Children’s Healthy Living (CHL) Program for remote underserved minority populations in the USAPI, Hawaii, and Alaska (b) report community-identified priorities for an environmental intervention addressing early childhood (ages 2–8 years) obesity, and (c) share lessons learned in the CEP. Four communities in each of five CHL jurisdictions (Alaska, American Samoa, Commonwealth of the Northern Mariana Islands, Guam, Hawai‘i) were selected to participate in the community-randomized matched-pair trial. Over 900 community members including parents, teachers, and community leaders participated in the CEP over a 14 month period. The CEP was used to identify environmental intervention priorities to address six behavioral outcomes: increasing fruit/vegetable consumption, water intake, physical activity and sleep; and decreasing screen time and intake of sugar sweetened beverages. Community members were engaged through Local Advisory Committees, key informant interviews and participatory community meetings. Community-identified priorities centered on policy development; role modeling; enhancing access to healthy food, clean water, and physical activity venues; and healthy living education. Through the CEP, CHL identified culturally appropriate priorities for intervention that were also consistent with the literature on effective obesity prevention practices. Results of the CEP will guide the CHL intervention design and implementation. The CHL CEP may serve as a model for other underserved minority island populations.
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Metadata
Title
A Community Engagement Process Identifies Environmental Priorities to Prevent Early Childhood Obesity: The Children’s Healthy Living (CHL) Program for Remote Underserved Populations in the US Affiliated Pacific Islands, Hawaii and Alaska
Authors
Marie Kainoa Fialkowski
Barbara DeBaryshe
Andrea Bersamin
Claudio Nigg
Rachael Leon Guerrero
Gena Rojas
Aufa’i Apulu Ropeti Areta
Agnes Vargo
Tayna Belyeu-Camacho
Rose Castro
Bret Luick
Rachel Novotny
the CHL Team
Publication date
01-12-2014
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 10/2014
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-013-1353-3

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