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BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Study protocol

OPREVENT2: Design of a multi-institutional intervention for obesity control and prevention for American Indian adults

Authors: Joel Gittelsohn, Brittany Jock, Leslie Redmond, Sheila Fleischhacker, Thomas Eckmann, Sara N. Bleich, Hong Loh, Elizabeth Ogburn, Preety Gadhoke, Jacqueline Swartz, Marla Pardilla, Benjamin Caballero

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Obesity and other nutrition-related chronic disease rates are high in American Indian (AI) populations, and an urgent need exists to identify evidence-based strategies for prevention and treatment. Multi-level, multi-component (MLMC) interventions are needed, but there are significant knowledge gaps on how to deliver these types of interventions in low-income rural AI communities.

Methods

OPREVENT2 is a MLMC intervention targeting AI adults living in six rural reservations in New Mexico and Wisconsin. Aiming to prevent and reduce obesity in adults by working at multiple levels of the food and physical activity (PA) environments, OPREVENT2 focuses on evidence-based strategies known to increase access to, demand for, and consumption of healthier foods and beverages, and increase worksite and home-based opportunities for PA. OPREVENT2 works to create systems-level change by partnering with tribal stakeholders, multiple levels of the food and PA environment (food stores, worksites, schools), and the social environment (children as change agents, families, social media). Extensive evaluation will be conducted at each level of the intervention to assess effectiveness via process and impact measures.

Discussion

Novel aspects of OPREVENT2 include: active engagement with stakeholders at many levels (policy, institutional, and at multiple levels of the food and PA system); use of community-based strategies to engage policymakers and other key stakeholders (community workshops, action committees); emphasis on both the built environment (intervening with retail food sources) and the social environment. This paper describes the design of the intervention and the evaluation plan of the OPREVENT2.

Trial registration

Clinical Trial Registration: NCT02803853 (June 10, 2016)
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Metadata
Title
OPREVENT2: Design of a multi-institutional intervention for obesity control and prevention for American Indian adults
Authors
Joel Gittelsohn
Brittany Jock
Leslie Redmond
Sheila Fleischhacker
Thomas Eckmann
Sara N. Bleich
Hong Loh
Elizabeth Ogburn
Preety Gadhoke
Jacqueline Swartz
Marla Pardilla
Benjamin Caballero
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4018-0

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