Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress (2013)
Chapter: Appendix F: National Plan Resources
TABLE F-1 International Evaluation Plans and Activities
| Country or Organization | Evaluation Plan or Activity | Description | Reference |
| Australia | National Obesity Taskforce | A national action agenda identifying actions and outcomes to monitor the progress of setting-specific strategies, monitoring of performance and evidence, and outcomes for coordination and capacity building for children, young people, and families | Commonwealth of Australia, 2003 |
| Australia | Indigenous Chronic Disease Package | Strategies for and a monitoring and evaluation framework to reach targets for closing the gap between Indigenous and non-Indigenous Australians (reducing health disparities) | Australian Government Department of Health and Aging, 2010 |
| EPODE (Together Let’s Prevent Childhood Obesity) European Network | EPODE European Network Recommendations | Recommendations for the implementation of community-based interventions aimed at preventing childhood obesity A Scientific Evaluation and Dissemination Committee is developing the EPODE evaluation “how to” on a large scale | Borys et al., 2011 |
| European Commission | European Union Platform for Action on Diet, Physical Activity, and Health | Common monitoring framework for each member country published in annual reports Platform emphasizes policy interventions at governmental levels, including marketing of unhealthful foods; availability of processed foods with reduced total fat or added sugar; guidelines for physical activity; inclusion of physical and nutrition education in schools; strengthening of monitoring systems; community-based interventions | European Commission, 2005, 2007, 2010, 2013b,c |
| European Commission | European Community Health Indicators | A list of common indicators to facilitate cross-country comparisons | European Commission, 2013a |
| Country or Organization | Evaluation Plan or Activity | Description | Reference |
| United Kingdom | Cross-Government Strategy | Components include (1) indicators for achieving the vision; (2) activities to achieve the vision; (3) building a Coalition for Better Health, a Cabinet Committee on Health and Well-being, a Cabinet Committee on Families, Children, and Young People, and a cross-government obesity advisory group to help develop dialogue, intersectoral, and other needed infrastructural supports; provide cross-sector/government leadership; monitoring; and (4) performing the work to report to the Committees and build the evidence base One-year progress and monitoring reports from this “cross-government strategy” include a set of leading indicators and outcome indicators | UK Department of Health and Department of Children, Schools, and Families, 2008 |
| United Kingdom | Change4Life, evaluated by the Department of Health | Messages promote 8 key behaviors: sugar swaps, 5-a-day, meal time, bite-size meals, 60 active minutes, cut back fat, up & about, and snack check | National Social Marketing Centre, 2006; UK Department of Health, 2010a |
| United Kingdom | Strategy and Call to Action from the UK Coalition of Health (and the Public Health Responsibility Deal) | Focus is the role of the local decision makers and the connection to the government’s role as a national leader and support for guidance A “National Ambition Review Group” reviews progress on obesity Equality Analysis template helps account for fair and just action | Equality and Inclusion Team, 2011; UK Department of Health, 2010b, 2011 |
| World Health Organization (WHO)/Europe member states (21 countriesa) | WHO European Childhood Obesity Surveillance Initiative (COSI) | Coordination that harmonized surveillance systems for childhood obesity across the European Region. Supplements the ongoing, country-specific obesity monitoring. Targets measured body mass index surveillance for children aged 6 to 9 yrs old | WHO, 2013; Wijnhoven et al., 2013 |
a 21 counties established the Childhood Obesity Surveillance Initiative (COSI), and as of the 2009/2010 data collection period 17 counties have participated.
TABLE F-2 Examples of National Surveillance and Evaluation Systems*
| Data Source and Website | Sponsor | Frequency of Data Updates | Sample Design (if applicable) and Sample Size | Target Population (or Components) | Level of Estimates or Data Available | Comments |
| Early Childhood Longitudinal Study-Birth (ECLS-B) and Kindergarten (ECLS-K) http://nces.ed.gov/ecls/index.aspen | DoED | 2 previous cohorts: 2001 birth cohort; 1998-1999 K-cohort followed through 8th grade 2010-2011 K-cohort followed through 5th grade | National sample of children in 3 cohorts Longitudinal follow-up | Children from birth or kindergarten through middle school | National | Measured height and weight Food consumption at home and school |
| Early Head Start Family and Child experiences Survey (Baby FACES) http://www.acf.hhs.gov/programs/opre/ research/project/early-head-start- family-and-child-experiences-study-baby-faces | HHS/ACF | Periodic 2007-2014 | Cohort study (through age 3 years) Representative sample of 89 Early Head Start programs in 2009 and 2 cohorts of families: (1) a perinatal group and (2) a group of infants about 1 yrs old | Children in Early Head Start | National | Breastfeeding Infant feeding practices Diet and activity behaviors Child care |
| Food Environment Atlas http://www.ers.usda.gov/data-products/ food-environment-atlas | USDA/ERS | Ongoing | Assembles statistics on food environment indicators | Varies | Varies | Food environment |
| Head Start Family and Child Experiences Survey (FACES) http://www.acf.hhs.gov/ programs/opre/research/project/head -start-family-and-child-experiences -survey-faces-1997-2013 | HHS/ACF | Periodic 1997-2013 | Cohort study Samples of Head Start families, children, and programs 65 programs, 130 centers, 486 classrooms, and 3,718 children in 2009 FACES | Children in Head Start | National | Diet and activity behaviors Child care |
| Health and Diet Survey http://www.fda.gov/Food/FoodScienceResearch/ConsumerBehavior Research/ucm193895.htm | HHS/FDA | Periodic 1982-2008 | Cross-sectional random-digit-dial telephone survey | Noninstitutionalized adults in 50 states and DC | National | Consumer knowledge, attitudes, and practices on diet |
| National Household Education Surveys Program (NHES) http://nces.ed.gov/nhes | DoED | Every other year | Provides descriptive data on the educational activities of the U.S. population and offers researchers, educators, and policy makers a variety of statistics on the condition of education in the United States | Preschool-age through adults | National Regional | Early child care Before and after-school care of school-age children |
| National Household Food Acquisition and Purchase Survey (FoodAPS) http://www.ers.usda.gov/topics/ food-nutritionassistance/supplemental-nutrition -assistance-program-%28snap%29/national-food -study.aspx#.UXQDTMqyPTo | USDA/ERS | 2012 | Cross-sectional study of households, 7-day diaries of foods purchased/acquired at home and away from home | Supplemental Nutrition Assistance Program (SNAP) participants and non-SNAP participants | National | Food environment Food purchases and shopping behavior Food security |
| Data Source and Website | Sponsor | Frequency of Data Updates | Sample Design (if applicable) and Sample Size | Target Population (or Components) | Level of Estimates or Data Available | Comments |
| SNAP Policy Database http://www.ers.usda.gov/dataproducts /snap-policy-database. aspx#.UX5fNqLkuSo | USDA | Periodic | 50 states and DC (data provided from January 1996 through December 2011) | State SNAP-Ed programs | State | |
| State and Local Area Integrated Telephone Survey (SLAITS) http://www.cdc.gov/nchs/ slaits.htm | USDA/CDC | Periodic | Random-digit-dial supplement drawn from the National Immunization Survey sample frame | Adults and children (depending on survey year) | State Local area | Health care |
| State licensing regulations for physical activity in child care http://nrckids.org/States/states.ht | National Resource Center for Health and Safety in Child Care and Early Education | Ongoing | State licensing and regulation information, states contacted twice a year to verify accuracy of information on regulations | 50 states, DC, Puerto Rico, and the Virgin Islands | National State | Child care |
| Studies of Child and Adult Care Food Program (CACFP) http://www.fns.usda.gov/cacfp/ child-and-adult-care-food-program-cacfp | USDA/FNS | Child Care Food Program began in 1968; name changed in 1990 | Day care programs w/ CACFP | Children and adults receiving day care services in CACFP | Children to age 18 yrs old and adults | Child care meals and snacks Adult day care meals and snacks |
| Studies of Special Supplemental Nutrition Program for Women, Infants ,and Children (WIC) Participants http://www.fns.usda.gov/Ora/menu/ Published/WIC/WIC.htm | USDA/FNS | Biennial since 1992 (multiple studies) | Cross-sectional Varies by survey | Participants in WIC | National | Breastfeeding Infant feeding practices WIC policies and practices |
* In addition to the national and state surveys described in Chapter 6, a full list of indicator data sources drawn from current studies can be found in Appendix D, Table D-1. Appendix F, Table F-2, lists examples of national surveillance and evaluation system data sources that can be considered for their potential based on the specific measures, target population, and level of the data desired for indicators.
NOTES: ACF = Administration for Children and Families; CDC = Centers for Disease Control and Prevention; DoED = Department of Education; ERS = Economic Research Service; FDA = Federal Drug Administration; FNS = Food and Nutrition Service; HHS = Health and Human Services; SNAP-Ed = Supplemental Nutrition Assistance Program-Education;USDA = U.S. Department of Agriculture.
TABLE F-3 Comprehensive State Obesity Prevention, Physical Activity, and Nutrition Plans
| State | Title | Website |
| Louisiana | Louisiana Council on Obesity Prevention and Management Strategic Plan | http://new.dhh.louisiana.gov/assets/docs/LegisReports/LA-Obesity-Council2008-2009.pdf |
| Maine | The Maine Physical Activity and Nutrition Plan | http://www.healthymainepartnerships.org/panp/documents/226-701-05_PAN_Plan.pdf |
| Maryland | Maryland Nutrition and Physical Activity Plan | http://www.healthyactivemaryland.org/NPA/npaplan.pdf |
| Michigan | Michigan Healthy Eating and Physical Activity Strategic Plan: 2010-2020 | http://www.michigan.gov/documents/mdch/Mi_Healthy_State_Plan_353817_7.pdf |
| Minnesota | Minnesota Plan to Reduce Obesity and Obesity-Related Chronic Diseases | http://www.health.state.mn.us/divs/hpcd/chp/cdrr/obesity/obesityplan/obesityplan.html |
| Missouri | Missouri Council for Activity and Nutrition Strategic Plan | http://extension.missouri.edu/mocan/MoCANstrategicplan_web.pdf |
| Montana | Montana Nutrition and Physical Activity Program: Strategic Plan to Prevent Obesity and Other Chronic Diseases | http://www.mtnapa.com/images/1strategicplan.pdf |
| Nebraska | Nebraska Physical Activity and Nutrition State Plan: Promoting Healthy Weight and Preventing Chronic Disease | http://dhhs.ne.gov/Documents/PANstateplan.pdf |
| Nevada | Strategic Plan for the Prevention of Obesity in Nevada | http://health.nv.gov/PDFs/obeseplan.pdf |
| New Hampshire | Healthy Eating Active Living Action Plan for New Hampshire 2008 | http://www.healnh.org/images/pdffiles/HEALactionPlan.pdf |
| New Jersey | The New Jersey Obesity Prevention Action Plan | http://www.nj.gov/health/fhs/documents/obesity_prevention.pdf |
| New Mexico | The New Mexico Plan to Promote Healthier Weight: A Comprehensive Plan to Reduce Obesity, Overweight, and Related Chronic Diseases | http://www.health.state.nm.us/pdf/NM_PPHW2006Web.pdf |
| New York | New York State Strategic Plan for Overweight and Obesity Prevention | http://www.health.ny.gov/prevention/obesity/strategic_plan |
| State | Title | Website |
| North Carolina | Eat Smart, Move More: North Carolina’s Plan to Prevent Overweight, Obesity, and Related Chronic Diseases | http://www.eatsmartmovemorenc.com/ESMMPlan/Texts/ESMMPlan_Desktop.pdf |
| North Dakota | North Dakota Healthy Eating and Physical Activity: A State Plan for Action | http://www.ndhealth.gov/NutrPhyAct/ND%20Healthy%20Eating%20and%20Physical%20Activity%20State%20Plan.pdf |
| Ohio | The Ohio Obesity Prevention Plan | http://www.healthyohioprogram.org/en/resources/datareports/~/media/9B42F122F2074DB19E0A931505BE01D4.ashx |
| Oklahoma | Get Fit Eat Smart OK: Oklahoma Physical Activity and Nutrition State Plan | http://www.ok.gov/strongandhealthy/%3Ci%3EGet_Fit_Eat_Smart%3C_i%3E_State_Plan/index.html |
| Oregon | A Healthy Active Oregon: Statewide Physical Activity and Nutrition Plan | http://public.health.oregon.gov/PreventionWellness/Physical/Activity/Documents/PAN_rpt_07.pdf |
| Pennsylvania | Pennsylvania Nutrition and Physical Activity Plan to Prevent Obesity and Related Chronic Diseases | http://www.health.state.pa.us/pdf/nutrition/nutrition.pdf |
| Rhode Island | Eat Smart Move More Rhode Island: A Plan of Action | http://www.health.ri.gov/publications/actionplans/2010InitiativeForHealthyWeight.pdf |
| South Carolina | Moving South Carolina Towards a Healthy Weight: Comprehensive Nutrition and Physical Activity Approaches to Address Obesity | http://www.scdhec.gov/health/chcdp/obesity/docs/StatePlanComplete.pdf |
| South Dakota | South Dakota State Plan for Nutrition and Physical Activity to Prevent Obesity and Other Chronic Diseases | http://www.healthysd.gov/Documents/2010PlanUpdate.pdf |
| Tennessee | Eat Well, Play More: Tennessee Statewide Nutrition and Physical Activity Plan | http://www.eatwellplaymoretn.org/plan-overview/about-the-plan |
| Texas | Eat Smart, Be Active: Strategic Plan for the Prevention of Obesity in Texas | http://www.dshs.state.tx.us/obesity/pdf/strategic_plan.pdf |
| Utah | Utah Nutrition and Physical Activity Plan | http://www.slideshare.net/StateofUtah/utah-nutrition-and-physical-activity-plan-20102020 |
| Vermont | Fit and Healthy Vermonters: Preventing Obesity in Vermont, A Statewide Plan | http://healthvermont.gov/family/fit/documents/Obesity_Plan.pdf |
| Virginia | Healthy Eating and Active Living Program | http://www.vdh.virginia.gov/ofhs/prevention/heal |
| Washington | Washington State Nutrition and Physical Activity Plan | http://depts.washington.edu/waaction/plan/about/2011_update.html |
| West Virginia | West Virginia Everyday: A Statewide Plan to Improve Physical Activity and Nutrition | http://www.wvohl.com/Portals/3/Everyday%20Final.pdf |
| Wisconsin | Wisconsin Nutrition and Physical Activity State Plan: A Comprehensive Plan to Prevent Obesity and Reduce Chronic Disease in Wisconsin | http://www.dhs.wisconsin.gov/publications/P4/p40126.pdf |
| Wyoming | Physical Activity and Nutrition in Children and Adolescents | http://www.health.wyo.gov/Media.aspx?mediaId=12553 |
NOTE: Four states (Florida, Kansas, Massachusetts, and Mississippi) and the District of Columbia do not have formal comprehensive state plans.
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