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Title: Childhood Obesity Research Demonstration (CORD): Evaluation plan

item O'CONNOR, DANIEL - University Of Houston
item BHARGAVA, ALOK - University Of Houston
item LEE, REBECCA - University Of Houston
item MEHTA, PARAS - University Of Houston
item Thompson, Deborah - Debbe
item LEDOUX, TRACEY - University Of Houston
item O'CONNOR, TERESIA - Children'S Nutrition Research Center (CNRC)

Submitted to: Meeting Abstract
Publication Type: Abstract Only
Publication Acceptance Date: 3/1/2014
Publication Date: 5/22/2014
Citation: O'Connor, D., Bhargava, A., Lee, R., Mehta, P., Thompson, D.J., Ledoux, T., O'Connor, T. 2014. Childhood Obesity Research Demonstration (CORD): Evaluation plan [abstract]. International Society of Behavioral Nutrition and Physical Activity Annual Conference, May 21-24, 2014, San Diego, California. Symposium S11.4.

Interpretive Summary:

Technical Abstract: The Childhood Obesity Research Demonstration (CORD) project evaluation will determine the extent to which the CORD model of linking primary care (PC) interventions to public health (PH) interventions in multiple community sectors affects BMI and behavior in children (2 to 12 years). The evaluation center will analyze the data from three independent multilevel, multi-sector projects designed to induce environmental, systems, and policy changes that are intended to impact childhood obesity. The comprehensive plan includes evaluation of program delivery (process), outcomes (impact), sustainability, and cost. The process evaluation will assess reach, dose delivered, dose received, and fidelity of all interventions. The impact evaluation will use mixed linear models to account for heterogeneity in populations and settings among project sites and include covariates reflecting environmental characteristics and intervention dose to estimate CORD model effects. The sustainability evaluation will assess potential for replicability, continuation of benefits after the funding period, and institutionalization of the intervention systems and activities, as well as aspects of community capacity that support program delivery. Finally, cost analyses will assess how much benefit can potentially be gained per dollar amount invested in programs designed using the CORD model. The keys to combining and analyzing data from multiple projects are the CORD model framework used by all projects and the numerous common measures for the behavioral and health outcomes and important covariates. Evaluation results will be used to make evidence-based recommendations for implementing and sustaining programs based on the CORD model in broader populations and contexts.