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	A doctor placing a stethoscope on a girls chest.Childhood Obesity Research Demonstration Projects (CORD)

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Implementing Community-Based Strategies to Prevent Childhood Obesity

All children deserve to grow up at a healthy weight. Many research initiatives have studied ways to prevent and manage childhood obesity. Historically, these initiatives had a limited ability to affect the community settings that influence children’s nutrition and physical activity behaviors.

In 2011, with funds authorized from the Children's Health Insurance Program Reauthorization Act, CDC funded three community grantees and one evaluation center to conduct Childhood Obesity Research Demonstration Projects (CORD 1.0). These 4-year projects were designed to cover various levels of the socioecological model (SEM). The projects combined efforts from pediatric health care settings with public health interventions in schools, early care and education centers, and communities.

CORD 1.0 targeted communities with a high proportion of children from low-income families. The three selected grantees worked in both rural and urban communities in Texas, Massachusetts, and California. The CORD 1.0 project funding period ended on September 29, 2015.

Building on what was learned from the first demonstration, CORD 2.0 focuses on improving clinical-community linkages for the prevention and management of childhood obesity. CORD 2.0 tests a model that increases obesity screening and counseling services for eligible children in the selected communities, and refers them to local pediatric weight management programs. Learn more about CORD 2.0 .

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For Additional Information

The Childhood Obesity Research Demonstration (CORD) Project: A Comprehensive Community Approach to Reduce Childhood Obesity” explains how the research project was conceived and developed.

CORD: A Supplement to the Journal, Childhood Obesity is a special issue of research articles of baseline assessments related to the CORD Project.

CORD Project: Webinar

Factors Affecting Implementation of the California Childhood Obesity Research Demonstration (CA-CORD) Project, 2013” reviews the perceptions of project leaders on challenges and successes in carrying out the California CORD project.

Media Competition Implementation for the Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD): Adoption and Reach” reviews the development and implementation of a media competition to promote awareness and reduce childhood obesity by one of the CORD grantees.

A Cascade of Champions: A Qualitative Study about the MA-CORD Media Competition Implementation

and “Rationale, Design, and Methods for Process Evaluation in the Childhood Obesity Research Demonstration Project” are studies that report on the evaluation of a media competition, including organizational factors that explain the variability of the reach and awareness of media campaigns across settings in one of the CORD settings.

Learn More About Specific CORD Projects and Grantees

CORD 1.0 Grantees

Texas CORD Childhood Obesity Research Demonstration Project at the University of Texas at Austin, is designed to test community-based obesity prevention and treatment programs in Austin and Houston. Review some of the project details at this website. Learn about the of University of Texas’s efforts to help children and their families eat healthier and be active.

The Imperial County Childhood Obesity Project (ICCOP): An Ecological Approach to Addressing Childhood Obesity in Imperial County is a project of the Institute for Behavioral and Community Health at San Diego State University and its partners, the Clínicas de Salud del Pueblo, Inc. and the Imperial County Public Health Department.

Harvard (CORD) Childhood Obesity Research Demonstration Project is a partnership between the Harvard School of Public Health, and the Massachusetts Department of Public Health Massachusetts in collaboration with local partners in addressing childhood obesity in CORD.

CORD 2.0 Grantees

Arizona State University

The Arizona-CORD (AZ CORD) will adapt and implement an existing parenting program called the Family Check-Up (FCU) to address overweight and obesity in young people. The AZ-CORD team will work with three primary care clinics and stakeholders across the state to implement and test Family Checkup 4 Health (FCU4Health).

Massachusetts Department of Health

Massachusetts CORD 2.0 (MA-CORD 2.0) will build on experiences in CORD 1.0 to optimize and test the clinical care of low-income children with a body mass index (BMI) ≥ 85th percentile for age and gender.