Childhood Obesity Demonstration Project (CORD)

CORD was a four year, CDC-funded, multi-site obesity prevention study targeting children 2-12 years old living in low-income communities in Massachusetts, Texas and California. The aim of the project was to identify effective health care and community strategies to support children’s healthy eating and active living to help combat childhood obesity and prevent the onset of many associated diseases, including type-2 diabetes, asthma and heart disease. A summary of the protocols and evaluation plans for each site are provided in a special issue of Childhood Obesity.

Partners for Massachusetts CORD (MA-CORD) included the Massachusetts Department of Public Health, Harvard T.H. Chan School of Public Health, Massachusetts General Hospital for Children, and the National Initiative for Children’s Healthcare Quality. Building on existing community efforts and using innovative, evidence-based approaches to reach low-income and minority families, MA-CORD combined changes in preventive care at pediatric visits with supportive changes in schools, childcare centers, after school programs and community venues such as retail food stores and parks to reduce children’s screen time. Results from MA-CORD are published in the following papers:

MA-CORD design and evaluation plan

  1. Taveras EM., Blaine RE, Davison KK, Gortmaker S, Anand S, Falbe J, Kwass J, Perkins M, Giles C, Criss S, Colchamiro R, Woo Baidal J, Land T, Smith L. (2015). Design of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study. Childhood Obesity, 11(1): 11-22. PMC4322791.
  2. Davison KK, Falbe J, Taveras EM., Gortmaker S, Kulldorff M, Perkins M, Blaine RE, Franckle RL, Ganter C, Woo Baidal J, Kwass J, Buskiewicz J, Smith L, Land T and the MA-CORD Study Group. (2015). Evaluation overview for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project. Childhood Obesity, 11(1): 23-36.
  3. Chuang E, Ayala GX, Schmied E, Ganter C, Gittelsohn J & Davison KK (2015). Evaluation protocol to assess an integrated framework for the implementation of the Childhood Obesity Research Demonstration project at the California (CA-CORD) and Massachusetts (MA-CORD) sites. Childhood Obesity, 11(1): 48-57. PMC4323117.

MA-CORD process and impact evaluations

  1. Criss S*, Cheung L, Giles C, Gortmaker S, Viswanath K, Kwass J & Davison KK. (2016). Media competition implementation for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study: Adoption and Reach. International Journal of Environmental Research and Public Health. 13(4), 403. PMC4847065.
  2. Criss S*, Tran A, Ganter C, Aftosmes-Tobio A, Gortmaker S, Viswanath K, Kwass J, & Davison KK. (2016). A Cascade of Champions: A Qualitative Study about the MA-CORD Media Competition Implementation. International Journal of Environmental Research and Public Health, 13(4), 404. PMC4847066.
  3. Blaine RE, Franckle RL, Ganter C, Falbe J, Giles C, Criss S, Kwass J, Land T, Gortmaker S, Chuang E, Davison KK and the MA-CORD Study Group. (2017). Using school staff to implement a childhood obesity prevention intervention in low-income school districts: the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project, 2012-2014.Preventing Chronic Disease. 14:160381. http://dx.doi.org/10.5888/pcd14.160381
  4. Ganter C, Aftosmes-Tobio, A, Chuang E, Kwass J, Land T, Davison KK and the MA-CORD Study Group. (in press). Lessons learned by community stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013-2014. Preventing Chronic Disease.
  5. Taveras EM, Perkins M, Anand S, Woo Baidal JA, Nelson CC, Kamdar N, Kwass J, Gortmaker SL, Barrett JL, Davison K, Land T. (2017). Clinical Effectiveness of the Massachusetts Childhood Obesity Research Demonstration Initiative among Low-Income Children. Obesity, 25(7), 1159-1166.
  6. Woo Baidal JA, Nelson CC, Perkins M, Colchamiro R, Leung-Stryle P, Kwass J, Gortmaker SL, Davison KK, Taveras EM. (2017). Childhood Obesity Prevention in the Women, Infants, and Children Program: Outcomes of the MA-CORD Study. Obesity, 25(7), 1167-1174.
  7. Franckle R, Falbe J, Gortmaker S, Barrett J, Giles C, Ganter C, Blaine R, Buszkiewicz J, Taveras E, Land T, Davison K (2017). Student obesity prevalence and behavioral outcomes for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project. Obesity, 25 (7) 1175-1182.

 

Please email azhang@hsph.harvard.edu for copies of reprints

 

Media coverage: https://www.hsph.harvard.edu/news/press-releases/child-obesity-program/