Massachusetts CHOICES Project

Two young girls holding a pear and a green appleAs a CDC-funded Prevention Research Center, the Prevention Research Center on Nutrition and Physical Activity’s Core Research Project is the Massachusetts CHOICES Project.

The purpose of the Massachusetts CHOICES Project is to work collaboratively with community partners, the Massachusetts Department of Public Health (MDPH) and the Boston Public Health Commission (BPHC), to develop a playbook of 10-14 top strategies to reduce obesity prevalence and study how cost-effectiveness metrics are used by partners throughout the state. This work builds off of the CHOICES Project.

This project has four key aims:

  1. Conduct formative research with community partners to determine the acceptability and feasibility of select cost-effective evidence-based state and local intervention strategies to reduce obesity and reduce disparities in obesity.
  2. Utilize a learning collaborative implementation strategy to build knowledge and self-efficacy of state and local health agency staff and community partners to employ cost, effect, population reach, cost-effectiveness, and health disparity concepts and methods.
  3. Gather local data with partners and develop microsimulation models to estimate cost-effectiveness and health disparity metrics for 10+ child and adult obesity intervention strategies for Massachusetts and Boston over the years 2019-2029.
  4. Use mixed methods to assess the adoption of selected interventions and cost-effectiveness concepts.

The lessons learned in this project will provide valuable insights for other states and cities on adoption of evidence-based obesity prevention interventions and cost-effectiveness decision-making and strategic planning. The HPRC plans to disseminate findings broadly to academic, policy, and community audiences and promote the translation of this research to achieve large-scale adoption.


Investigators: Steven Gortmaker, PhD, Angie Cradock, ScD, MPE, Rebekka Lee, ScD
Funder: Centers for Disease Control and Prevention (U48DP006376)
Contact: Jenny Reiner