Resource Name/URL

Obesity Advocacy Committee-Resources

Resource Name/URL: AAP Obesity Initiative http://www.aap.org/obesity/whitehouse/

Date reviewed: August 5, 2010

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) - FAQ: White House Obesity Initiative and Your Practice (A link helping pediatricians understand a) What is the White House Obesity Initiative b) Understand the AAP’s role in this initiative c) BMI measured & prescriptions for healthy active living should be provided at every well-child visit d) Learn what resources the pediatrician can share with families e) Provide opportunity for pediatrician to become a community advocate through AAP f) Learn how AAP is working to improve physician reimbursement for BMI screening & management of obese patients g) What AAP is doing to combat obesity - Healthy Active Living Prescriptions (doctors can fill out these “Rx’s” for patients) - Clinical Tools (link to more links  BMI calculator, growth charts, Expert committee recommendations on assessment, prevention, and treatment of child & adolescent obesity, etc) - Obesity Practice Management Tools (link to more links  obesity coding, AAP hassle factor form for insurance/reimbursement problems, practice management online, Quality Improvement Innovation Network, Child Obesity Action Network) - Related AAP Policy Statements (including evidence-based clinical policy guidelines) - Obesity Publications for Sale - Media Speaking Points for AAP Members (member login required)

2. What hand-outs and information for kids/teens does this resource provide? - About BMI for Children and Teens - Healthy Active Living Fact Sheet: Teaches “5, 2, 1, 0” – 5 fruits & veggies/day, less than 2 hrs screen time/day, 1 hr physical activity/day, 0 sugar sweetened drinks

3. What hand-outs and information for parents/grandparents does this resource provide? - (see #2) - FAQ: White House Obesity Initiative and Your Family (discusses what this initiative is, what is BMI, how to talk to your child about obesity, how family & community can help child) - Also, links to HealthyChildren.org - AAP Publications for sale: 1) A Parent’s Guide to Childhood Obesity: A Road Map to Health, 2) Food Fights: Winning the Nutritional Challenges of Parenthood Armed with Insight, Humor, and a Bottle of Ketchup

4. Provide a general overview of what other groups are doing to get people involved. - The White House Task Force on Childhood Obesity has come up with a report entitled, “Solving the Problem of Childhood Obesity Within A Generation.” There is a link to the report on this website.

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) - Usability good, not too crowded as things are organized in links separate for physician, child/teen, parent. Seems more geared to pediatrician - Quality of info great and very valid!

1 Obesity Advocacy Committee-Resources

Resource Name/URL: Let’s Move! Campaign http://www.letsmove.gov/

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) - None found

2. What hand-outs and information for kids/teens does this resource provide? - same as that for parents (see #3) - Link to Facebook Let’s Move! page - Video link of First Lady discussing Let’s Move! Campaign, answering questions from White House Facebook page - Application gallery with games and apps (note, I never found the actual link, but the website and facebook page both state there is one!!!)

3. What hand-outs and information for parents/grandparents does this resource provide? - 5 Simple Steps to Success (link) 1) Keep fresh fruit in a bowl within your child’s reach to grab as a quick snack, 2) Take a walk with your family after dinner, 3) Plan a menu for the week. Get children involved in planning and cooking, 4) Turn off the TV during meals and share some family time, 5) Talk to the principal about organizing a school health team. - printable PDFs for: grocery list, goal tracking (action chart), family activities, family calendar, screen time log

4. Provide a general overview of what other groups are doing to get people involved. - 5 Simple Steps to Success for Schools, Community Leaders, Elected Officials, Chefs - Major League Baseball Players Association to raise healthier, happier generation of children

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) - Seems geared more towards families & children. Beautiful, colorful website. Awesome PDFs for family use. - CON – nothing for professionals.

Resource Name/URL: Be Our Voice http://www.nichq.org/advocacy/about/index.html

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) - Be Our Voice Advocacy Training (PDFs called Advocacy Resource Guide, and Advocacy Toolbox). Also allows you to utilize the discussion groups to get advice and feedback from colleagues, submit your story of advocacy, and sign up for the advocacy listerserv to receive comments, tips, and updates on advocating for children in the fight against childhood obesity. - Links to Self-study modules, CE credits, Meet our Panel of Experts, Q&A, Ask the Expert, Host a Training - Resource Library (advocacy, community, nutrition, obesity materials) - Info on contacting your legislators - Find an Event, Submit an Event

2. What hand-outs and information for kids/teens does this resource provide? - see #3

3. What hand-outs and information for parents/grandparents does this resource provide? - Links to their facebook, twitter, advocacy listserv, RSS feed (although I am unsure whether laypersons are allowed to subscribe to this…or whether it is targeted for clinicians only)

4. Provide a general overview of what other groups are doing to get people involved. - No comment

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) - Seems to be only for clinicians. To aid clinicians to become advocacy agents, this website provides training in obesity management. - Initially it seemed to have awesome links for nationwide networking for everyone, as there are links to facebook and twitter, but after further searching the site, I think it is only for clinicians…nothing for patients or families here.

Resource Name/URL: Be Our Advocacy Training Curriculum https://webmail.med.fsu.edu/exchweb/bin/redir.asp? URL=http://www.nichq.org/advocacy/advocate_training/hostatraining.html

Date reviewed: August 1st, 2010

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint)

This is a website to help a health care professional plan a training session in their community for other health care providers to rally support and action towards childhood obesity. There are template and exercises posted on the website for the session along with a step-by-step guide for planning the meeting logistics/supplies/materials/etc. It provides lesson plans with corresponding powerpoint presentations. There is room in the PP template to insert your own specific goals/project information.

2. What hand-outs and information for kids/teens does this resource provide?

None, all is geared toward one health care professional speaking to other professionals/adults

3. What hand-outs and information for parents/grandparents does this resource provide?

It might be possible to give these presentations to them but it appears the materials are geared more towards “other health care professionals”

4. Provide a general overview of what other groups are doing to get people involved.

This site focuses on recruitment of other health care professionals to help enact education/lifestyle change suggestions in more patients.

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.)

The site is very professional looking and easy to use but the actual content is not so great. I would not feel comfortable presenting this level of information to physicians (very 1st grade-ish)

Resource Name/URL: Mobilizing Healthcare Professionals in the Fight Against Childhood Obesity Advocacy Resource Guide (ARG) https://webmail.med.fsu.edu/exchweb/bin/redir.asp? URL=http://www.nichq.org/advocacy/advocacy%2520documents/Advocacy %2520Resource%2520Guide.pdf

Date reviewed: August 1, 2010 1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) This is a 71 page word document geared toward physicians (very extended version of #4) to start their community advocacy campaign/project. It teaches an MD to identify something in their community of personal interest and how to go from that idea  new legislation.

As stated in the intro letter of what this packet is about:

NICHQ + CMA + AAP are working to train and equip healthcare professionals to become policy advocates to improve the health of their communities. This Guide has the following resources to support your work outside your office, including:  A snapshot of the obesity epidemic and how it is impacting children o Stats on obesity  A “how-to” for advocacy at your community, state and national levels  Strategies for working with decision makers and the media to communicate your message o Steps on how a bill is made into law o Tips to connect and communicate with legislators o How to testify o How to speak to the media  Areas and opportunities for policy engagement o Using technology (blogs, emails, social networking online)  Tools and resources in the Advocacy Toolbox to help you plan and support your work

2. What hand-outs and information for kids/teens does this resource provide? None

3. What hand-outs and information for parents/grandparents does this resource provide? None

4. Provide a general overview of what other groups are doing to get people involved. Continution/extension of #4 of the list of resources. Focused on physician-driven change by community involvement/legislative action.

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) Overall a nice document, very wordy, could be included in a section for residents/MD’s titled something like “So you have a great idea for a community project, how do you turn that into reality?”

Resource Name/URL: CMA (California Medical Association) Foundation https://webmail.med.fsu.edu/exchweb/bin/redir.asp? URL=http://www.thecmafoundation.org/projects/phyToolkits.aspx Date reviewed: August 1, 2010 1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) Powerpoints: speaking to the media, what role physicians play in the epidemic, physician recruitment PP, Word docs: how to promote healthy lifestyle/diet for specific cultures/ethnicities/SES Toolkits: 1. “Physicians for Healthy Communities Toolkit” - strategies to work with schools, tips for community presentations, Powerpoint presentations already made up 2. “Overweight and Obesity Provider Toolkit” – not yet on the site but looks good. This is the blurb: addressing the prevention and early identification of overweight and obesity and weight management education. Individual toolkits will be developed for adults and adolescent/pediatric patient populations including a variety of informational resources and tools

2. What hand-outs and information for kids/teens does this resource provide? Powerpoints: 1. One to present to kids/teens about how they can help themselves be healthy 2. One on portion sizes and how much exercise has to be done to burn off these portion sizes now (older kids)

3. What hand-outs and information for parents/grandparents does this resource provide? Medi-Cal Nutrition Education Toolkit: info on physical activity, nutrition, Food shopping/safety, healthy living guidelines. Could be used for high-school level kids but language is geared toward parents “how much tv they watch” Powerpoint – portion sizes (same as in #2)

4. Provide a general overview of what other groups are doing to get people involved. Community presentations, nutrition handouts for parents, physician recruitment presentations

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) This website is not as “pretty” but presents info in a very logical, user friendly manner. All links to the information is on the main page without multiple page – to –page connections where you get lost from the original site with all the listing on it. It appears to be a collaboration of all the California projects/handouts created by the state. There is also a separate box with links to the Cali specific activities (their meetings and recruitment sessions posted, their award winners etc). I think this site would be helpful to include as a resource on our project because it has so many aspects to it with a lot of already prepared presentations. Good for physicians that say they don’t have the time to make all the packets etc.

Resource Name/URL: The California Medical Association Foundation’s Obesity Prevention Project http://www.thecmafoundation.org/projects/phyChampion.aspx

Date reviewed: 7/29/10 1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) This site contains 2 toolkits, The Physician for Healthy Communities Toolkit and the Medi-Cal Nutrition Education Toolkit. The first kit is a 97-page collection of strategies for working with other groups and powerpoint presentations. The second toolkit, the Medi-Cal Nutrition Education toolkit, contains excellent patient handouts (English and Spanish) on topics which include Physical Activity, Screen Time, healthy eating, portion sizes, re-think your drink, food shopping on a budget and recipes. Both toolkits also offer a wealth of online resources with additional information. There is a third toolkit, Overweight and Obesity Provider Kit, that is not yet available but in the works.

2. What hand-outs and information for kids/teens does this resource provide? The Medi-Cal Nutrition Education Toolkit contains a wealth of patient/family handouts on topics which include Physical Activity, Screen Time, healthy eating, portion sizes, re-think your drink, food shopping on a budget and recipes. The vast majority of these handouts can be used in any setting. Handouts are in English and Spanish. Handouts are targeted at both individuals and families. There are some interesting handouts with specific exercise ideas for different age ranges of children (for example, exercised for children aged 0-5).

3. What hand-outs and information for parents/grandparents does this resource provide? Please see answer to question 2. There is a wealth of information on portion sizes, shopping, getting healthy foods on a budget, and other topics that are very applicable to parents.

4. Provide a general overview of what other groups are doing to get people involved. The obesity prevention project appears to be a multi-faceted approach that seeks to involve multiple participant types in different venues. By targeting patients and their families at the community, school, individual and clinic levels, the project is very broad in its scope and can be used in multiple settings.

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.): This site is a very good resource for providers. On the whole, the information can be used in a wide geographic range (not just California-specific!) and targets families and young children. The information contained in the Medi-Cal Nutrition Education kit is probably the most valuable for providers because the information and suggestions are so excellent and usable. The only drawback to the handouts is that some of them were scanned a little off center and the image quality is not optimal. Both of these factors would affect reproducibility. The overweight and obesity provider kit, which will deal with methods to advocate for obesity prevention at the clinic level, is not yet finished but should provide additional valuable resources to augment the existing resources on the site.

Resource Name/URL:

California Champions for Change http://www.cachampionsforchange.net/en/index.php

Date reviewed: 7/30/10

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint)

This resource does not contain any toolkits for providers. It does contain a few pdf files that outline strategies for making community changes, and these files might be useful to residents. Links provided include California Center for physical activity (http://www.caactivecommunities.org/) and Network for a Healthy California- Physical Activity Specialists (http://www.cdph.ca.gov/programs/CPNS/Pages/PhysicalActivityIntegration.aspx).

2. What hand-outs and information for kids/teens does this resource provide?

This resource provides recipes, produce quick tip cards, food stamp information, information on fruits and veggies for your health, and handouts on physical activity. This information seems to be targeted more towards adolescents and adults.

3. What hand-outs and information for parents/grandparents does this resource provide?

This resource provides recipes, produce quick tip cards, food stamp information, information on fruits and veggies for your health, and handouts on physical activity. This information seems to be targeted more towards adolescents and adults.

4. Provide a general overview of what other groups are doing to get people involved.

It is difficult to answer this question based on the information in the website. If groups pertains to patients and their families, then this is a resource speaks to patients and their families and tries to get them involved in healthy eating and physical activity.

This is a simple, organized website that is targeted at parents and patients. The information is easy to understand and easy to navigate. Information is available in English and Spanish. There are not many resources aimed strictly at providers. Most resources that would be useful to providers are in the form of handouts and recipes. There does not appear to be a conflict of interest here.

Resource Name/URL:

USDA Food and Nutrition http://www.fns.usda.gov/tn/healthy/wellnesspolicy.html

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) This resource does have a FFVP (Fresh Fruit and Vegetable Program) Toolkit which consists of fact sheets, templates, web resources, webcasts, power point presentations. This toolkit is aimed at promoting fresh fruits and vegetables among school-aged children. The Eat Smart. Play Hard section of the website could be a stand-alone resource since it provides a great deal of good information, handouts and ideas. This resource can be found at http://www.fns.usda.gov/eatsmartplayhardhealthylifestyle/

2. What hand-outs and information for kids/teens does this resource provide? This web site is divided up into approximately 5 USDA-sponsored programs/initiatives: Team Nutrition Schools, HealthierUS School Challenge, Local Wellness Policy, My Pyramid for Kids, and Eat Smart. Play Hard. Each of these initiatives does contain handouts/information for kids/teens; however, sometimes this information is set in the framework of the overall project. The HealthierUS School Challenge, My Pyramid for Kids and Eat Smart. Play Hard each have a number of resources for children, adolescents and educators.

3. What hand-outs and information for parents/grandparents does this resource provide? This web site is divided up into approximately 5 USDA-sponsored programs/initiatives: Team Nutrition Schools, HealthierUS School Challenge, Local Wellness Policy, My Pyramid for Kids, and Eat Smart. Play Hard. Each of these initiatives does contain handouts/information for kids/teens; however, sometimes this information is set in the framework of the overall project. The HealthierUS School Challenge, My Pyramid for Kids and Eat Smart. Play Hard each have a number of resources for children, adolescents and educators.

4. Provide a general overview of what other groups are doing to get people involved. Once again, not sure what this question is asking and how it applies to this website.

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) This is a good resource with tons of good information. Most of the information does seem to be targeted at schools rather than the healthcare setting, however. There is not a great deal of information aimed specifically at healthcare providers. It is also unclear if the programs, such as Team Nutrition Schools, requires participation with and direction from the USDA.

Resource Name/URL: 211 San Diego http://www.211sandiego.org/

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) This website provides a place where individuals are able to go in order to find programs in their area. I am not sure which areas have a 211, but it does seem to provide diverse information. Since I am not from San Diego, I am unable to verify if the contact information is correct, but I will make the assumption it is.

2. What hand-outs and information for kids/teens does this resource provide? There are no handouts. Teens would be able to access the information and find programs near them.

3. What hand-outs and information for parents/grandparents does this resource provide? There are no handouts. Parents/grandparents would be able to access the information and find programs near them.

4. Provide a general overview of what other groups are doing to get people involved. This site encourages people to donate money to this cause, but no real involvement in tackling obesity. There are multiple different topics one is able to search for, i.e. obesity is not the only item that is found on this page.

This website provides information in regards to services available in communities. For instance, when I typed in obesity, multiple programs came up. One is then able to select a program and there is more information provided about it. Since I am not from San Diego, I am unable to verify if the contact information is correct, but I will make the assumption it is. This site is for the San Diego based program; however, if 211 is available throughout the country it would be a nice resource tool to have to find information about specific target programs in your area.

Resource Name/URL:

State Government Affair State Track http://www.aap.org/moc/stgovaffairs/statetrack.cfm? jumpdown=yes#jumpdown

Date reviewed: 8/8/10 1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) There is a great deal of information for health care professionals that they could use if they were interested in advocating for their respective or surrounding state programs in regards to obesity. They must be members of AAP to gain access. Clicking on the different topics will route you to a site which then shows what bills are present in legislatures of various states. This is a great link for those interested in legislature.

2. What hand-outs and information for kids/teens does this resource provide? Limited information for kids/teens as this is mostly governmental affairs information.

3. What hand-outs and information for parents/grandparents does this resource provide? Parents would need to be members of the AAP to gain access to this area. They would then be able to access this information and may be able to assist with advocacy via writing letters, contacting their legislative representatives, ect.

4. Provide a general overview of what other groups are doing to get people involved. AAP site showing the different advocacy topics. Must be a member of the AAP to gain access.

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) There are multiple links to various obesity initiatives throughout states and on a federal level. These include the following for obesity: Nutrition Obesity/Prevention: School Nutrition Programs; Nutrition/Obesity Prevention: BMI Screening; Nutrition/Obesity Prevention: Menu-labeling; Nutrition/Obesity Prevention: Obesity Insurance Mandates; Nutrition/Obesity Prevention: School Physical Activity Mandates; Nutrition/Obesity Prevention: School Physical Education Mandates; Nutrition/Obesity Prevention: Statewide Obesity Task Force/Commissions; Nutrition/Obesity Prevention: Taxes; and Nutrition/Obesity Prevention: Trans Fats Bans. Clicking on these different topics will route you to a site which then shows what bills are present in legislatures of various states. This is a great link for those interested in legislature advocacy.

Resource Name/URL: New Federal Affairs member center www.federaladvocacy.aap.org

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) A link on this page to http://www.aap.org/obesity/index.html leads to a website with a great deal of information. This site has a great deal of information for obesity initiatives and how people are able to get involved. This site, same as linked to previously in another site, has a great deal of information in regards to what is obesity, what the AAP is doing, what parents, communities, and health professionals are able to do. There is also a link within this page that provides additional website resources.

2. What hand-outs and information for kids/teens does this resource provide? N/A

3. What hand-outs and information for parents/grandparents does this resource provide? N/A

4. Provide a general overview of what other groups are doing to get people involved. The links as mentioned before show what the AAP is already doing in regards to obesity advocacy. There are not specific, however, on how residents or medical students could assist.

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) There is good information in regards to getting information about how to advocate for obesity on multiple levels, community, state, federal. There are many links that one is able to access from this site that could be beneficial depending on what a person needed, for example, information about advocacy on a state level to information about obesity in general. No bias or conflict of interest.

Of note: I am not exactly sure that I was able to get to the actual federal advocacy site. I was able to get to the advocacy site via the tab that is on the main AAP website.

Resource Name/URL: Division of State Government Affairs http://www.aap.org/moc/stgovaffairs/

1. What toolkits for practitioners does this resource contain? (e.g. hand-outs for residents, QI project templates, online go-to resources that could be placed on the advocacy website and in the powerpoint) In order to access this site, you must be a member of the AAP. There is great information in regards to legislative initiatives on a state and federal level. The information is not just limited to obesity issues. Within a link to Prevention and Treatment of Childhood Obesity, (http://www.aap.org/obesity/matrix_1.html) there is a drop down box for health care professionals. This drop down box provides a great deal of resources for health care professionals.

2. What hand-outs and information for kids/teens does this resource provide? There is more information in regards to legislative initiatives on a state and federal level on this site but not that much for kids/teens. Kid would need to be members of the AAP as you must to sign in as a member.

3. What hand-outs and information for parents/grandparents does this resource provide? There is more information in regards to legislative initiatives on a state and federal level on this site. Parents could access this site to find information; however, they would need to be members of the AAP as you need to sign in as a member. Within a link to Prevention and Treatment of Childhood Obesity, (http://www.aap.org/obesity/matrix_1.html) there is a drop down box for families and communities.

4. Provide a general overview of what other groups are doing to get people involved. This is an AAP site which provides information on legislative initiatives throughout the country. There is a link to Prevention and Treatment of Childhood Obesity, (http://www.aap.org/obesity/matrix_1.html) which is a good link within the page.

5. Provide your overall thoughts on this website. (e.g. appearance, usability, quality of information, validity, any bias or advertisement that appears to be a conflict of interest, etc.) This site serves as a nice portal for state and federal legislative initiatives. There is a link to Prevention and Treatment of Childhood Obesity, (http://www.aap.org/obesity/matrix_1.html) which is an excellent link within the page. This particular page provides a great deal of resources for practitioners, families, and communities. The Policy Opportunities Tool within this page is designed for healthcare professionals who have experience in advocacy and are interested in focusing their advocacy efforts on obesity prevention. There is a nice chart that individuals could use for ideas in the community, their practice, schools, state, or federal level. There are multiple resources within this site and overall is a great resource for advocacy.