Flowchart composed of 2 columns. Left column titled “Intervention Sectors in 2 Intervention Communities” and right column titled “Intervention Programs in Each Sector.” For each of 5 boxes in the left column, there is a corresponding box in the right column. For the 2 boxes titled “Health Centers,” the left-hand box, “One health center per community reaching up to 3,000 pediatric patients aged 2–12 years per year,” points to the right-hand box, “EHR alerts, Clinician toolkits, Learning Communities, Advocacy training, Healthy Weight Clinics, CHW inclusion, Clinic environment.” Next, for the 2 boxes titled “Early Care and Education,” the left-hand box, “9 Child care sites, About 1,500 children at participating child care centers,” points to the right-hand box, “NAP SACC assessment of environment and policy.” Next, for the 2 boxes titled “School and After School,” the left-hand box, “23 Elementary schools, 5 middle schools, and 17 after-school programs; About 10,000 students enrolled in grades 1–7,” points to the right-hand box, “Planet Health, Eat Well and Keep Moving, Food & Fun; OSNAP initiative; Students-designed promotional materials.” Next, for the 2 boxes titled “WIC,” the left-hand box, “About 4,000 children aged 2–5 years enrolled in WIC,” points to the right-hand box, “Training for WIC counselors, Toolkits.” Finally, for the 2 boxes titled “Community,” the left-hand box, “1 Community coalition per community” and “1 Parks and recreation department per community” points to the right-hand box, “Policy change (eg, Safe Routes to School), Environmental improvements led by community coalition, and “Summertime park activities.”

Figure. Summary of intervention sectors and intervention programs (17), study of success stories and lessons learned in Massachusetts Childhood Obesity Research Demonstration project, 2013–2014. Abbreviations: CHW, community health worker; EHR, electronic health record; NAP SACC, Nutrition and Physical Activity Self-Assessment for Child Care; OSNAP, Out-of-School Nutrition and Physical Activity; WIC, Special Supplemental Nutrition Program for Women, Infants, and Children.

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