"Take It 2 Make It" is a hypothetical public health campaign designed to reduce the incidence of overweight and obese school aged children in Massachusetts by improving family eating behavior.

1. Take It 2 Make It:Promoting Family Prepared – Family Shared Meals Presenter: Worcester County Health Dept. (WCHD) Background: (Trust for America’s Health) Massachusetts 4th least obese state: 22% of adults Child obesity rate still high: 30% Worcester County: Health rank = 9th of 14 counties (County Health Rankings) Strengths: Socially, economically stable Weaknesses: Poor nutrition behavior Opportunities: Corporate partners with mutual interests Threats: Unhealthy food environment Jamie Rauscher - Health Com 781 Boston University 8/22/10 1

2. Take It 2 Make It: Promoting Family Prepared – Family Shared Meals Problem: Poor Family Eating Habits Increased consumption of “away from home” foods (Greenwood, Stanford)(Ayala) Less time spent on food prep (Mancino, Newman) Solution: Promote Home Prepared, Family Meals Healthier food consumption (Fulkerson, Rydell, Kubik) Lower prevalence of obesity (Gable, Chang, Krull)(Anderson, Whitaker) Target Audience: Mothers of School Age Children (6-11 yrs) Food prep, meal planning done by women (Mancino, Newman) Powerful influence (Fulkerson, Rydell, Kubik) Parental influence greatest at this age (Fulkerson, Story, Neumark-Szatainer) Higher prevalence of overweight/obesity vs. other ages (Ogden, Carroll, Curtin) Key Stakeholders: UMass Medical Center and other employers Health care professionals and philanthropies 8/22/10 Jamie Rauscher - Health Com 781 Boston University 2

3. Take It 2 Make It: Promoting Family Prepared – Family Shared Meals Theory of Reasoned Action (Schiavo) Behavior = strength of person’s intention to engage in the behavior Make it easy to try, adopt and sustain new health behaviors The Take It 2 Make It Concept: If a mother intends to provide better food she is more likely to purchase, prepare high quality meals Create online social network to strengthen intentions Streamline meal planning, food purchasing WCHD develops weekly family meal Grocery stores assemble ingredients, package for pick up Blog features (http://takeit2makeit.blogspot.com) Discussion groups Instructional videos on cooking and health Links to other helpful sites 8/22/10 Jamie Rauscher - Health Com 781 Boston University 3

4. Take It 2 Make It:Promoting Family Prepared – Family Shared Meals Program Goal: Reduce the incidence of overweight /obese school age children by improving family eating behavior Behavioral Objectives: Increase fruit/vegetable consumption Reduce sweetened beverage consumption Increase number family prepared, family shared meals Communication Objectives: Within one year increase number of families who: Understand impact of family food choices on child health Know how to prepare meals using fresh ingredients Have conversations with children about food choices Communication Strategies: Create social & peer support network to leverage influence on child eating behavior Capitalize on interest of Gen X women in online media (Wright, Page) 8/22/10 Jamie Rauscher - Health Com 781 Boston University 4

5. Citations 8/22/10 Jamie Rauscher - Health Com 781 Boston University 5 Ayala, Guadalupe, et. al. "Away-from-home Food Intake and Risk for Obesity: Examining the Influence of Context." Obesity (December 2008): 1002-1008. County Health Rankings - Massachusetts. 2010. 31 July 2010 <http://www.countyhealthrankings.org/massachusetts>. Fulkerson, Jayne; Rydell, Sarah; Kubik, Martha Y. "Healthy Home Offerings via the Mealtime Environment (HOME): Feasibility, Acceptability, and Outcomes of a Pilot Study." Obesity (February 2010): S69-S74. Fulkerson, Jayne; Story, Mary; Neumark-Szatainer, Dianne "Family Meals: Perceptions of Benefits and Challenges among Parents of 8-10-Year_old Children." Journal of the American Dietetic Association (April 2008): 706- 709. Gable, Sara; Chang, Yting; Krull, Jennifer. "Television Watching and Frequency of Family Meals are Predictive of Overweight Onset and Persistence in a National Sample of School-Aged Children." Journal of the American Dietetic Association (January 2007): 53-61. Greenwood, Jessica; Stanford, Joseph B. "Preventing or Improving Obesity by Addressing Specific Eating Patterns." Journal of American Board of Family Medicine (March - April 2008): 135-140. Mancino, Lisa; Newman, Constance. Who Has Time to Cook? How Family Resources Influence Food Preparation. May 2007. 17 July 2010 <http://www.ers.usda.gov/publications/ERR40/err40.pdf>. Ogden, Cynthia L; Carroll, Margaret; Curtin, Lester. "Prevalence of High Body mass Index In US children and Adolescents, 2007-2008." JAMA (January 2010): 242-249. Schiavo, Renata. Health Communication. San Francisco: John Wiley, 2007. Trust for America's Health; Robert Wood Johnson Foundation. "F is for Fat 2010." June 2010. Trust for America's Health. 31 July 2010 <http://healthyamericans.org/reports/obesity2010/Obesity2010Report.pdf>. Wright, Susan; Page, Elisa Camahort. "2009 Women and Social Media Study by BlogHer, iVillage and Compass Partners." 13 August 2010 <http://www.slideshare.net/LisaStone/2009-women-and-social-media-study-by-blogher-ivillage-and-compass-partners>.