Source: UNIV OF HAWAII submitted to NRP
CHILDRENS HEALTHY LIVING NETWORK (CHLN) IN THE U.S. AFFILIATED PACIFIC REGION
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
HATCH
Reporting Frequency
Annual
Accession No.
1011733
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
W-1194
Project Start Date
Dec 5, 2016
Project End Date
Sep 30, 2021
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
UNIV OF HAWAII
3190 MAILE WAY
HONOLULU,HI 96822
Performing Department
Human Nutrition, Food & Animal Sciences
Non Technical Summary
The Children's Healthy Living Program for Remote Underserved Minority Populations in the Pacific Region (CHL) is a partnership among remote Pacific states and other jurisdictions of the US: Alaska, American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), Guam, Federated States of Micronesia (FSM), Hawai'i, Republic of Palau, and the Republic of the Marshall Islands (RMI). All jurisdictions have US Land Grant Colleges. CHL is a partnership among land grant colleges and public health partners that share a purpose to build capacity to address health issues through research, training and outreach. Partnership among land grants, components of land grants, and public health and other partners that affect policies, systems and environments that affect health is explicitly called for in the recent USDA Healthy Food Systems, Healthy People (2016) call to action, and the USDA Cooperative Extension Framework for Health and Wellness (Braun et al. 2014). The goal of the CHL Program collaboration among Pacific Region states/jurisdictions was to build social/cultural, physical/built, and political/economic environments that will promote active play and intake of healthy food to prevent young child obesity in the Pacific Region. To do this, CHL engages the community, and focuses on capacity building and sustainable environmental change. This multistate project will support and extend the CHL network, training, intervention activities and research programs initiated through CHL. CHL evolved from past collaborations among its participants. The largest collaboration was from a USDA NIFA CAP grant (Grant number 2011-68001-30335), and most recent was the Child Health Assessment of the Pacific (CHAP) USDA NIFA ELI fellowship grant (Grant number 2016-67032-24989). The resulting CHL grant solidified a management structure, developed PSE-oriented multi-level intervention research, built capacity and course work in PSE-oriented work to prevent child obesity, gathered data that filled the gap of missing nutrition surveillance systems in the region, and continues to use those systems to develop understanding through peer reviewed research and publication and to inform programs and policies relevant to the underserved population of the Pacific, not served by NHANES. Since NHANES does not sample the Pacific region, nor present data on Native Hawaiian, Native Alaskan or Pacific Islander race/ethnic groups, measured data on obesity, dietary intake and physical activity are not available without CHL, and are critical to guide programs and policies. Further, since Pacific foods are not identified in these surveys, they will not be analyzed by national labs for nutritional properties, to guide nutrition guidance and programs in the region. CHL conducted a meta-analysis of available research and agency data of the child obesity problem in the Pacific and showed the overweight plus obesity level to be 21% at 2y to 39% at 8y (Novotny et al. 2015). Obesity prevalence went from 10% and age 2y to 23% at 8y. CHL gathered data on 51 communities in 11 jurisdictions on over 5,000 children, their households, and their communities. 27 of these communities in 5 jurisdictions were involved in a multilevel community randomized controlled trial (Wilkens et al 2014) and the other 25 communities collected the same data in a one-time prevalence survey. Data include acanthosis nigricans screening, weight, height and waist circumference assessment, 2 randomly selected days of 6,453 food and activity logs (food records and physical activity logs) from 2-8yo children throughout the region, community environment assessments (store, park, church, walkability and food and utility cost assessments), data which will be evaluated to help fill the void in data for policy and program planning, and which will provide a foundation from which ongoing monitoring systems will be developed and sustained. Further, CHL has developed a community based intervention program (Braun et al. 2014, Fialkowski et al. 2013, Wilken et al 2013) and is disseminating it and continuing to serve as a data hub and a facilitator of coalition building and training in the community (Fialkowski et al 2015). The CHL work was conducted through a community engaged process (Fialkowski et al 2013) that involved development of Local Advisory Committees (LAC's) in each jurisdiction, that included all sectors and provide groups identified that might influence child health. These LAC's meet at least annually and evolved into community and jurisdiction level coalitions that organized and sustained key efforts. CHL was recognized as a backbone organization that facilitates the work and provides a key evaluation and training role that we aim to sustain with this multistate project; this role suited to the land grant mission of facilitation of community work (extension), evaluation (research) and training (instruction). The CHL Network will extend the work of two other multistate projects (W2005 and W2003) that are related to child obesity by focusing on the Pacific Region and the policy, systems and environmental approaches to obesity prevention and support of child health and wellness.
Animal Health Component
50%
Research Effort Categories
Basic
25%
Applied
50%
Developmental
25%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
72460991060100%
Knowledge Area
724 - Healthy Lifestyle;

Subject Of Investigation
6099 - People and communities, general/other;

Field Of Science
1060 - Biology (whole systems);
Goals / Objectives
Adapt and disseminate CHL child obesity policy, systems and environmentally focused multi-level prevention training and social marketing materials for the Pacific region. Facilitate use of CHL data, findings related to child obesity and its multilevel (policy, system, and environmental) determinants. Build and sustain a child health and nutrition monitoring system in the Pacific. Promote partnership and coalition building and strengthening in and among Pacific communities and the region around child health.
Project Methods
The multistate project will use existing core CHL infrastructure (Coordinating Center, Data Center, Training Center) and guidelines (Data Use, Publication, Core Values) to share data, tools, training and intervention materials among Pacific jurisdictions. The CHL infrastructure includes data coordination, training in child obesity prevention, and leadership on obesity measurement and standardization (Li et al 2015, Novotny et al. 2013).The CHL Multistate Network will have available data from the CHL prevalence and intervention studies, tools used to collect those data (accelerometers, stadiometers, scales, measuring tapes, Pacific Tracker diet and activity software), training material developed (Pacific Food Guide, CHL Summer Institute), and CHL intervention materials (Role Model Training Guide, Master Gardening and Food Preservation Materials). Materials not covered by privacy rules (HIPAA and IRB) will be publically available, mostly through the CHL website (www.chl-pacific.org).These resources, data, and collaborations will form the basis of new grant proposals, training programs, extension and outreach activities and capacity building within each jurisdiction.

Progress 12/05/16 to 09/30/21

Outputs
Target Audience:Children, families and communities, with a focus on the Pacific region. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?Training through CHL Summer Institute. How have the results been disseminated to communities of interest?Dissemination through the CHL website, including data visualization, and through peer reviewed publication. What do you plan to do during the next reporting period to accomplish the goals?A new CHLN project has been approved for the next 5-year period. The CHL Center of Excellence continues to provide access to CHL data and training opportunities. A new Food System Resiliency for Children's Healthy Living sustainable agricultural systems grant will extend the modeling into the food system, and develop training and outreach with the findings.

Impacts
What was accomplished under these goals? Dissemination through the CHL website. Data analysis and publication of CHL data. Ongoing partnerships to build health and nutrition monitoring. Partnership with Depts Human Services and Health and other Land Grant colleges.

Publications

  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Esquivel, M., Yamanaka, A., Aflague, T., Butel, J., Coleman, P., Deenik, J., Fleming, T., Shallcross, L., and Novotny, R. 2021. Food insecurity and the food environment in the US Affiliated Pacific. National Institutes of Health: Food insecurity, neighborhood food environment, and nutrition health disparities: state of the science virtual workshop. National Virtual Meeting. September 23, 2021.
  • Type: Journal Articles Status: Published Year Published: 2021 Citation: Yamanaka, A.B., Davis, J.D., Wilkens, L.R., Hurwitz, E.L., Fialkowski, M.K., Deenik, J., et al. 2021. Determination of Child Waist Circumference Cut Points for Metabolic Risk Based on Acanthosis Nigricans, the Childrens Healthy Living Program. Prev Chronic Dis 2021;18:210021. DOI:https://doi.org/10.5888/pcd18.210021
  • Type: Journal Articles Status: Published Year Published: 2021 Citation: Dewey, K.G., Pannucci, T.R, Casavale, K.O., Davis, T.A., Donovan, S.M., Kleinman, R.E., Taveras, E.M., Bailey, R.L., Novotny, R., Schneeman, B.O., Stang, J., de Jesus, J., Stoody, E.E. 2021 Development of Food Pattern Recommendations for Infants and Toddlers 624 Months of Age to Support the Dietary Guidelines for Americans, 20202025, The Journal of Nutrition, 2021;, nxab201, https://doi.org/10.1093/jn/nxab201
  • Type: Journal Articles Status: Published Year Published: 2021 Citation: Novotny, R., Earle, M.E., Jung, Y.O., Julian, G.J., Hill, E., Leon Guerrero, R., Coleman, P., Deenik, J., Boushey, C., Wilkens, L.R. 2021. Pacific Tracker (PacTrac) version 3.1 Diet and Physical Activity Assessment Tool for the Pacific Region. HAWAII JOURNAL OF HEALTH & SOCIAL WELFARE, JULY 2021, VOL 80, NO 7, pgs 21-24.
  • Type: Journal Articles Status: Published Year Published: 2021 Citation: Butel, J., Braun, K.L., Davis, J., Bersamin, A., Fleming, T., Coleman, P., Leon Guerrero, R., Novotny, R. 2021. Community Social Network Pattern Analysis: Development of a Novel Methodology Using a Complex, Multi-Level Health Intervention. Gateways: International Journal of Community Research and Engagement. 2021: Vol. 14, No. 1 May.
  • Type: Journal Articles Status: Published Year Published: 2021 Citation: Schneeman, B.O., Ard, J.D., Boushey, C.J., Bailey, R.L., Novotny, R., Snetselaar, L.G., de Jesus, J.M., Stoody, E.E. 2021. Impact of the National Academy of Sciences, Engineering, and Medicine Report on the Process for the 2020 Dietary Guidelines Advisory Committee. Adv Nutr 2021;00:17.


Progress 10/01/19 to 09/30/20

Outputs
Target Audience:Hawaii and Pacific region - children, families, communities. Changes/Problems:Due to COVID 19, the CHL Center Food Cost survey was postponed to March 2021 and the remaining CHL Center data collection was altered. Standardization training planned in Marshall Islands was cancelled. Annual Meeting was changed from an in-person to a virtual meeting. What opportunities for training and professional development has the project provided? 3 in-person Standardized/Trainings were completed this year in Hawaii, Alaska and CNMI. 3 online trainings were completed this year. CHL Research Group - group members presented ongoing - research- 18 in-person and online. Participation in US Dietary Guidelines Advisory Committee. Matriculated 5 Native Hawaiian scholars into pre-Dietetics. Met minimum enrollment goals (n=100) for CHL Summer Institute courses in Summer 2019 and Summer 2020. In summer 2020 will be offering one course (met minimum enrollment) for the first time - FSHN 360. How have the results been disseminated to communities of interest? Planned for integration of Pacific foods into the USDA database. CHL Data request via CHL website optimized and additional data sets made available (chl-pacific.org/data-requests). Completed Policy Best Practices worksheet for Guam, Hawaii, and West Virginia. The checklist/assessment will inform community stakeholders of what policies exist or would be relevant. CHL data has been entered into Tableau software that will be able to communicate CHL child data at all time points and for all jurisdictions. What do you plan to do during the next reporting period to accomplish the goals? Analysis of the multilevel effect of the environment on child behavior and health. Analysis of long-term effect of CHL program. Present interactive CHL data on CHL website (https://www.chl-pacific.org/). Continue to mentor students.

Impacts
What was accomplished under these goals? Developed criteria for levels of anthropometric standardization, including who can serve as lead trainer to standardize others with draft manual for conducting a standardization event. Collected BMI data in Alaska, CNMI, Guam, Hawaii (adult), Marshall Islands (1391 children; 216 adults). Marshall Islands incorporated components of the WHO tool into their measurement protocols . iPad Food Cost data collection process developed and implemented in Hawaii and Alaska. Awarded a small grant to revise FSHN 185 Open Education Resource textbook. Awarded a small grant to create a FSHN 370 Open Education Resource textbook. Developed instructor materials for Open Education Resource text, Human Nutrition, to be released Fall 2020. Generated a dataset and analysis exploring food insecurity among participants in CHL. Developed Healthy Eating Index HEI variable on CHL children's diet. Completed CHL Center data collection.

Publications

  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Aflague, T.F., Leon Guerrero, R.T., Delormier, T., Novotny, R., Wilkens, L.R., and Boushey, C.J. 2019. Examining the Influence of Cultural Immersion on Willingess to Try Fruits and Vegetables among Children in GUam: The Traditions Pilot Study. Nutrients, 12, 18; doi:10.3390/nu12010018.
  • Type: Journal Articles Status: Awaiting Publication Year Published: 2020 Citation: Korn et al. 2020. Role of social ecological model level on young Pacific childrens sugar-sweetened beverage and water intakes: Childrens Healthy Living (CHL) intervention. Public Health Nutrition. In press
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Leon Guerrero, R., Barber, L.R., Aflague, T., Paulino, Y., Hattori-Uchima, M., Acosta, M., Wilkens, L., and Novotny, R. 2020. Prevalence and Predictors of Overweight and Obesity Among Young Children in the Childrens Healthy Living Study on Guam. Nutrients 2020, 12, 2527; doi:10.3390/nu12092527.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Badowski, G., Simsiman, B., Bordallo, R., Green, M., Shvetsov, Y.B., Wilkens, L.R., Novotny, R., and Leon Guerrero, R.T. 2020. Cumulative Incidence Rates Of Breast Cancer By Age For Filipinos And Chamorros In Guam. Hawaii Journal Of Health & Social Welfare, June 2020, Vol 79, No 6, Supplement 2, pages 40-44.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Greenberg, J.A., Luick, B., Alfred, J.M., Barber, L.R., Bersamin, A., Coleman, P., Esquivel, M., Fleming, T., Leon Guerrero, R.T., Hollyer, J., Lorring Johnson, E., Novotny, R., Remengesau, S., and Yamanaka, A. 2020. The affordability of a thrifty food plan-based market basket in the United States-affiliated Pacific Region. Hawaii Journal of Health and Social Welfare. 2020 79(7


Progress 10/01/18 to 09/30/19

Outputs
Target Audience:Pacific region children, families, communities. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?CHL Dietetics Scholarship program awarded - 5 Native Hawaiian undergraduates enrolled. In partnership with the Western Region Public Health training center - developed online training on acanthosis nigricans. How have the results been disseminated to communities of interest?Results have been disseminated through the CHL-pacific.org website maintained with publications and reports. What do you plan to do during the next reporting period to accomplish the goals?Analysis of the mulitlevel effect of the environment on child behavior and health.

Impacts
What was accomplished under these goals? The Children's Health Living Program (CHL) Center is active and is providing data for ongoing analyses of influences on child food, nutrition and obesity in the region.

Publications

  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Butel, J., Braun, K.L., Nigg, C.R., Davis, J., Boushey, C., Leon Guerrero, R., Bersamin, A., Coleman, P., Fleming, T., and Novotny R. 2019. Implementation Strategies and Barriers to Native Hawaiian and Other Pacific Islanders Community Interventions: A Cross-Case Study of the Childrens Healthy Living Program. Asian American Journal of Psychology. Vol. 10, No. 3, 2822911948-1985/19
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Butel, J., Braun, K.L., Nigg, C.R., Leon Guerrero, R., Fleming, T., Bersamin, A., Coleman, P., and Novotny R. 2019. Estimating intervention dose of the multilevel multisite childrens healthy living program intervention. TBM 2019:19, doi: 10.1093/tbm/ibz073
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Gittelsohn, J., Novotny, R., Trude, A.C.B., Butel, J., and Mikkelsen, B.E. 2019. Challenges and lessons learned from multi-level multi-component interventions to prevent and reduce child obesity. Int J Environ Res Public Health. 2018 Dec 24;16(1). pii: E30. doi: 10.3390/ijerph16010030


Progress 10/01/17 to 09/30/18

Outputs
Target Audience:The Children's Healthy Living Network targets children and their families, communities and jurisdictions of residence, with a focus on Native Hawaiian and other indigenous populations of the Pacific Region. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?The Child Health Assessment in the Pacific (CHAP) Undergraduate Summer Fellowship Program provided summer training for undergraduate students working towards degrees in nutrition, nursing, early childhood education, public health and other related degrees. Ten fellows from the University of Guam, Northern Marinas College, the University of Hawaii at Manoa, and Chaminade University completed the program in Summer 2018. The program builds regional capacity in early childhood nutrition and health assessment training, develops and sustains a Pacific network of individuals working to monitor and prevent early childhood obesity, and develop and evaluate a program that will sustain training in early childhood nutrition and health assessment. CHL Dietetics Scholars Program USDA NIFA 2018-38413-28140 was funded (Fialkowski PI, Novotny Co-I) to build regional capacity in childhood obesity prevention by increasing the number of Native Hawaiian students to complete a baccalaureate degree in dietetics that is enhanced with an evidenced-based child obesity prevention online curriculum, mentoring, a learning environment that incorporates Hawaiian values and service learning in the community. 126 students and professionals from the US Affiliated Pacific completed online courses related to child obesity prevention through the CHL Summer Institute. Continued standardization in the US Affiliated Program through the CHL-IMPAC project lead by Northern Marianas College and partnerships with PIHOA and Health Departments (6 standardization sessions were conducted in this time period). R Training at Annual Meeting - R is a free software for statistical computing and graphics. CHLN members attended a half-day workshop where they were exposed to the basic elements of the R software program. How have the results been disseminated to communities of interest?The website and training program are widely available, jurisdiction leaders have held local meetings and utilized findings for local programs and policies. Final Community Reports of the CHL intervention have been developed and are available on the CHL web site: http://www.chl-pacific.org/program-results/final-community-reports What do you plan to do during the next reporting period to accomplish the goals? CHL Center grant will collect child, household, and community level data to test the long term effect of the CHL intervention. Personnel will be standardized in anthropometry, and data collection will occur in Hawaii, Guam, CNMI, and American Samoa. Training materials will be used to further develop the anthropometry process in the region. Local Advisory Councils will be consulted for dissemination of CHL data and intervention strategies. Will offer the CHL Summer Institute courses and recruit students for the CHL Dietetics Scholars Program. We will provide other capacity building trainings and workshops to community members (e.g., "Talking to Caregivers about BMI status") Will continue to network with other organizations (e.g., Pacific Island Health Officers Association) to enhance child health monitoring, training, research, extension and policy in the region. Will continue to work with Western Region Public Health Training Center to develop training modules and internships.

Impacts
What was accomplished under these goals? A primary accomplishment was the funding of the CHLCenter of Excellence (CHL Center),USDA NIFA 2018-69001-27551, to serve as a center for child obesity prevention in the Pacific through training, research, and extension/outreach. Additionally, funding from the Western Region Public Health Training Center grant, US DHHS 6UB6HP31687-01-02 subcontract, will support development of child obesity prevention training through internships and online training modules. The CHLN Multi-state is building and sustaining activities and annual meeting of stakeholders, a network developed in the CHL Program and continuing through the newly funded CHL Center. Publications and presentations from the CHL Program can be found on the CHL web site at www.chl-pacific.org Other accomplishments were: the group members met on a monthly basis and held its second annual meeting in May 2018. The monthly meeting served to maintain connections between the group members and update members on subgroup activities and progress. At the annual meeting the group reviewed progress on goals of each subgroup (Monitoring, Training, Extension and Policy, and Research). The two key activities for the monitoring subgroup for this reporting period were: 1) Developing an anthropometry standardization process for the CHLN region, and 2) Collection of height and weight at HeadStarts in selected jurisdictions. Activities for the training subgroup were: CHL Summer Institute added 6 new online courses and developed the first edition free online textbook titled: "Human Nutrition for the Pacific". The Extension and Policy subgroup has continued to collaborate with community groups and organizations to promote the CHL objectives. Additionally, members of the group have participated in policy workgroups that are working towards child health and wellbeing. The Research subgroup key activity was the writing and awarding of the CHL Center of Excellence grant (USDA NIFA 2018-69001-27551) which will provide long term follow up to the CHL Intervention effect in communities. Novotny Role: Monitoring - Leader in developing the standardization process for the region; Training - PI of Child Health Assessment in the Pacific (CHAP) program, provided oversight of CHL Summer Institute, partnered with Western Region Public Health Training Center to develop Acanthosis Nigricans training video and received subaward from them for ongoing training collaboration; Extension and Policy - Board member of Hawaii Public Health Institute, Lead of the Hawaii State CTAHR coordinated P-20 Agricultural Education workgroup; Research - PI of the awarded NIFA/AFRI CHL Center of Excellence grant.

Publications

  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Novotny, R., Davis, J., Butel, J., Boushey, C.J., Fialkowski, M.K., Nigg, C.R., Braun, K.L., Leon Guerrero, R., Coleman, P., Bersamin, A., Areta, A.A.R., Barber, L.R., Belyeu-Camacho, T., Greenberg, J., Fleming, T., Delacruz-Talbert, E., and Wilkens, L.R. 2018. Effect of the Childrens Healthy Living Program on Young Child Overweight, Obesity, and Acanthosis Nigricans in the US-Affiliated Pacific Region. JAMA Netw Open. 2018;1(6):e183896. doi:10.1001/jamanetworkopen.2018.3896
  • Type: Book Chapters Status: Published Year Published: 2018 Citation: Novotny, R., Li, F., Wilkens, L., Fialkowski, M., Fleming, T., Coleman, P., Leon Guerrero, R., Bersamin, A., and Deenik, J. 2018. Chapter 3. Economic Influences on Child Growth Status, from the Childrens Healthy Living Program in the US-Affiliated Pacific Region. In: WEALTHY BUT UNHEALTHY: Overweight and Obesity in Asia and the Pacific:Trends, Costs, and Policies for Better Health. Edited by Matthias Helble and Azusa Sato. 2018 Asian Development Bank Institute.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Endrizal, C., Fialkowski, M.K., Davis, J., Yuan, S., Novotny, R., Delormier, T., and Rodriguez, B. 2018. Dietetics Practice in the Unique, Culturally Diverse Pacific Island Region. Hawaii Journal of Medicine & Public Health. June. Volume 77, No. 6, 135-143.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Walsh, M., John, D., Peritore, N., Morris, A., Bird, C., Ceraso, M., Eichberger, S., Novotny, R., Stephenson, L., Stluka, S., and Riportella, R. 2018. Health in All Policies: Working Across Sectors in Cooperative Extension to Promote Health for All. Journal of Human Sciences and Extension Volume 6, Number 2, 2018; pgs 37-56.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Lee, Y., Savaiano, D.A., McCabe, G.P., Pottenger, F.M., Welshimer, K., Weaver, C.M., McCabe, L.D., Novotny, R., Read, M., Going, S., Mason, A., VanLoan, M., and Boushey, C.J. 2018. Behavioral Intervention in Adolescents Improves Bone Mass, Yet Lactose Maldigestion Is a Barrier. Nutrients 2018, 10, 421; doi:10.3390/nu1004042.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Butel, J., Banna, J.C., Novotny, R., Franck, K.L., Parker, S.P., and Stephenson, L. 2018. Validation of a collaboration readiness assessment tool for use by supplemental nutrition assistance program education (SNAP-Ed) agencies and partners. Journal of Nutrition Education and Behavior. Volume 50, Issue 5, May 2018, Pages 501-505. https://doi.org/10.1016/j.jneb.2017.11.002.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Mikkelsen, B.E., Gittelsohn, J., Trude, A.C.B., and Novotny, R. 2018. Study design, measurement and community engagement in three MLMC trials. In the Abstract book for the ISBNPA 2018 Annual Meeting in Hong Kong Published by: International Society of Behavioral Nutrition and Physical Activity in June 1, 2018 ISBN: 978-1-7324011-0-5.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Novotny, R., Wilkens, L., Nigg, C., Braun, K.L., Butel, J., Areta, A., Fleming, T., Coleman, P., Belyeu-Camacho, T., Greenberg, J., Bersamin, A., LeonGuerrero, R., Barber, L., Fialkowski, M.K., and Davis, J. 2018. Childrens Healthy Living Multilevel Community Randomized Trial Decreased Young Child Overweight, Obesity and Acanthosis Nigricans in the US affiliated Pacific. Oral Presentation (OR21-14) at the meeting of the American Society for Nutrition, Boston, MA
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Yonemori, K.M., Ennis, T., Novotny, R., Fialkowski, M.K., Ettienne, R., Wilkens, L.R., Guerrero, R.T.L., Bersamin, A., Coleman, P., Li, F., and Boushey, C. 2017. Collecting wrappers, labels, and packages to enhance accuracy of food records among children 2-8 years in the Pacific region: Childrens Healthy Living Program. Journal of Food Composition and Analysis. Volume 64, Part 1, December 2017, Pages 112-118.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Mosley, M., Banna, J., Lim, E., Fialkowski, M., and Novotny, R. 2018. Dietary patterns change over two years in early adolescent girls in Hawaii". Asia Pac J Clin Nutr 2018;27(1):238-245.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Paulino, Y.C., Ettienne, R., Novotny, R., Wilkens, L.R., Shomour, M., Sigrah, C., Remengesau, S.D., Johnson, E.L., Alfred, J.M., and Gilmatam, D.F. 2018. Areca (betel) nut chewing practices of adults and health behaviors of their children in the Freely Associated States, Micronesia: Findings from the Childrens Healthy Living (CHL) Program. Cancer Epidemiology (2017) 50:234-240 DOI 10.1016/j.canep.2017.07.009.


Progress 12/05/16 to 09/30/17

Outputs
Target Audience:The Children's Healthy Living Network targets children and their families, communities and jurisdictions of residence, with a focus on Native Hawaiian and other indigenous populations of the Pacific Region. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?The Training program provides the CHL Summer Institute (CHLSI) and the Child Health Assessment (CHAP) training programs. See http://www.chl-pacific.org/training/program-overview. How have the results been disseminated to communities of interest?The website and training program are widely available, jurisdiction leaders have held local meetings and utilized findings for local programs and policies. What do you plan to do during the next reporting period to accomplish the goals?In the next year we will focus on continued building of child health monitoring, training, research, extension and policy initiatives utilizing the CHL strategies and network.

Impacts
What was accomplished under these goals? The group held its first annual meeting in June and created subgroups on Monitoring, Training, Research, and Extension and Policy. Group members met on a monthly conference call. Group members published severed manuscripts and submitted a grant proposal for a CHL Center of Excellence (CHL Center).

Publications

  • Type: Books Status: Published Year Published: 2017 Citation: Novotny, R., Li, F., Wilkens, L., Fialkowski, M., Fleming, T., Coleman, P., Leon Guerrero, R., Bersamin, A., and Deenik, J. 2017. Economic Influences on Child Growth Status, from the Childrens Healthy Living Program in the US-Affiliated Pacific Region. ADBI Working Paper 698. Tokyo: Asian Development Bank Institute. Available: https://www.adb.org/publications/economic-influences-child-growth-status.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Yamanaka, A., Fialkowski, M.K., Wilkens, L., Li, F., Ettienne, R., Fleming, T., Power, J., Deenik, J., Coleman, P., Leon Guerrero, R., and Novotny, R. 2016. Quality Assurance of Data Collection in the Multi-site Community Randomized Trial and Prevalence Survey of the Children's Healthy Living Program. BMC Research Notes. 2016, 9:432. DOI:10.1186/s13104-016-2212-2.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Tolley, H., Snowdon, W., Wate, J., Durand, M., Vivili, P., McCool, J., Novotny, R., Dewes, O., Hoy, D., Bell, C., Richards, N., and Swinburn, B. 2016. Monitoring and Accountability for the Pacific response to the Non-Communicable Diseases crisis. BMC Public Health. 16:958. DOI:10.1186/s12889-016-3614-8.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Mikkelsen, B.E., Novotny, R., and Gittelsohn, J. 2016. Multi-Level, Multi-Component Approaches to Community Based Interventions for Healthy LivingA Three Case Comparison. Int. J. Environ. Res. Public Health 2016, 13, 1023. DOI:10.3390/ijerph13101023.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Novotny, R., Li, F., Leon Guerrero, R., Coleman, P., Tufa, A., Bersamin, A., Deenik, J., and Wilkens, L.R. 2017. Dual burden of malnutrition in US Affiliated Pacific jurisdictions in the Childrens Healthy Living Program. BMC Public Health (2017) 17:483. DOI: 10.1186/s12889-017-4377-6.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Matanane, L., Fialkowski, M.K., Silva, J., Li, F., Nigg, C., Leon Guerrero, R.T., and Novotny, R. 2017. Para I Famaguon-Ta : Fruit and Vegetable Intake, Food Store Environment, and Childhood Overweight/Obesity in the Childrens Healthy Living Program on Guam. Hawaii J Med Public Health; Volume 76, No. 8.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Reynolds, K., Go, A.S., Leong, T.K., Boudreau, D.M., Cassidy-Bushrow, A.E., Fortmann, S.P., Goldberg, R.J., Gurwitz, J.H., Magid, D.J., Margolis, K.L., McNeal, C.J., Newton, K.M., Novotny, R., Quesenberry, C.P. Jr., Rosamond, W.D., Smith, D.H., VanWormer, J.J., Vupputuri, S., Waring, S.C., Williams, M.S., and Sidney, S. 2017. Trends in Incidence of Hospitalized Acute Myocardial Infarction in the Cardiovascular Research Network (CVRN)" Am J Med. 2017 Mar;130(3):317-327. DOI: 10.1016/j.amjmed.2016.09.014. Epub 2016 Oct 14.PMID:27751900.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Paulino, Y., Hurwitz, E.L., Ogo, J.C., Paulino, T.C., Yamanaka, A.B., Novotny, R., Wilkens, L.R., Miller, M.J., and Palafox, N.A. 2017. Epidemiology of areca (betel) nut use in the mariana islands: Findings from the University of Guam/University of Hawai`i Cancer Center partnership program. Cancer Epidemiology 50 (2017) 241246.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Leon Guerrero, R.T., Novotny, R., Wilkens, L.R., Chong, M., White, K.K., Shvetsov, Y.B., Buyum, A., Badowski, G., and Blas-Lagua�a, M. 2017. Risk factors for breast cancer in the breast cancer risk model study of Guam and Saipan. Cancer Epidemiology 50 (2017) 221233.