HOP: High Obesity Program

CDC funds 15 land grant universities to work with community extension services to increase access to healthier foods and safe and accessible places for physical activity in counties that have more than 40% of adults with obesity.

View information about the current High Obesity Program (HOP) recipients and learn more about the past HOP efforts. View the original HOP funding opportunity announcementexternal icon and review Frequently Asked Questions about the notice of funding opportunity.

Learn more about the HOP program in Preventing Chronic Disease (see summary pdf icon[PDF–600KB] for more details).

Goal

Design and implement a learning community for HOP grantees to prepare for the next funding cycle to advance evidence based pediatric obesity interventions.

Objectives

Help HOP sites understand their community and its child obesity-related needs and assets in relation to selecting and potentially implementing an evidence-based FHWP in their site by conducting two virtual sprint Learning Communities (monthly meetings with off week office hours)
Balance adaptation and fidelity with community systems, implementation science, clinical evidence and the local environment.
Lead HOP sites through a learning curriculum

Framework

\uD83D\uDCCC Project roadmap

Lane 1

Lane 2

Feature 1

Feature 2

Feature 3

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iOS app

Android app

AAP – NACHC HOP Learning Community Fact Sheet

High Obesity Program (HOP) v3 9-5-22

INTERNAL DOCUMENT NOT FOR DISTRIBUTION

BACKGROUND CONTEXT:

The HOP funds land grant universities to leverage community extension services to implement evidence-based strategies that increase access to healthier foods and safe, accessible places for physical activity in counties with an adult obesity rate of over 40%. Under the HOP NOFO, recipients must propose work in both the nutrition and physical activity strategies . This implementation guide assists in that effort by providing potential activities and resources to support the strategies. If a county is already working on the strategies, the recipient can propose activities in their work plan that build upon the existing work.

https://www.cdc.gov/nccdphp/dnpao/state-local-programs/pdf/HOP-Implementation-Guide-508.pdf

Themes from HOP applications:

· Partnerships

· Evidence based programs

· Metrics

· Clinical linkages

· County level data

· Family engagement

· Asset mapping

· Leveraging other programs

o DPP

o Food Insecurity

o Headstart

APPROACH:

PREWORK:

Create a mini 5 question survey: https://nachc.co1.qualtrics.com/jfe/form/SV_6qV8wpY7nIXfELY
Conduct 15 minute interviews post receipt of mini survey

Guiding Principles and Logistics

· Virtual convening (NACHC to host)

· Shared online repository (NACHC to host)

· Co Design strategy with HOP grantees

· Practical / concrete vs academicConsider hosting a kick-off call after summarizing the interviews

· Faculty to be from AAP, CDC, and NACHC cadre of experts

· Monthly 60 minute structure of calls

o 5 minutes meaningful work

o 15 minutes didactic

o 25 minutes peer to peer learning

o 10 minutes actionable next steps

o 5 minutes evaluation

· Off weeks one to one coaching or open office hours

Target Audience

o 10 HOP Grantees

3. LEARNING COMMUNITY MODEL

Goal: Design and implement a learning community for HOP grantees to prepare for the next funding cycle to advance evidence based pediatric obesity interventions.

Conduct two virtual sprint Learning Communiti1. es (

monthly meetings with off week office hours) to help HOP sites understand their community and its child obesity-related needs and assets in relation to selecting and potentially implementing an evidence-based FHWP in their site.

October – December Exploration, laying the foundation (goal: understand the different EB FHWP, build internal and external awareness around assets, challenges, and priorities)
January – February office hours
March – May Preparation (Plan for integration of a program if your work in the exploratory phase confirms it is a good fit)

Balance adaptation and fidelity with community systems, implementation science, clinical evidence and the local environment.
Curriculum could include:

Session	Moderator	Faculty	Resources [1]
EXPLORATORY SPRINT: October - December
HOP Partnerships: asset mapping Define clear aim Define community Define what a healthy family weight program [2] Define local partners (WIC, faith-based organizations, girls/boys club, YMCA etc.) Define clinical linkages Explore Power and Equity dynamics in your community Motivational Interviewing and/or Journey Mapping (engaging the community in co-design)
HOP Community Systems: leadership, strategic plans, internal policies, MOUs, contracting, data governance/ DUAs and procedures etc.)
HOP data collection for qualitative and quantitative for actionable data to inform decision making and measure change
Preparation Sprint: March – May Steeped in QI approaches, evidence, implementation science and change theory
Health Equity (application of social and clinical risk, SDOH) culturally responsible care, family centric interventions
Community-Clinic linkages (team approach)
Co-design Activities: interviews, trust or journey mapping
Establishment of new partnerships or enhanced strategies with existing partners

Products:

· 2 virtual sprints. 3 months each

· Open office hours between sprints

· Documented activities throughout (asset mapping, interview results, etc..)

· Final Harvest ideas through Posters

Resources:

https://episframework.com/

https://www.re-aim.org/wp-content/uploads/2018/02/Planning-and-Evaluation-Questions-for-Initiatives-Intended-to-Produce-Public-Health-Impact-_Final.pdf

[1] Concrete practical tools from AAP and NACHC toolkits tailored to HOP.

[2] Evidenced based pediatric weight management (pull from AAP, CDC and NACHC models)