Prioritizing Obesity Strategies

Obesity Integration Steering Committee Meetings2.29.12, 3.19.12, 4.2.12, 4.25.12

Prioritization ProcessWhen Purpose/Actions

Meeting 1 (2/29) • Getting Started• Agreements For Moving Forward

Between Meetings(e-input)

Initial Survey• Review/Provide Input on Proposed Criteria• Identify State Roles for Strategies

Meeting 2 (3/19)9:30am -12:30pm

• Review/Finalize Criteria

Meeting 3 (4/2)9:30am-12:30pm

• Clarify Strategies• Clarify State Roles

Between Meetings(e-input)

Prioritization Survey• Rate Strategies Using Final Criteria• Refine Concise Statement

Meeting 4 (4/25)1:30pm – 4:30pm

• Share Results of Prioritization • Gather Additional Input for Ex Committee

Agenda ReviewWelcome and Overview

Focusing on the Big Picture

Revisit Criteria

Clarify Strategies and State Roles

Next Steps and Closure

Decision Making ProcessDiscussion: All encouraged to participate

Decisions: For Today & Prioritization Survey

60% super majority vote, motioned by a Steering Committee Member

One vote per Steering Committee Member

Ex Committee, and other observers, do not vote

Steering Committee Voting MembersSector Team Leads or Designee (8 reps from

PSD)

Healthy Eating (2 reps from PSD)

LHAs (5 total: 1 rep each from El Paso, Weld, Boulder, Pueblo, West-Central Partnership)

External Organizations (3 total: 1 rep each from Live Well, Kaiser, Health Foundation)

Big PictureWe are charged with making the best decisions that we can

with the evidence available about which strategies to address at the state level. We might not have all the info we would like to make decisions.

The sector teams focused on systematic reviews and narrative reviews or a body of evidence about the effectiveness of strategies to increase physical activity and/or healthy eating in their specific sector setting.

Emerging areas may also be funded in the future as we continue to revisit the evidence and Colorado’s priorities.

Today: presenting information related to the evidence. Not a time for advocacy.

ConsiderationsExecutive Committee will:

Get full list of strategies with their ranks from the prioritization survey Across all sectors and Within a sector

Consider referring for implemention strategies that are not proven by the research

Implementation teams will consider: Applicability to Colorado Resources needed Consultation with sector teams and/or partners Future evidence

Criteria Rankings - Results

Top 5 Criteria1. Likelihood of Population Impact (new definition

includes reach)

2. Capacity to Implement

3. Impact of Health Disparities

4. Ability to Measure

5. Political/Community Support

Reporting of Priorities

1. Strategies Across Sectors (ranked from highest to lowest priority regardless of sector)

Strategy

Sector

Evidence Level

Population Impact (adjusted)

Capacity

Impact on HD

Ability to Measure

Support

Total Score

Potential CDPHE Roles

2. Strategies Within Sectors (ranked from highest to lowest priority within each sector)

Strategy

Evidence Level

Population Impact (adjusted)

Capacity Impact on HD

Ability to Measure

Support

Total Score

Potential CDPHE Roles

Sector A

Strategy

Evidence Level

Population Impact (adjusted)

Capacity Impact on HD

Ability to Measure

Support

Total Score

Potential CDPHE Roles

Sector B

Clarify Strategies and State Roles

In a nutshell…Levels of Evidence in PSDProven: systematic or narrative reviews; considers study

design and execution, external validity, body of evidence, and results

Likely Effective: peer review articles in scientific literature; considers study design and execution, external validity, body of evidence, and results

Promising: written program evaluation without formal peer reviews; considers summative evidence of effectiveness, theory, and formative evaluation data

Emerging: ongoing work with little evidence so far, but sound theory and evaluation in place

Not Recommended: evidence of effectiveness is conflicting and/or of poor quality and/or suggestive of harm

Literature Review ResultsSECTOR EVIDENCE RATINGS

Worksites 5 Proven; 1 Likely Effective

Schools 7 Likely Effective; 2 Promising; 5 Emerging

Media 1 Likely Effective; 2 Promising; 2 Emerging; 1 Not Recommended

Health Systems 2 Proven; 3 Likely Effective; 1 Promising; 1 Emerging

Food Systems 2 Likely Effective; 3 Promising

Community 1 Proven; 5 Likely Effective; 1 Emerging

Child Care 4 Likely Effective; 3 Emerging; 2 Not Recommended

Built Environment

5 Likely Effective; 2 Emerging

Discussion & DecisionDiscussion: Should any strategies not previously identified

by the sector teams be included in the prioritization process?

For each new strategy discussed, need: Description Evidence: Individual Study? Narrative Review? Systematic Review? Potential State Role

Decision: Vote on whether or not there is a state role for each new strategy proposed. If so, the strategy moves to the list to be prioritized.

Final Tally of # of Strategies Moving Forward for

Prioritization

Completing the Prioritization SurveyTiming:

Receive by Friday 4/6 One week to complete it – please schedule time now.

General Considerations: Purpose – what does CDPHE want to direct resources toward Criteria helps us understand what’s important in decision-making Priority does not equal “Important Strategy” Rate the overall strategy against the criteria, not a specified role

for CDPHE

Refer to Handout for Definitions, Rating, Scale, and Considerations

Prioritization ProcessWhen Purpose/Actions

Meeting 1 (2/29) • Getting Started• Agreements For Moving Forward

Between Meetings(e-input)

Initial Survey• Review/Provide Input on Proposed Criteria• Identify State Roles for Strategies

Meeting 2 (3/19)9:30am -12:30pm

• Review/Finalize Criteria

Meeting 3 (4/2)9:30am-12:30pm

• Clarify Strategies• Clarify State Roles

Between Meetings(e-input)

Prioritization Survey• Rate Strategies Using Final Criteria• Refine Concise Statement

Meeting 4 (4/25)1:30pm – 4:30pm

• Share Results of Prioritization • Gather Additional Input for Ex Committee

Thank You and ClosureOn the index card provided let us know

What is still on your mind?

Leave note sheets on table before you leave

For those on the phone: email your responses to: Laurie.schneider@ucdenver.edu