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Table 4 Children’s Healthy Living (CHL) program priorities for environmental intervention development endorsed by community members at community feedback meetings held across the CHL region to affect CHL target food and activity behaviors

From: A Community Engagement Process Identifies Environmental Priorities to Prevent Early Childhood Obesity: The Children’s Healthy Living (CHL) Program for Remote Underserved Populations in the US Affiliated Pacific Islands, Hawaii and Alaska

Children’s Healthy Living target food and activity behaviors

Increase sleep

Increase PA

Decrease screen time

Increase F/V

Increase water

Decrease SSB

Priorities for environmental intervention development

 1. Healthy lifestyle education

1. Provide affordable/free community resources and programs

1. Provide/promote alternative, community, and sports activities

1. Teach family and children about healthy living to promote F/V intake and role modeling

1. Allow only water at events (e.g. church, school, birthdays, sports activities)

1. Teach family and children about beverage options and benefits of water

 2. Regular sleep times

2. Organized activities and gear/equipment lending program for children and families

2. Educate parents

2. Promote home/community gardening through school and community gardening education

2. Healthy lifestyle education to teach family and children about healthy beverage options and benefits of water

2. Promote healthy nutrition

 3. Physical activity schedules

3. Animal control

3. Build better infrastructure for alternative activities

3. More F/V in school meals

3. Increase access to clean water in school and public places

3. Healthy lifestyle education

 

4. Build and maintain indoor/outdoor infrastructure

4. Parents monitor children’s screen time

  

4. Limit access and consumption of through government assistance programs

  1. PA physical activity, F/V fruit/vegetable, SSB sugar-sweetened beverages