AOAÌåÓýƽ̨

This report describes implementation of Let’s Go! in primary care offices. The Let’s Go! strategy of engaging and supporting primary care practices resulted in widespread, standardized adoption of recommendations to prevent and treat childhood obesity. This model could be applied to other public health problems requiring broad-based action.

Link to article: 

Citation: Dedekian M, Vine J, Fanburg J, Schucker, NA, Rogers, W. Using physician champions to extend the reach of the Let's Go! 5-2-1-0 obesity prevention program in clinical practice. Journal of Maine Medical Center. 2019; 1(1): Article 7.

This study identifies specific program characteristics, policies and practices associated with higher performing Let’s Go! schools in school years 2013-2015. Results indicate that enforced district wellness policies, school wellness teams, and family involvement are crucial components to the success of Let’s Go! schools.

Link to article: 

Citation: Giombi K, Wiecha J, Vine J, Rogers VW. Policies and practices of high-performing Let’s Go! schools. Am J Health Educ. 2018;49(5):280-288.

This online article highlights the Smarter Lunchrooms Movement and Let’s Go!’s use of their evidence-based strategies for guiding students to select and consume healthy food choices in schools. In 2016, a total of 169 Let’s Go! schools achieved Smarter Lunchroom recognition.

Link to article: 

Citation: Kessler HL, Vine J. . Healthy Food Choices in Schools. October 6, 2016.

This report outlines best practices and results associated with Let’s Go!’s innovative School Nutrition Workgroup approach. This regional workgroup approach led to 77 schools achieving HealthierUS School Challenge recognition and in school year 2011-2012 aided the implementation of Smarter Lunchrooms practices in 130 schools.

Link to article: =

Citation: Kessler HL, Vine J, Rogers VW. Let's Go! school nutrition workgroups: regional partnerships for improving school meals. J Nutr Educ Behav. 2015;47(3):278-282.

This study uses a retrospective longitudinal record review to evaluate the impact of the Maine Youth Overweight Collaborative primary care intervention on BMI z-score change among youth in intervention versus control sites. The study found no impact of the intervention on BMI z-scores.

Link to article: 

Citation: Gortmaker SL, Polacsek M, Letourneau L, Rogers VW, Holmberg R, Lombard KA, Fanburg J, Ware J, Orr J. Evaluation of a primary care intervention on body mass index: the Maine Youth Overweight Collaborative. Childhood Obesity. 2015;11(2):187-93.

This study evaluates the sustainability of the primary care program, the Maine Youth Overweight Collaborative, at seven of the original intervention sites. Many key practice improvements observed in 2009 were sustained or improved three years post-intervention in 2012.

Link to article: 

Citation: Polacsek M, Orr J, O'Brien LM, Rogers VW, Fanburg J, Gortmaker SL. Sustainability of key Maine Youth Overweight Collaborative improvements: a follow-up study. Childhood Obesity. 2014;10(4): 326-333.

This study examines results of a telephone survey conducted with 800 randomly selected parents at three points in time in 12 Maine communities where Let’s Go! strategies were implemented and the 5-2-1-0 message was promoted. Survey results showed improvements from 2007 to 2011 in parents� awareness of the message and in children’s adherence to recommended behaviors.

Link to article: 

Citation: Rogers VW, Hart PH, Motyka E, Rines EN, Vine J, Deatrick DA. Impact of Let’s Go! 5-2-1-0: A community-based, multisetting childhood obesity prevention program. J Pediatr Psychol. 2013; 38(9):1010-1020.

This report is based on a grand rounds presentation at the CDC and summarizes interventions showing evidence of improving environments that can lead to lower rates of obesity, including the Maine Youth Overweight Collaborative (MYOC) and Let’s Go!. Let’s Go! used the lessons learned and tools and resources developed in MYOC health care practices and took the 5-2-1-0 message to additional community settings, such as schools, and child care and after school programs.

Link to article: 

Citation: Centers for Disease C, Prevention. CDC grand rounds: childhood obesity in the United States. MMWR. Morbidity and mortality weekly report. Jan 21 2011;60(2):42-46. Link to CDC Grand Rounds presentation by VW Rogers: The Maine experience. Let’s Go!

This study assesses a pediatric primary care-based intervention in clinical decision support and family management of obesity risk behaviors over an 18-month period (2004-2006) with 12 intervention sites located throughout Maine. Study results indicate large changes in clinical practice during the intervention: increases in assessment of Body Mass Index (BMI), use of the 5-2-1-0 behavioral screening tool, and weight classification. Parent surveys indicated higher rates of counseling for 5-2-1-0 targets in intervention versus control sites.

Link to article: 

Citation: Polacsek M, Orr J, Letourneau L, Rogers V, Holmberg R, O'Rourke K., . . . Gortmaker S L. Impact of a primary care intervention on physician practice and patient and family behavior: keep ME Healthy—the Maine Youth Overweight Collaborative. Pediatrics. 2009;123 Suppl 5:S258-S266.

This study details a one-year pilot project during 2006-2007 where nine schools in southern Maine were provided with resource toolkits to promote healthy eating and physical activity using the 5-2-1-0 message. Evaluation results showed high satisfaction with the program among school administrators, high utilization of the tools among teachers, and an overall positive response among students.

Link to article: 

Citation: Rogers VW, Motyka E.  5-2-1-0 goes to school: a pilot project testing the feasibility of schools adopting and delivering healthy messages during the school day. Pediatrics. 2009;123 Suppl 5:S272-6.