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Public Health Strategies II:
Potential Application to Obesity

 

Course Instructors:

Judith Wylie-Rosett, EdD
Sonia Suchday, PhD

 

Faculty

 

Degrees

Title

Institution

Phillip M

Alberti

PhD

Director of Research & Evaluation

NYC Department of Health & Mental Hygiene

Arthur

Blank

PhD

Associate Professor

Albert Einstein College of Medicine, YU

Karen

Bonuck

PhD

Associate Professor

Albert Einstein College of Medicine, YU

Rosy

Chhabra

PsyD

Assistant Professor

Albert Einstein College of Medicine, YU

Darwin

Deen Jr.

MD, MS

Professor

Albert Einstein College of Medicine, YU

Alice

Fornari

EdD

Assistant Professor

Albert Einstein College of Medicine, YU

Leslie

Gerwin

JD, MPH

Assistant Director

Princeton University

Rachel

Johnson

PhD, MPH,
RD

Dean, Professor

University of Vermont

Su-Jong

Kim

PhD

Postdoctoral Fellow

Institute for Public Health Sciences, YU

Yasmin

Mossavar-Rahmani

PhD, RD

Assistant Professor

Albert Einstein College of Medicine, YU

Tracy

Sbrocco

PhD

Associate Professor
Director of Research

Uniformed Services University
USU Center for Health Disparities

Sonia

Suchday

PhD

Associate Professor

Ferkauf School of Psychology, YU

Charles

Swencionis

PhD

Associate Professor

Ferkauf School of Psychology, YU

Jonathan N

Tobin

PhD

Director of Education & Training

Institute for Public Health Sciences, YU

Judith

Wylie-Rosett

EdD, RD

Professor

Albert Einstein College of Medicine, YU

Antronette

Yancey

MD, MPH

Professor

UCLA School of Public Health

 

Topics & Assignments
Click topic to register for webcast or to view webcast archive

Session & Date

Topic

Faculty

Objectives/Milestones

Readings & Assignments [  ] = recommended

1.
Jan 22

The Many Faces of Fat: The Obesity Epidemic: Local, National and Global Perspectives

Course overview – Student projects, definitions

Sonia Suchday, PhD

Judith Wylie-Rosett, EdD, RD

Introduction to Course Project

-Review NEMS-S and NYC DOHMH market survey reports and tools

 

CDC: Social-Ecological Model

http://0-www.cdc.gov.pugwash.lib.warwick.ac.uk
/nccdphp/dnpa/obesity/state_programs/se_model.htm

PHANYC monograph: Reversing the Diabetes and Obesity Epidemics in NYC

F as in Fat: How obesity policies are failing in America 2007. Executive Summary, & pp. 1-17, 41-45

Diabetes: Diabetes in NYC-Public Health Burden and Disparities

NYC Vital Signs (2 documents)

 [http://www.nyc.gov/html/doh/html/pr/pr115-05.shtml]
[http://www.nyc.gov/html/doh/html/cdp/cdp-obesity.shtml]
[http://www.nyc.gov/html/doh/downloads/pdf/epi/diabetes _chart_book.pdf]

-become familiar with survey instruments

 

2.
Jan 29

I am not hungry I’ll just pick:  Public health behavioral and biological determinants of health

Charles Swencionis, PhD

Philip M Alberti, PhD, NYCDOH

 

Identify markets and communities-geo-coding/mapping

-type of supermarkets, bodegas, grocery stores

-location: define geography

-mark up 2 survey instruments

-identify what items are missing in instruments (eg: fresh vs. frozen vegetables), add/omit items

Taubes, Chapters to be assigned

Glanz et al., 2007, Nutrition Environment Measures Survey in Stores (NEMS-S)

NEMS-S Appendix

Eating Well in Harlem

 Retail Food Assessment: Harlem DPHO Version
& Cornell Version of Retail Food Assessment

 - continue marking up survey instruments and identifying missing items

- create pilot instrument next session

 

3.
Feb 5

The Zen of Fat: Socio-ecological and other behavioral frameworks to address obesity research

Sonia Suchday, PhD

Arthur Blank, PhD

Judith Wylie-Rosett, EdD, RD

Create pilot survey instrument (modified from NEMS-S and/or NYCDOHMH)

-time

-feasibility

-validity

-inter-rater reliability

-estimate time required for each market

Theory at a Glance: A Guide for Health Promotion Practice. US Dept of Health & Human Services

Chapters to be assigned.

Horowitz, et al., 2004. Barriers to buying healthy foods for people with diabetes: evidence of environmental disparities. 

NYC Health, Obesity in the South Bronx: A look across generations 

Other Readings to be Assigned

 -use survey instrument in one market and bring summary of results (data collection process, survey results)

 

4.
Feb 12

Does this dress make me look fat?: Assessing obesity in community settings (Consideration of community based participatory as well as biostatistical and epidemiological methods)

Rosy Chhabra, PsyD

Sonia Suchday, PhD

 

Report results of pilot markets surveyed

-finalize survey instrument to use on sample of

Prepared for: US Dept of Health and Human Services. Community-based Participatory Research: Assessing the evidence

Other Readings to be Assigned

Community-Campus Partnerships for Health (CCPH):

http://depts.washington.edu/ccph/principles.html

-begin conducting surveys of markets with finalized survey instrument

 

5.
Feb 19

Perspectives on Beauty: The Swimsuit Edition

 

Yasmin Mossavar-Rahmani, PhD, RD

Discuss pilot database and data-entry program

-adding to or deleting from an existing database and/or auxiliary database [this will be determined before the session]

- Implicit bias Test

Mossavar-Rahmani et al., 1996. Determinants of body size perceptions and dieting behavior in a multiethnic group of hospital staff women.

Readings on Implicit Bias to be assigned

-continue market surveys and begin data entry

 

6.
Feb 26

The cost of fat?: Economic, medical and social aspects of the obesity epidemic

Antronette Yancey, MD, MPH

Jonathan N Tobin, PhD

Report on data collection

-discuss data entry

-discuss quality control for upcoming sessions

Yancey et al., 2007. Bridging the gap.

Sloane et al, 2003. Improving the nutritional resource environment for healthy living through community-based participatory research.

-continue market surveys, data entry

 

7.
Mar 4

Bloated bellies changing the face of malnutrition: Obesity disparities at home and worldwide

Su-Jong Kim, PhD

Jonathan N Tobin, PhD

 

Draft interview schedule for market managers/owners and discuss interview questions (Qualitative Analyses)

-sampling strategy

-target both small and large markets

-Who makes purchasing decisions? How is freezer space allotted in markets? Logistical issues? Etc.

The Omnivore's Dilemma: A Natural History of Four Meals by Michael Pollan: Ch 1-2

Bjorntorp, 2001. Do stress reactions cause abdominal obesity and comorbidities? Obesity Reviews, 2, 73-86.

Bjorntorp & Rosmond, 1999. Visceral obesity and diabetes. Drugs, 58, S1, 13-18.

[Bjorntprp, Rosmond, 2000. Obesity and cortisol. Nutrition, 16, 924-936.]

Deurenberg et al, 1998. Body mass index and precent body fat: a meta analysis among different ethnic groups. International Journal of Obesity, 22, 1164-1171.

[Sandoval & Davis, 2003. Leptin metabolic control and regulation, Journal of Diabetes and its Complications, 17, 108-113]

Warne & Dallman, 2007. Stress, diet and abdominal obesity: Y?. Nature Medicine, 13, 781-783.

Additional readings to be assigned

-continue market surveys, data entry

-begin creating interview questions

 

8.
Mar 11

You are what you eat, or are you?: Evaluation methods for obesity interventions and research studies

Alice Fornari, EdD

Judith Wylie-Rosett, EdD, RD

Develop skeleton analysis tables

-continue working on issues from session 7

Isasi, Davis & Wylie-Rosett, Assessment of Communities. in Understanding Obesity: Biological, Psychological and Cultural Influences.

Wylie-Rosett, & Hark, Nutrition assessment for cardiovascular disease (Chapter 4) in Cardiovascular Nutrition: Disease Management and Prevention, ADA.

-continue market surveys, data entry, interview questions

-begin conducting interviews

 

9.
Mar 18

 

Selling them our garbage: Examination of international trade policy and obesity

 

Book club discussion: The Omnivore's Dilemma: A Natural History of Four Meals by Michael Pollan

 

Judith Wylie-Rosett, EdD, RD

Jonathan N Tobin, PhD

 

Report on interviews

-students present results of qualitative data from interviews

The Omnivore's Dilemma: A Natural History of Four Meals by Michael Pollan

Chapter 3, 4, & 5

-continue market surveys, data entry, interviews

 

10.
Mar 25

Sue Who? Litigation and obesity

Leslie Gerwin, JD, MPH

Jonathan N Tobin, PhD

 

Report on interviews

-students present results of qualitative data from interviews

Wing, Mariner, Annas, Strouse, Public Health Law (LexisNexis, 2007): pp. 558-581 & 600-610

Mello et al, 2006.  Obesity-the new frontier of public health law.

-continue market surveys, data entry, interviews

 

11.
Apr 1

Do as I say not as I do: What is the Evidence Base used for Recommendations related to Obesity? (government, health agency, and international agencies)

Discussion of NYC regulations for calorie labeling and transfats elimination

 

Rachel Johnson, PhD, MPH, RD

Judith Wylie-Rosett, EdD, RD

Jonathan N Tobin, PhD

 

Report on interviews

-students present results of qualitative data from interviews

PAPER DUE 

Cochrane

NHLBI Obesity Evidence Initiatives (OBEI): Executive summary

http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.pdf

-continue market surveys, data entry, interviews

 

12.
Apr 8

What’s the government doing? Obesity-related Intervention research in USDA programs

 

Karen Bonuck, PhD

 

Preliminary analysis

-in-class hands-on analysis of data

www.usda.gov

-finish market surveys, data entry, conducting interviews

 

Apr 15

 

No Class

 

 

 

Apr 22

 

No Class

 

 

 

14.
Apr 29

Don’t look the other way: The Clinician’s Perspective (Clinical skills; reimbursements)

Perspectives of physician, psychologist, and dietician

Charles Swencionis, PhD

Darwin Deen Jr, MD, MS

Judith Wylie-Rosett, EdD, RD

Integration of qualitative and quantitative data; Feedback to markets

-discuss how to integrate different types of data

-discuss how to provide feedback to markets concerning what products to add to their markets, how to better display items of interest, etc.

- BMI calculations

AAMC Monograph

Report VIII: Contemporary issues in medicine: The prevention and treatment of overweight and obesity. Aug 2007

F as in Fat: How obesity policies are failing in America 2007”: pp. 74-84: pp. 37-39

Wylie-Rosett et al, 2006.  Lifestyle intervention to prevent diabetes: intensive and cost effective.

-provide feedback to markets

-finish data analysis

 

13.
May 6

Let’s work together: Intervention Research - collaborative strategies for addressing environment at community and global level (changing personal and family environments, consideration of social networks)

 

 

Tracy Sbrocco, PhD

Judith Wylie-Rosett, EdD, RD

Report preliminary results

-show preliminary results in skeleton tables created in session 8

F as in Fat: How obesity policies are failing in America 2007.  pp. 17-36, 96-103

-continue data analysis

 

15.
May 13

Student Research Project Reports

 

 

Final reports and Recommendations for future research

-oral presentations of final analyses and recommendations for future

-written tables with text explanations to facilitate continuation of objectives in future courses

-data-base close-out