R A Saiz-Díaz, S Bellido-Cuéllar, J González de la Aleja
[Normal variants with an epileptiform appearance in electroencephalograms. A literature review and clinical implications]
Revista de neurologia
2008 2014 healthy kids healthy communities hkhc national program funded 49 communities across united states puerto rico implement healthy eating active living policy system environmental changes support healthier communities children families special emphasis reaching children highest risk obesity basis race ethnicity income geographic location evaluators designed mixedmethods evaluation capture complexity hkhc projects understand implementation document perceived actual impacts efforts eight complementary evaluation methods addressed 4 primary aims seeking 1 coordinate data collection evaluation webbased project management system hkhc community dashboard provide training technical assistance use system 2 guide data collection analysis use assessment evaluation toolkit 3 conduct quantitative crosssite impact evaluation among subset community partnership sites 4 conduct qualitative crosssite process impact evaluation among 49 community partnership sites evaluators identified successes challenges relation following methods online performancemonitoring hkhc community dashboard system environmental audits direct observations individual group interviews partnership community capacity surveys group model building photographs videos secondary data sources surveillance data record review several themes emerged including value systems approaches need capacity building evaluation value focusing upstream downstream outcomes importance practical approaches dissemination mixedmethods evaluation hkhc advances evaluation science related communitybased efforts addressing childhood obesity complex community settings findings likely provide practicerelevant evidence public health