Evaluating Community-Level Interventions
Many community, foundation, and government initiatives are being implemented to target policy, system, and
environmental changes to reduce morbidity and mortality associated with obesity. Case studies and examples of
these interventions are provided below.
Department of Health and Human Services
The following programs offer examples of evaluation strategies for measuring policy, system, and environmental
community-level obesity prevention initiatives.
Program: Kaiser Permanente Community Health Initiative
Summary: Implemented between 2005 and 2010. An organization-wide effort designed to produce a
significant and measurable impact on the health of select communities.
Goal of evaluation: To promote program improvement, assess impact, and share lessons
Target population: Nine communities in five regions (three in Northern California and
Colorado, one in Georgia, Ohio, and the Mid-Atlantic States)
Design: Non-experimental, cross-site evaluation
Evaluation methods: Analysis of progress report data; key informant interviews; observation
of environmental changes; calculating affected reach; analysis of clinical data; baseline and follow-up
population-level surveys of youth and adults
Evaluation findings: 2008 interim findings: Communities built capacity and implemented
creative strategies. Potential impact of their interventions was high
to Measuring the Extent and Impact of Environmental Change in Three California Community-Level
Cheadle, A., Samuels, S., Rauzon, S., et al.
American Journal of Public Health, 2010, 100(11)