The evolution of the steps program, 2003-2010: transforming the federal public health practice of chronic disease prevention.

Abstract:

:The Steps program, formerly known as Steps to a HealthierUS, was the first Centers for Disease Control and Prevention (CDC) program to support a community-based, integrated approach to chronic disease prevention. Steps interventions addressed both diseases and risk factors, focusing on the 3 leading causes of preventable deaths in the United States--tobacco use, poor nutrition, and physical inactivity--and the associated chronic conditions of asthma, diabetes, and obesity. When Steps shifted from interventions focused on individual health-risk behaviors to the implementation of policy, systems, and environmental changes, the program became an integral part of changing the way CDC addressed chronic disease prevention. In this article, we describe the shift in intervention strategies that occurred among Steps communities, the model that was developed as Steps evolved, common interventions implemented before and after the shift in approach, challenges experienced by Steps communities, and CDC programs that were modeled after Steps.

journal_name

Prev Chronic Dis

authors

Nichols P,Ussery-Hall A,Griffin-Blake S,Easton A

doi

10.5888/pcd9.110220

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

E50

issn

1545-1151

pii

E50

journal_volume

9

pub_type

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