This Funding Opportunity Announcement (FOA) solicits Research Demonstration Cooperative Agreement (U18) applications for:Component AThe objective of the demonstrations is to determine whether an integrated model of primary care and public health approaches in the community can improve underserved children�s

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risk factors for obesity.

These approaches may include policy, systems, and environmental supports that encourage nutrition and physical activity for underserved children and their families.Grantees will develop, implement, and evaluate multi-sectoral (i.e., childcare, school, community, health care), multi-level (i.e.

child, family, organization, community, policy) intervention demonstration projects for underserved children ages 2-12 years and their families utilizing the Obesity Chronic Care Model and other similar models.

The Obesity Chronic Care Model provides a framework to integrate primary care and public health approaches with an intent to guides the design of strategies, approaches, systems, and/or tools to ultimately prevent and reduce childhood obesity.Component A Demonstration Project funded grantees will design, implement, and evaluate the demonstration interventions, with evaluation support from the Component B Evaluation Center funded grantee.

Standardized measures across sites will be collected to determine whether the demonstration research project led to changes in preventive services, policy, systems, and environment (e.g.

setting, community), and individual outcomes including health, satisfaction, health care utilization and quality of life.

Component BThe results of the Demonstration projects will be used to generate a recommendation that determines whether program components, similar to the awarded demonstration projects, should be implemented nationally for the general population of children who are eligible for child health assistance under Title XXI (CHIP) of the Social Security Act.The Component B funded grantee, the Evaluation Center, will design and conduct the overarching evaluation that will support this recommendation, in collaboration with the Component A Demonstration Project funded grantees and CDC.