Figures & data
Fig. 1. CIH evaluation framework. In the CIH multilevel framework, the concentric circles illustrate the ecological model and the various layers that influence behavior. The upper arrows illustrate the CIH intervention strategies influencing both the proximal and distal factors related to behavior. The evaluation framework includes individual assessments and the community profile that informs the impact of the interventions. The environmental scan captures the community environment as well as structural changes and some aspects of health education and social marketing. Key informant interviews and policy review add another layer of analysis and provide a deeper understanding of the community context.
Table 1. Components of CHESS
Table 5. Appendix 1. Full CHESS tool
Fig. 2. The neighborhood environmental scan includes walking a 400 m radius around each school and identifying and/or surveying all stores, vending machines, restaurants, recreational facilities, vendors, and so on.
Fig. 3. Overview of the control and intervention area and distribution of the selected schools in both areas.
Table 2. Summary of fast food and tobacco consumption indicators
Table 3. Food environment and food behavior
Table 4. Tobacco use and tobacco environment
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