Transportation system plan : City of Jacksonville, Oregon

174 pp. Bookmarks modified by UO. Maps, tables, illus., appendices. Published June, 2009. Captured July 24, 2009.Contents of this TSP are guided by Oregon Revised Statute (ORS) 197.712 and DLCD's administrative rule: The Transportation Planning Rule (TPR). These laws and rules dictate that Oregon jurisdictions develop the following: a road plan for the network of arterial and collector streets; a public transit plan; a bicycle/pedestrian plan; an air, rail, water, and pipeline plan; a transportation financing plan; and policies/ordinances to implement the TSP. [From the Plan]"This project was conducted under funding from the Oregon Department of Transportation (ODOT) and the Rogue Valley Council of Governments (RVCOG).

A Health-Literacy Intervention for Early Childhood Obesity Prevention: A Cluster-Randomized Controlled Trial

Children who become overweight by age 2 have greater risk of long-term obesity and health problems. The study aim was to assess the effectiveness of a primary care-based intervention on the prevalence of overweight at age 24 months. In a cluster-randomized trial, sites were randomly assigned to the Greenlight intervention or an attention-control arm. Across 4 pediatric residency clinics, we enrolled infant-caregiver dyads at the 2-month well-child visit. Inclusion criteria included parent English- or Spanish-speaking and birth weight ≥1500 g. Designed with health-literacy principles, the intervention included a parent toolkit at each well-child visit, augmented by provider training in clear-health communication. The primary outcome was proportion of children overweight (BMI ≥85th percentile) at age 24 months. Secondary outcomes included weight status (BMI score). A total of 459 intervention and 406 control dyads were enrolled. In total, 49% of all children were overweight at 24 months. Adjusted odds for overweight at 24 months (treatment versus control) was 1.02 (95% confidence interval [CI]: 0.63 to 1.64). Adjusted mean BMI score differences (treatment minus control) were -0.04 (95% CI: -0.07 to -0.01), -0.09 (95% CI: -0.14 to -0.03), -0.19 (-0.33 to -0.05), -0.20 (-0.36 to -0.03), -0.16 (95% CI: -0.34 to 0.01), and 0.00 (95% CI -0.21 to 0.21) at 4, 6, 12, 15, 18, and 24 months, respectively. The intervention resulted in less weight gain through age 18 months, which was not sustained through 24 months. Clinic-based interventions may be beneficial for early weight gain, but greater intervention intensity may be needed to maintain positive effects