TY - JOUR AU - Horne, Laura AU - Miller, Katie AU - Silva, Sandra AU - Anderson, Lori PY - 2013 TI - Implementing the ACHIEVE Model to Prevent and Reduce Chronic Disease in Rural Klickitat County, Washington T2 - Preventing Chronic Disease JO - Prev Chronic Dis SP - E56 VL - 10 CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. N2 - BACKGROUND In the United States, 133 million people live with 1 or more chronic diseases, which contribute to 7 of 10 deaths annually. To prevent and reduce the prevalence of chronic diseases, the National Association of County and City Health Officials (NACCHO) provided technical assistance and funding to 33 local health departments in Washington State, including the Klickitat County Health Department (KCHD), to implement the Action Communities for Health, Innovation, and Environmental Change (ACHIEVE) model. COMMUNITY CONTEXT Klickitat County residents experience higher rates of obesity and overweight than people living in urban areas in the state. KCHD applied the ACHIEVE model to accomplish 2 objectives: 1) to engage the community in community health assessment, action plan development for chronic disease prevention, and implementation of the plan and 2) to work with targeted sectors to promote worksite wellness and to establish community gardens and bicycling and walking trails. METHODS KCHD convened and spearheaded the Healthy People Alliance (HPA) to complete a community assessment, develop a community action plan, implement the plan, and evaluate the plan's success. OUTCOMES KCHD, working with HPA, accomplished all 5 phases of the ACHIEVE model, expanded a multisector community coalition, developed Little Klickitat River Trail and 3 community gardens, and created and promoted a worksite wellness toolkit. INTERPRETATION Assistance and training that NACCHO provided through ACHIEVE helped the KCHD engage nontraditional community partners and establish and sustain a community coalition. SN - 1545-1151 UR - http://dx.doi.org/10.5888/pcd10.120272 DO - 10.5888/pcd10.120272 ER -