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Curriculum implementation varied, with session lengths varying from 30 minutes to multiple hours. Some studies included other interventions such as walking clubs. Across the 10 studies, there were 62\u00a0CCs, with seed monies ranging from $600 to $5000. The majority of CCs were facilitated by a USDA Cooperative Extension agent; 95% of CCs successfully completed a PSE project. Sixty-one percent of projects included physical activity elements only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Key recommendations include the importance of involving stakeholders, encouraging positive CC group dynamics, ensuring CC members understand the time and effort of PSE projects, identifying and cultivating facilitators that have capacity and can transition the project to group members, completing CC modules in a short period of time to retain members, and including group members who have existing community connections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial #s<\/jats:title>\n                    <jats:p>NCT05002660, NCT05677906, NCT05867433.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171261478393","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:18:44Z","timestamp":1787030324000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of and Recommendations From the Change Club Civic Engagement Curriculum Targeting Health Behavior Improvement"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5115-2341","authenticated-orcid":false,"given":"Rebecca A.","family":"Seguin-Fowler","sequence":"first","affiliation":[{"name":"Texas A&M AgriLife Research"},{"name":"Texas A&M University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith L.","family":"Graham","sequence":"additional","affiliation":[{"name":"Texas A&M AgriLife Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4035-7728","authenticated-orcid":false,"given":"Galen D.","family":"Eldridge","sequence":"additional","affiliation":[{"name":"Texas A&M AgriLife Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4366-5622","authenticated-orcid":false,"given":"Sara C.","family":"Folta","sequence":"additional","affiliation":[{"name":"Tufts University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Szeszulski","sequence":"additional","affiliation":[{"name":"Texas A&M University"},{"name":"Texas A&M AgriLife Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3160-3050","authenticated-orcid":false,"given":"Alexandra L.","family":"MacMillan Uribe","sequence":"additional","affiliation":[{"name":"Texas A&M University"},{"name":"Texas A&M AgriLife Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace A.","family":"Marshall","sequence":"additional","affiliation":[{"name":"Cornell University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1779-683X","authenticated-orcid":false,"given":"Deyaun L.","family":"Villarreal","sequence":"additional","affiliation":[{"name":"Texas A&M AgriLife Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah C.","family":"Volpe","sequence":"additional","affiliation":[{"name":"Cornell University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1119-0300","authenticated-orcid":false,"given":"Jay E.","family":"Maddock","sequence":"additional","affiliation":[{"name":"Texas A&M University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam E.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Tufts University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd21.240165"},{"key":"e_1_3_8_3_2","unstructured":"Community Commons. 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