Scaling up Building Healthy Families

Communities must respond to a call for proposals by submitting a letter of intent and a brief narrative describing the local need for BHF and readiness for implementation. Community eligibility for this trial includes: * Any community is eligible to apply for the competitive BHF RFA process; * BHF RFA scoring prioritizes community narratives that meet the following criteria: (1)Childhood obesity prevention and treatment are a priority health concern; (2) Communities and community-based organizations located in rural, frontier, or micropolitan areas, and/or that provide services to families from these areas; (3) Communities and community-based organizations that provide services or reach families in other low-resource contexts, such as areas with limited access to evidence-based health promotion and disease prevention/treatment interventions. * The community is willing to be randomized to either study condition. * The community is willing to form a Community Implementation Team (CIT) to implement BHF. Eligibility for Community Implementation Teams (CIT) includes: * Adults, age 18 years or older * Employed by or affiliated with the community-based organizations that applied and were selected through the bundled adoption strategy (i.e., LOI/RFA) process. BHF Program Family Eligibility: * Must have at least one child between the ages of 5 and 13 years with a BMI at or above the 85th percentile; * One parent or caregiver must agree to attend BHF sessions with the child.