Design and Approach of the Healthy Weight Clinic Pediatric Weight Management Intervention Package and Implementation: Massachusetts-CORD 3.0
Design and Approach of the Healthy Weight Clinic Pediatric Weight Management Intervention Package and Implementation: Massachusetts-CORD 3.0
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DOI：
10.1089/chi.2021.0177
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发表时间：
2021-09-01
影响因子：
2.5
通讯作者：
Taveras, Elsie M.
中科院分区：
文献类型：
--
作者：
Fiechtner, Lauren;Castro, Ines;Taveras, Elsie M.
背景：尽管存在已被证明有效的儿童肥胖干预措施，但临床医生在采用推荐的做法方面仍存在很大差距。 目标：目标是：(1) 一揽子实施和培训支持，以促进采用循证健康体重诊所儿童体重管理干预措施 (PWMI)（基于之前的三项有效性试验）； (2) 试点并评估打包的健康体重诊所 PWMI； (3) 制定可持续性和传播计划。 设计/方法：我们使用实施研究构建的综合框架来创建实施研究逻辑模型，该模型定义了健康体重诊所 PWMI 的促进因素和障碍。我们将这些结构与实施策略和机制联系起来。包装和设计将基于 PWMI 的核心基本组件和功能以及利益相关者的参与。一旦一揽子计划完成，我们将通过使用 III 型有效性实施混合设计来试行 PWMI。将使用 RE-AIM 框架评估实施成果。结果：我们将为国家传播创建一个综合的、多系统级别的包。该一揽子计划将包括针对初级保健医生和健康体重诊所工作人员的培训和一套资源，包括：面向患者和护理人员的视频、患者和护理人员讲义、团体课程指南、在线提供者培训以及虚拟学习协作的访问权限。结论：结果将突出健康体重诊所 PWMI 的一揽子计划在多大程度上促进采用治疗儿童肥胖的有效策略。吸取的经验教训将为健康体重诊所 PWMI 的修改和未来扩展的策略提供参考。
Background: Although proven effective interventions for childhood obesity exist, there remains a substantial gap in the adoption of recommended practices by clinicians.Objective: The aims are to: (1) package implementation and training supports to facilitate the adoption of the evidence-based Healthy Weight Clinic Pediatric Weight Management Intervention (PWMI) (based on three previous effectiveness trials); (2) pilot and evaluate the packaged Healthy Weight Clinic PWMI; and (3) develop a sustainability and dissemination plan.Design/Methods: We used the Consolidated Framework of Implementation Research constructs to create an Implementation Research Logic Model that defined the facilitators and barriers of the Healthy Weight Clinic PWMI. We linked these constructs to implementation strategies and mechanisms. Packaging and design will be informed by the core essential components and functions of the PWMI along with stakeholder engagement. Once the package is complete, we will pilot the PWMI by using a Type III effectiveness-implementation hybrid design. Implementation outcomes will be evaluated by using the RE-AIM framework.Results: We will create an integrated, multisystems level package for national dissemination. The package will include training and a suite of resources for primary care physicians and healthy weight clinic staff, including: patient and caregiver facing videos, patient and caregiver handouts, group curriculum guide, online provider trainings, and access to a virtual learning collaborative.Conclusion: The results will highlight the extent to which the package of the Healthy Weight Clinic PWMI facilitates the adoption of effective strategies for treating childhood obesity. Lessons learned will inform modifications to the Healthy Weight Clinic PWMI and strategies for future scaling.