Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.
Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.
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DOI：
10.1186/s13012-023-01264-5
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发表时间：
2023-02-24
影响因子：
7.2
通讯作者：
Armstrong, Sarah C.
中科院分区：
文献类型：
--
作者：
Neshteruk, Cody D.;Skinner, Asheley C.;Counts, Julie;D'Agostino, Emily M.;Frerichs, Leah;Howard, Janna;Story, Mary;Armstrong, Sarah C.
关键词：
儿童肥胖存在安全有效的治疗方法，但治疗建议在很大程度上没有转化为实践，特别是在种族和少数民族以及低财富人群中。一个关键的差距是在6-12个月内满足建议治疗≥26小时的生活方式改变。Fit Together是一种有效的治疗模式，通过整合医疗保健和社区资源来满足这些建议。儿科医生对儿童进行肥胖筛查，提供咨询，并治疗合并症，而公园和娱乐合作伙伴则为社区营养和体育活动项目提供娱乐空间。本研究将使用混合型实施-有效性设计来评估在线实施平台（Playbook）交付Fit Together的有效性。北卡罗莱纳州两个社区的临床和社区合作伙伴将使用《手册》实施“一起适应”，该手册是一套实施方案，旨在促进新的伙伴关系，指导培训活动，并提供实施“一起适应”所需的课程材料。基于流程重新设计框架的中断时间序列设计将用于评估干预地点的实施和有效性结果。实施措施包括在实施Fit Together之前和之后与合作伙伴进行的半结构化访谈，以及评估流程重新设计框架内几个结构的定量措施。研究对象为6-11岁肥胖儿童及其家庭（n=400）。与接受常规护理的儿童相比，有效性结果包括儿童体重指数和身体活动从基线到6个月和12个月的变化。调查结果将用于在PCORI传播框架的指导下设计传播战略。该项目通过开发基于证据的实施工具，使临床医生和社区能够提供有效的儿童肥胖治疗建议，从而解决了从知识到行动的差距。今后这些工具的推广将使更多的肥胖儿童及其家庭能够在不同的社区获得有效的循证护理。ClinicalTrials.gov识别码：NCT05455190。在线注册于2022年7月13日，包含补充资料，下载地址：10.1186/s13012-023-01264-5。
Safe and effective treatment exists for childhood obesity, but treatment recommendations have largely not been translated into practice, particularly among racial and ethnic minorities and low-wealth populations. A key gap is meeting the recommended treatment of ≥26 h of lifestyle modification over 6–12 months. Fit Together is an effective treatment model that meets these recommendations by integrating healthcare and community resources. Pediatric providers screen children for obesity, deliver counseling, and treat co-morbidities, while Parks and Recreation partners provide recreation space for a community nutrition and physical activity program. This study will use a hybrid type II implementation-effectiveness design to evaluate the effectiveness of an online implementation platform (the Playbook) for delivering Fit Together. Clinical and community partners in two North Carolina communities will implement Fit Together, using the Playbook, an implementation package designed to facilitate new partnerships, guide training activities, and provide curricular materials needed to implement Fit Together. An interrupted time series design anchored in the Process Redesign Framework will be used to evaluate implementation and effectiveness outcomes in intervention sites. Implementation measures include semi-structured interviews with partners, before and after the implementation of Fit Together, and quantitative measures assessing several constructs within the Process Redesign Framework. The participants will be children 6–11 years old with obesity and their families (n=400). Effectiveness outcomes include a change in child body mass index and physical activity from baseline to 6 and 12 months, as compared with children receiving usual care. Findings will be used to inform the design of a dissemination strategy guided by the PCORI Dissemination Framework. This project addresses the knowledge-to-action gap by developing evidence-based implementation tools that allow clinicians and communities to deliver effective pediatric obesity treatment recommendations. Future dissemination of these tools will allow more children who have obesity and their families to have access to effective, evidence-based care in diverse communities. ClinicalTrials.gov identifier: NCT05455190. Registered on 13 July 2022 The online version contains supplementary material available at 10.1186/s13012-023-01264-5.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
影响因子：
8
作者：
Freedman, David S.;Berenson, Gerald S.
通讯作者：
Berenson, Gerald S.
影响因子：
2.5
作者：
Kirk, Shelley;Armstrong, Sarah;Stratbucker, William
通讯作者：
Stratbucker, William