Childhood Obesity Research Demonstration Project: Cross-Site Evaluation Methods
Childhood Obesity Research Demonstration Project: Cross-Site Evaluation Methods
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DOI：
10.1089/chi.2014.0061
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发表时间：
2015-02-01
影响因子：
2.5
通讯作者：
Stevens, Andria
中科院分区：
文献类型：
--
作者：
O'Connor, Daniel P.;Lee, Rebecca E.;Stevens, Andria
介绍：儿童肥胖研究示范（CORD）项目将公共卫生和初级保健干预措施联系在一起，详细描述在本期儿童肥胖的随附文章中。本文介绍了一个全面的评估计划，以确定在何种程度上的CORD模型与行为，体重，BMI，生活质量和医疗保健满意度的变化在2-12岁的儿童age.Design/Methods：CORD评估中心（EC-CORD）将分析汇总数据从三个独立的示范项目，每个整合公共卫生和初级保健儿童肥胖干预措施。CORD项目和EC-CORD之间的共识确定了家庭、设施和社区各级的一套广泛的共同措施。过程评价将评估干预组件的可及性、输送剂量和保真度。影响评价将使用混合线性模型方法，以考虑项目现场人群和干预措施之间的异质性。可持续性评估将评估可复制性的潜力、在资助期后继续受益、干预活动的制度化以及社区支持正在进行的方案交付的能力。最后，成本分析将评估有多少潜在的好处可以获得每美元投资的方案CORD model.Conclusions的基础上：在多个项目的数据相结合和分析的关键包括CORD模型框架和共同措施的行为和健康的结果沿着与重要的协变量在个人，设置和社区层面。全面评价的总体目标是，根据CORD模式，为在全社区推广和传播综合公共卫生和初级保健方案提出循证建议。
Introduction: The Childhood Obesity Research Demonstration (CORD) project links public health and primary care interventions in three projects described in detail in accompanying articles in this issue of Childhood Obesity. This article describes a comprehensive evaluation plan to determine the extent to which the CORD model is associated with changes in behavior, body weight, BMI, quality of life, and healthcare satisfaction in children 2-12 years of age.Design/Methods: The CORD Evaluation Center (EC-CORD) will analyze the pooled data from three independent demonstration projects that each integrate public health and primary care childhood obesity interventions. An extensive set of common measures at the family, facility, and community levels were defined by consensus among the CORD projects and EC-CORD. Process evaluation will assess reach, dose delivered, and fidelity of intervention components. Impact evaluation will use a mixed linear models approach to account for heterogeneity among project-site populations and interventions. Sustainability evaluation will assess the potential for replicability, continuation of benefits beyond the funding period, institutionalization of the intervention activities, and community capacity to support ongoing program delivery. Finally, cost analyses will assess how much benefit can potentially be gained per dollar invested in programs based on the CORD model.Conclusions: The keys to combining and analyzing data across multiple projects include the CORD model framework and common measures for the behavioral and health outcomes along with important covariates at the individual, setting, and community levels. The overall objective of the comprehensive evaluation will develop evidence-based recommendations for replicating and disseminating community-wide, integrated public health and primary care programs based on the CORD model.