Translating Efficacious Pediatric Weight Management Interventions into Rural & Micropolitan Communities

将有效的儿童体重管理干预措施转化为农村

• 批准号: 9899900
• 负责人: Catherine Anna Heelan
• 金额: $ 74.53万
• 依托单位: UNIVERSITY OF NEBRASKA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2021-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9899900
• 关键词: Translating; Efficacious; Pediatric; Weight; Management

Abstract There is a large body of literature regarding efficacious intervention strategies for treating childhood obesity. Unfortunately, the degree to which efficacious programs have been packaged for translation in micropolitan and surrounding rural areas is unclear—an important issue when considering the prevalence of obesity is higher in rural areas when compared to urban areas. Epstein’s Traffic Light Diet (TLD) is likely the most studied pediatric weight management intervention (PWMI) and has demonstrated efficacy across a wide range of randomized controlled trials in children 6-12 years of age. Building Healthy Families (BHF) is an adaptation of the TLD and has been implemented in a Midwestern micropolitan city and successfully achieved clinically and statistically significant reductions in child BMI z-score (- 0.27±0.22)—a similar magnitude of effect relative to previous efficacy trials. We have created online resources for organizations interested in delivering PWMIs, training modules for related interventions, and participant-facing program materials that could be combined into a ‘turn-key’ approach for communities interested in reducing childhood obesity to adopt, adapt and sustain it in other micropolitan/rural communities. The primary aim is to collaboratively refine and develop an intervention package for the BHF that includes materials necessary for others to implement the intervention in new metropolitan/rural locations. Our second aim is to perform a rigorous, mixed-methods pilot implementation research study using an innovative community application process to identify 4 to 8 new communities to pilot test the utility of the packaged PWMI and training materials while determining factors that predict adoption, implementation and sustainability. We will also use a learning collaborative implementation strategy to improve implementation fidelity and local context and facilitation capacity in communities interested in delivering BHF. Our third aim is to use the pilot evaluation data and results of the sustainability action plan to refine program and training materials and develop a dissemination plan to move the program to other communities. Our approach will use an implementation research explanatory process and outcome model to allow us to test hypotheses related to implementation and sustainability, engaging community/ clinical partners in the implementation and sustainability process, and evaluate outcomes at both the individual and organizational level.

抽象的 有大量关于治疗的有效干预策略的文献 儿童肥胖症。不幸的是，项目的有效程度 在小城市和周边农村地区进行翻译打包的情况尚不清楚——一个重要的 与农村地区相比，农村地区的肥胖患病率更高 城市地区。爱泼斯坦的红绿灯饮食法（TLD）可能是研究最多的儿科体重法 管理干预（PWMI）并已在广泛的范围内证明了有效性 6-12 岁儿童的随机对照试验。建立健康家庭（BHF）是 TLD 的改编并已在中西部小城市实施 成功地实现了儿童 BMI z 分数的临床和统计学显着降低（- 0.27±0.22）——与之前的功效试验相比，效果类似。我们已经创建了 为有兴趣提供 PWMIs 的组织提供在线资源，相关培训模块 干预措施和面向参与者的计划材料可以组合成“交钥匙” 为有兴趣减少儿童肥胖的社区采用、适应和维持它的方法 在其他小城市/农村社区。主要目标是协作完善和开发 BHF 的干预方案，其中包括其他人实施所需的材料 对新的大都市/农村地区的干预。我们的第二个目标是执行严格的、 使用创新社区应用程序的混合方法试点实施研究 确定 4 到 8 个新社区来试点测试打包 PWMI 的实用性和 培训材料，同时确定预测采用、实施和的因素 可持续性。我们还将使用学习协作实施策略来改进 实施保真度、当地背景以及感兴趣社区的促进能力 交付 BHF。我们的第三个目标是利用试点评估数据和可持续性的结果 完善计划和培训材料的行动计划，并制定传播计划以推动 将该计划推广到其他社区。我们的方法将使用实施研究 解释过程和结果模型使我们能够检验与以下相关的假设 实施和可持续性，让社区/临床合作伙伴参与实施 和可持续发展过程，并评估个人和组织的结果 等级。