Dissemination and Implementation of the Bright Bodies Intervention for Childhood Obesity

Bright Body 儿童肥胖干预措施的传播和实施

• 批准号: 10402802
• 负责人: Mahnoosh Sharifi
• 金额: $ 76.52万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10402802
• 关键词: Address; Adolescent; Adoption; Adult; Advisory Committees; Affect; Age; Alabama; Asthma; Attention; Award; Body mass index; California; Cardiometabolic Disease; Cardiovascular Diseases; Child; Childhood; Clinical; Collection; Communities; Consolidated Framework for Implementation Research; Cost Effectiveness Analysis; Data; Diabetes Mellitus; Dissemination and Implementation; Educational Curriculum; Effectiveness; Effectiveness of Interventions; Evaluation; Evidence based intervention; Evidence based treatment; Family; Geographic Locations; Geography; Health; Hybrids; International; Intervention; Interview; Literature; Location; Low Income Population; Maine; Malignant Neoplasms; Mediating; Methods; Modeling; Obesity; Obesity associated cancer; Outcome; Patients; Population; Prevalence; Preventive; Preventive service; Process; Provider; Public Health; Publishing; Quality of life; Randomized Controlled Trials; Reach Effectiveness Adoption Implementation and Maintenance; Reporting; Research; Research Design; Research Methodology; Resources; Rural; Schools; Site; Site Visit; Social Well-Being; Surveys; Time; United States; Weight; Well in self; Work; base; cardiovascular disorder risk; community engaged research; contextual factors; cost; cost effectiveness; cost estimate; effective intervention; effectiveness evaluation; effectiveness implementation design; effectiveness outcome; effectiveness study; follow-up; formative assessment; health care service utilization; health economics; high risk; implementation cost; implementation evaluation; implementation intervention; implementation outcomes; implementation process; implementation science; implementation strategy; improved; informant; innovation; intervention cost; mortality; obesity in children; obesity risk; obesity treatment; patient population; prevent; programs; prospective; racial and ethnic; scale up; simulation; theories; tool; trend; user centered design

PROJECT SUMMARY/ABSTRACT Nearly one in five children in the United States are affected by obesity. Beyond the adverse impact on physical, social, and emotional wellbeing in childhood, children with obesity are at greater risk of obesity in adulthood. A recent simulation study projects that 57% of today’s children will have obesity at age 35, placing them at higher risk of cardiometabolic disease, obesity-related cancers, and early mortality. Effective interventions that prevent and treat obesity in childhood can disrupt these projected trends, improve long-term health and quality of life, and reduce later health care utilization and costs. Bright Bodies, a high-intensity, family-based intervention for childhood obesity, was found to have the greatest magnitude of mean reduction in body mass index among U.S.-based childhood obesity interventions evaluated in the 2017 U.S. Preventive Task Force Report. There is tremendous potential for population-level impact on obesity outcomes if Bright Bodies is successfully scaled-up nationally, yet little is known about adoption, implementation, and effectiveness at the 39 sites to which the Bright Bodies curriculum has been disseminated over the last decade. Through this award, we aim to capitalize on advances in the field of implementation science to conduct an observational evaluation of the naturalistic dissemination and implementation of the Bright Bodies intervention. The results of this mixed methods study of historical dissemination sites will be used to optimize the Bright Bodies implementation package though user-centered design methods. The newly-optimized package will be prospectively implemented at three heterogenous sites reflecting low-income populations with racial/ethnic, rural-urban, and geographic diversity. The scientific objectives of the proposed award are to conduct a hybrid type 2 effectiveness-implementation and cost-effectiveness study in which we will employ multiphase mixed methods to assess implementation processes and effectiveness outcomes simultaneously while also examining contextual factors that may mediate and modify implementation impact and effectiveness. To achieve these aims, we have assembled a transdisciplinary team with expertise in obesity treatment, implementation science, mixed methods, community engaged research, cost-effectiveness analysis, and user- centered design. The results from this study will provide an optimized, user-centered implementation package for Bright Bodies as well as valuable evidence on the implementation and effectiveness of the intervention in different settings to facilitate broad-scale dissemination and to enhance sustainability.

项目摘要/摘要 近五分之一的美国儿童患有肥胖症。除了对身体的不利影响外， 在儿童时期，肥胖儿童在成年后患肥胖症的风险更大。一个 最近的模拟研究预测，如今57%的儿童在35岁时会患上肥胖症，这使他们处于更高的年龄 心脏代谢性疾病、肥胖相关癌症和早期死亡的风险。有效的干预措施 在儿童时期预防和治疗肥胖症可以破坏这些预测的趋势，改善长期健康和质量 并减少以后的卫生保健利用率和成本。明亮的身体，高强度，以家庭为主 对儿童肥胖的干预被发现对体重的平均减少幅度最大 2017年美国预防工作组评估的美国儿童肥胖症干预措施指数 报告。如果Bright Body是这样的话，人口水平对肥胖结果的影响是巨大的潜力 成功地在全国范围内推广，但对 在过去十年中，向39个地点传播了《光明之体》课程。通过这件事 奖，我们的目标是利用实现科学领域的进展来进行观察 明体干预的自然主义传播与实施效果评价。结果是 这种对历史传播点的混合方法研究将被用来优化亮体 通过以用户为中心的设计方法实现包。新优化的包将是 预期在三个不同的地点实施，反映种族/民族的低收入人口， 农村-城市，以及地理多样性。拟议的奖项的科学目标是进行一种混合 第二类成效--实施和成本效益研究，我们将采用多阶段混合 同时评估执行过程和成效成果的方法，同时 审查可能调解和修改执行影响和有效性的背景因素。至 为了实现这些目标，我们组建了一支在肥胖症治疗方面拥有专业知识的跨学科团队， 实施科学、混合方法、社区参与研究、成本效益分析和用户- 以设计为中心。这项研究的结果将提供优化的、以用户为中心的实施方案 对于光明的机构以及关于干预措施的实施和有效性的宝贵证据 不同的环境，以促进广泛传播和增强可持续性。