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.

项目总结/摘要 在美国，近五分之一的儿童受到肥胖的影响。除了对身体的不利影响， 儿童时期的社会和情感健康，肥胖儿童成年后患肥胖症的风险更大。一 最近的一项模拟研究预测，今天57%的儿童在35岁时将患有肥胖症， 心脏代谢疾病、肥胖相关癌症和早期死亡的风险。有效的干预措施 预防和治疗儿童肥胖可以打破这些预测的趋势，改善长期健康和质量 降低后期医疗保健的利用率和成本。明亮的身体，一个高强度，家庭为基础的 干预儿童肥胖，被发现有最大幅度的平均减少体重 美国指数- 2017年美国预防工作组评估的儿童肥胖干预措施 次报告.如果Bright Bodies是一个健康的人，那么在人群水平上对肥胖结果的影响潜力巨大。 成功地在全国范围内推广，但对在全国范围内的采用、实施和有效性知之甚少。 在过去十年中，已向39个网站传播了光明机构课程。通过这个 奖，我们的目标是利用在实施科学领域的进步，进行观察 评价自然主义宣传和实施“光明身体”干预措施。的结果 这种对历史传播地点的混合方法研究将用于优化亮体 通过以用户为中心的设计方法实现包。新优化的软件包将 前瞻性地在三个反映低收入人群种族/民族的异质地点实施， 城乡和地理多样性。该奖项的科学目标是进行混合 第2类有效性-实施和成本效益研究，其中我们将采用多阶段混合 同时评估执行进程和成效结果的方法， 审查可能调节和改变执行影响和效力的背景因素。到 为了实现这些目标，我们组建了一个具有肥胖治疗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- 中心设计从这项研究的结果将提供一个优化的，以用户为中心的实施包 以及关于实施和有效干预的宝贵证据， 在不同的背景下促进广泛传播和加强可持续性。