Developing and Testing Implementation Strategies for Evidence-Based Obesity Prevention in Childcare

项目摘要 博士诈骗是一个NIDDK指导研究科学家发展奖的优秀候选人。 她是家庭和预防医学的助理教授，具有很强的培训背景， 体验.她拥有人类发展和家庭科学硕士学位， 教育心理学学位。她在肥胖相关的研究工作中担任领导职务超过8年。 多年来，出版了18份与儿童健康和发展有关的出版物。目前，她正在攻读硕士学位。 临床营养科学，预计毕业日期为2016年12月。 博士斯温德尔以前的研究说明了通过研究为高危人群服务的承诺。 最近，她研究了早期儿童保育教育工作者的个人特征和信仰， 影响他们在课堂上实施和维持最佳儿童营养做法的能力。她还 我是美国农业部资助的一项开发和评估WISE（Together，We Quartiire Smart）项目的联合研究员 饮食），一个基于证据的肥胖预防和营养促进儿童保育环境。本研究将 逻辑地建立在这项工作上。 本研究计划有三个具体目标：（1）确定与忠诚度相关的因素， 以前制定和测试的WISE基本实施战略;（2）制定增强的 实施战略，利用利益相关者的投入，支持采用WISE干预措施;（3）试点测试 关于执行和儿童健康成果的强化执行战略， 评价为了实现这些目标，我们将使用创新的方法，包括解释性的混合 方法方法（Aim 1），一个由专家驱动的基于证据的质量改进（EBQI）过程（Aim 2），和一个混合型3实施设计使用形成性评价（目标3）。我们预计 与利益攸关方共同制定的执行战略将提高执行工作的准确性。我们将 检验WISE保真度提高与儿童结局呈正相关的假设（例如，儿童水果和 蔬菜摄入量，BMI）。这项研究将提供关于投资价值的关键知识， 现有肥胖预防干预措施的实施支持战略 职业发展目标将在三个不同的方面补充拟议的研究目标 地区斯温德尔将推进她的专业知识和技能（1）实施科学（2）儿童和社区 营养;（3）社区参与。斯温德尔博士提出了一个全面的计划， 研究，教学教育，跨学科合作和结构化的实地研究，以实现 这些领域的能力。职业发展计划的活动将有效地与她结合起来。 研究计划和支持她的研究活动。 阿肯色州医学科学大学（UAMS）将提供理想的环境， 拟议的职业发展和研究活动。UAMS已经支持了Swindle博士的 通过翻译研究所（TRI; UAMS）提供KL 2奖，实现职业成功 CTSA）。TRI将继续为Swindle博士提供培训，设备，咨询和指导。 此外，由Swindle博士的主要导师领导的UAMS实施研究中心（CIR）将 为她的职业发展提供支持性环境，并在实施方面获得指导性研究经验 科学斯温德尔博士还得到了她所在部门（家庭和预防医学）的全力支持， 继续提供办公场所、受保护的时间、设备和专业发展资金。 候选人的主要导师Geoffrey Curran博士是全国公认的实施专家 科学共同导师，苏珊约翰逊博士是众所周知的，她在儿童营养和儿童喂养的专业知识， 特别是在儿童保育环境中。此外，斯温德尔博士将建立在指导关系，她已经与 博士Leanne Whiteside-Mansell在过去5年中为受影响的儿童提供社区干预 贫困这些导师有经验和知识需要指导博士.诈骗独立. 研究战略、职业发展目标和指导计划将共同支持斯温德尔博士的 实现了她作为肥胖预防研究者的独立性的短期目标 在育儿方面的努力。这一奖项也将为她长期职业目标的达成奠定基础 成为研究促进或阻碍成功吸收和可持续发展的因素的领导者 在真实的世界环境中预防肥胖的努力。

Project Summary Dr. Swindle is an outstanding candidate for a NIDDK Mentored Research Scientist Development Award. She is an Assistant Professor of Family and Preventive Medicine with a strong background of training and experience. She has a Master of Science degree in Human Development and Family Sciences and a Doctoral Degree in Educational Psychology. She has held leadership roles in obesity-related research efforts for over 8 years and has 18 publications related to child health and development. At present, she is pursuing a Master of Science in Clinical Nutrition with an anticipated graduation date of December 2016. Dr. Swindle's previous research illustrates a commitment to serving at-risk populations through research. Recently, she has studied the personal characteristics and beliefs of early childcare educators that may influence their ability to implement and sustain best child nutrition practices in their classrooms. She has also been a Co-Investigator on a USDA-funded effort to develop and evaluate WISE (Together, We Inspire Smart Eating), an evidence-based obesity prevention and nutrition promotion for childcare settings. This study will build logically upon that work. The proposed research plan has three specific aims: (1) Identify factors associated with degree of fidelity in a previously developed and tested basic implementation strategy of WISE; (2) Develop an enhanced implementation strategy to support uptake of the WISE intervention using stakeholder input; and (3) Pilot test the enhanced implementation strategy on implementation and child health outcomes using formative evaluation. To execute these aims, we will use innovative methodologies including an explanatory mixed methods approach (Aim 1), a stakeholder-driven Evidence-Based Quality Improvement (EBQI) process (Aim 2), and a Hybrid Type 3 implementation design using formative evaluation (Aim 3). We expect that implementation strategies developed with stakeholders will lead to improved implementation fidelity. We will test the hypothesis that improved WISE fidelity is positively related to child outcomes (e.g., child fruit and vegetable intake, BMI). This research will provide critical knowledge on the value of investments in implementation support strategies to existing obesity prevention interventions The career development objectives will complement the proposed research aims in three distinct areas. Dr. Swindle will advance her expertise and skills in (1) Implementation Science (2) Child and community nutrition, and (3) Community Engagement. Dr. Swindle has proposed a comprehensive plan of mentored research, didactic education, cross-disciplinary collaborations, and structured field studies to achieve competency in these areas. The activities of the career development plan will integrate effectively with her research plan and support her research activities. The University of Arkansas for Medical Sciences (UAMS) will provide the ideal environment to support the proposed career development and research activities. UAMS has already supported Dr. Swindle's career success through the provision of a KL2 award through the Translational Research Institute (TRI; UAMS CTSA). The TRI will continue to provide training, equipment, consultation, and mentoring to Dr. Swindle. Further, the Center for Implementation Research (CIR) at UAMS led by Dr. Swindle's primary mentor will provide a supportive context for her career development and mentored research experience in Implementation Science. Dr. Swindle also has the full backing of her department (Family and Preventive Medicine) which will continue to provide office space, protected time, equipment, and professional development funds. The candidate's primary mentor, Dr. Geoffrey Curran, is a nationally-recognized expert in Implementation Science. Co-mentor, Dr. Susan Johnson is well known for her expertise in child nutrition and child feeding, particularly in childcare settings. Further, Dr. Swindle will build on the mentoring relationship she has had with Dr. Leanne Whiteside-Mansell for the last 5 years in community-based intervention for children impacted by poverty. These mentors have the experience and knowledge needed to mentor Dr. Swindle to independence. Together, the research strategy, career development objectives, and mentoring plan will support Dr. Swindle's achievement of her short-term goal of establishing independence as an investigator in obesity prevention efforts in childcare. This award will also lay the foundation for the accomplishment of her long-term career goal of becoming a leader in the study of factors that promote or hinder successful uptake and sustainability of obesity prevention efforts in real world settings.