Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial

Implementation Science

Study Protocol

Mary Story¹  Leah Frerichs²  Janna Howard³  Cody D. Neshteruk⁴  Emily M. D’Agostino⁵  Asheley C. Skinner⁶  Sarah C. Armstrong⁷  Julie Counts⁸ 

[1] Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC, USA;Duke Global Health Institute, Duke University School of Medicine, Durham, NC, USA;Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA;Department of Population Health Sciences, Duke University School of Medicine, 215 Morris Street, Suite 210, 27701, Durham, NC, USA;Department of Population Health Sciences, Duke University School of Medicine, 215 Morris Street, Suite 210, 27701, Durham, NC, USA;Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA;Department of Population Health Sciences, Duke University School of Medicine, 215 Morris Street, Suite 210, 27701, Durham, NC, USA;Duke Clinical Research Institute, Durham, NC, USA;Department of Population Health Sciences, Duke University School of Medicine, 215 Morris Street, Suite 210, 27701, Durham, NC, USA;Duke Clinical Research Institute, Durham, NC, USA;Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA;Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC, USA;Duke Molecular Physiology Institute, Durham, NC, USA;

关键词: Pediatrics;    Obesity treatment;    Implementation science;    Dissemination;    Mixed methods;    Protocol;    Physical activity;    Exercise;   

DOI  :  10.1186/s13012-023-01264-5

 received in 2022-11-30, accepted in 2023-02-12,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSafe and effective treatment exists for childhood obesity, but treatment recommendations have largely not been translated into practice, particularly among racial and ethnic minorities and low-wealth populations. A key gap is meeting the recommended treatment of ≥26 h of lifestyle modification over 6–12 months. Fit Together is an effective treatment model that meets these recommendations by integrating healthcare and community resources. Pediatric providers screen children for obesity, deliver counseling, and treat co-morbidities, while Parks and Recreation partners provide recreation space for a community nutrition and physical activity program.MethodsThis study will use a hybrid type II implementation-effectiveness design to evaluate the effectiveness of an online implementation platform (the Playbook) for delivering Fit Together. Clinical and community partners in two North Carolina communities will implement Fit Together, using the Playbook, an implementation package designed to facilitate new partnerships, guide training activities, and provide curricular materials needed to implement Fit Together. An interrupted time series design anchored in the Process Redesign Framework will be used to evaluate implementation and effectiveness outcomes in intervention sites. Implementation measures include semi-structured interviews with partners, before and after the implementation of Fit Together, and quantitative measures assessing several constructs within the Process Redesign Framework. The participants will be children 6–11 years old with obesity and their families (n=400). Effectiveness outcomes include a change in child body mass index and physical activity from baseline to 6 and 12 months, as compared with children receiving usual care. Findings will be used to inform the design of a dissemination strategy guided by the PCORI Dissemination Framework.DiscussionThis project addresses the knowledge-to-action gap by developing evidence-based implementation tools that allow clinicians and communities to deliver effective pediatric obesity treatment recommendations. Future dissemination of these tools will allow more children who have obesity and their families to have access to effective, evidence-based care in diverse communities.Trial registrationClinicalTrials.gov identifier: NCT05455190. Registered on 13 July 2022

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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