Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial
Abstract Background Safe 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 lifestyl...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | Implementation Science |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13012-023-01264-5 |
| _version_ | 1797863945946529792 |
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| author | Cody D. Neshteruk Asheley C. Skinner Julie Counts Emily M. D’Agostino Leah Frerichs Janna Howard Mary Story Sarah C. Armstrong |
| author_facet | Cody D. Neshteruk Asheley C. Skinner Julie Counts Emily M. D’Agostino Leah Frerichs Janna Howard Mary Story Sarah C. Armstrong |
| author_sort | Cody D. Neshteruk |
| collection | DOAJ |
| description | Abstract Background Safe 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. Methods This 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. Discussion This 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 registration ClinicalTrials.gov identifier: NCT05455190 . Registered on 13 July 2022 |
| first_indexed | 2024-04-09T22:44:50Z |
| format | Article |
| id | doaj.art-66d73400ec1d4e0588f78810da549952 |
| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-04-09T22:44:50Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science |
| spelling | doaj.art-66d73400ec1d4e0588f78810da5499522023-03-22T11:57:06ZengBMCImplementation Science1748-59082023-02-0118111210.1186/s13012-023-01264-5Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trialCody D. Neshteruk0Asheley C. Skinner1Julie Counts2Emily M. D’Agostino3Leah Frerichs4Janna Howard5Mary Story6Sarah C. Armstrong7Department of Population Health Sciences, Duke University School of MedicineDepartment of Population Health Sciences, Duke University School of MedicineDuke Molecular Physiology InstituteDepartment of Population Health Sciences, Duke University School of MedicineDepartment of Health Policy and Management, University of North Carolina at Chapel HillDepartment of Pediatrics, Duke University School of MedicineDepartment of Family Medicine and Community Health, Duke University School of MedicineDepartment of Population Health Sciences, Duke University School of MedicineAbstract Background Safe 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. Methods This 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. Discussion This 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 registration ClinicalTrials.gov identifier: NCT05455190 . Registered on 13 July 2022https://doi.org/10.1186/s13012-023-01264-5PediatricsObesity treatmentImplementation scienceDisseminationMixed methodsProtocol |
| spellingShingle | Cody D. Neshteruk Asheley C. Skinner Julie Counts Emily M. D’Agostino Leah Frerichs Janna Howard Mary Story Sarah C. Armstrong Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial Implementation Science Pediatrics Obesity treatment Implementation science Dissemination Mixed methods Protocol |
| title | Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial |
| title_full | Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial |
| title_fullStr | Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial |
| title_full_unstemmed | Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial |
| title_short | Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial |
| title_sort | translating knowledge into action for child obesity treatment in partnership with parks and recreation study protocol for a hybrid type ii trial |
| topic | Pediatrics Obesity treatment Implementation science Dissemination Mixed methods Protocol |
| url | https://doi.org/10.1186/s13012-023-01264-5 |
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