De-implementation of detrimental feeding practices: a pilot protocol
Abstract Background Early childhood educators (ECEs) often use detrimental feeding practices and are slow to implement positive feeding practices. Nevertheless, few studies have aimed to understand and change ECEs’ feeding practices. This gap needs to be addressed because implementation (i.e., addin...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40814-020-00720-z |
| _version_ | 1818198419278135296 |
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| author | Taren Swindle Julie M. Rutledge Susan L. Johnson James P. Selig Geoff M. Curran |
| author_facet | Taren Swindle Julie M. Rutledge Susan L. Johnson James P. Selig Geoff M. Curran |
| author_sort | Taren Swindle |
| collection | DOAJ |
| description | Abstract Background Early childhood educators (ECEs) often use detrimental feeding practices and are slow to implement positive feeding practices. Nevertheless, few studies have aimed to understand and change ECEs’ feeding practices. This gap needs to be addressed because implementation (i.e., adding new, evidence-based practices) and de-implementation (i.e., stopping low-value or harmful practices) are distinct processes that require unique strategies. Methods We will develop a de-implementation strategy for detrimental feeding practices using evidence-based quality improvement (EBQI) sessions to engage stakeholders and draw on the Niven process model for de-implementation. Then, we will investigate the effects of the de-implementation strategy in a proof-of-principle study. The de-implementation strategy will be evaluated in 2 partnering childcare agencies using a pre-post, within-site design. For our primary outcome, we will interview educators throughout the school year to assess the feasibility and acceptability of the intervention and survey them with standard measures for assessing feasibility and acceptability. For secondary outcomes, we will investigate its effects on the use of detrimental and evidence-based feeding practices by teachers and impacts on child BMI and diet. Discussion The current study will establish the feasibility and acceptability of our de-implementation approach and will provide preliminary data toward 3 predicted secondary outcomes: (1) decreased detrimental feeding practices by ECEs, (2) increased adoption of and fidelity to nutrition promotion practices, and (3) improved child dietary outcomes. These results are expected to contribute to the uptake and sustainability of mealtime interventions to improve the diets of young children. Results will also apply to the field of implementation science by informing processes for developing de-implementation approaches in a community setting. |
| first_indexed | 2024-12-12T02:05:34Z |
| format | Article |
| id | doaj.art-ebbb99c950704b2b8d23b49702cc7aae |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-12-12T02:05:34Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-ebbb99c950704b2b8d23b49702cc7aae2022-12-22T00:42:03ZengBMCPilot and Feasibility Studies2055-57842020-11-016111010.1186/s40814-020-00720-zDe-implementation of detrimental feeding practices: a pilot protocolTaren Swindle0Julie M. Rutledge1Susan L. Johnson2James P. Selig3Geoff M. Curran4Department of Family and Preventive Medicine, University of Arkansas for Medical SciencesCollege of Applied and Natural Sciences, Louisiana Tech UniversityDepartment of Pediatrics, University of Colorado School of MedicineCollege of Public Health, Department of Biostatistics, University of Arkansas for Medical SciencesDepartment of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, Central Arkansas Veterans Healthcare SystemAbstract Background Early childhood educators (ECEs) often use detrimental feeding practices and are slow to implement positive feeding practices. Nevertheless, few studies have aimed to understand and change ECEs’ feeding practices. This gap needs to be addressed because implementation (i.e., adding new, evidence-based practices) and de-implementation (i.e., stopping low-value or harmful practices) are distinct processes that require unique strategies. Methods We will develop a de-implementation strategy for detrimental feeding practices using evidence-based quality improvement (EBQI) sessions to engage stakeholders and draw on the Niven process model for de-implementation. Then, we will investigate the effects of the de-implementation strategy in a proof-of-principle study. The de-implementation strategy will be evaluated in 2 partnering childcare agencies using a pre-post, within-site design. For our primary outcome, we will interview educators throughout the school year to assess the feasibility and acceptability of the intervention and survey them with standard measures for assessing feasibility and acceptability. For secondary outcomes, we will investigate its effects on the use of detrimental and evidence-based feeding practices by teachers and impacts on child BMI and diet. Discussion The current study will establish the feasibility and acceptability of our de-implementation approach and will provide preliminary data toward 3 predicted secondary outcomes: (1) decreased detrimental feeding practices by ECEs, (2) increased adoption of and fidelity to nutrition promotion practices, and (3) improved child dietary outcomes. These results are expected to contribute to the uptake and sustainability of mealtime interventions to improve the diets of young children. Results will also apply to the field of implementation science by informing processes for developing de-implementation approaches in a community setting.http://link.springer.com/article/10.1186/s40814-020-00720-zDe-implementationChildcareFeeding practicesNutritionImplementation science |
| spellingShingle | Taren Swindle Julie M. Rutledge Susan L. Johnson James P. Selig Geoff M. Curran De-implementation of detrimental feeding practices: a pilot protocol Pilot and Feasibility Studies De-implementation Childcare Feeding practices Nutrition Implementation science |
| title | De-implementation of detrimental feeding practices: a pilot protocol |
| title_full | De-implementation of detrimental feeding practices: a pilot protocol |
| title_fullStr | De-implementation of detrimental feeding practices: a pilot protocol |
| title_full_unstemmed | De-implementation of detrimental feeding practices: a pilot protocol |
| title_short | De-implementation of detrimental feeding practices: a pilot protocol |
| title_sort | de implementation of detrimental feeding practices a pilot protocol |
| topic | De-implementation Childcare Feeding practices Nutrition Implementation science |
| url | http://link.springer.com/article/10.1186/s40814-020-00720-z |
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