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: 10151670
• 负责人: Mahnoosh Sharifi
• 金额: $ 80.35万
• 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/10151670
• 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.

项目概要/摘要 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外， A. 儿童时期的社交和情感健康状况不佳，肥胖儿童成年后患肥胖症的风险更大。 最近的模拟研究预计，当今 57% 的儿童将在 35 岁时患有肥胖症，处于更高水平 心脏代谢疾病、肥胖相关癌症和早期死亡的风险。 预防和治疗儿童肥胖可以破坏这些预计趋势，改善长期健康和质量 Bright Bodies 是一项高强度、以家庭为基础的项目，可减少后期医疗保健的使用和费用。 研究发现，对儿童肥胖进行干预可以最大程度地减少体重 2017 年美国预防工作组评估的美国儿童肥胖干预措施指数 报告称，如果“明亮的身体”项目得到实施，将对人口层面的肥胖结果产生巨大的影响。 已成功在全国范围内推广，但对于该方案的采用、实施和有效性知之甚少 过去十年中，Bright Bodies 课程已传播至 39 个地点。 奖项，我们的目标是利用实施科学领域的进步来进行观察 评估光明体干预的自然主义传播和实施结果。 这种对历史传播地点的混合方法研究将用于优化光明体 通过以用户为中心的设计方法实现包新优化的包将是。 预期在三个异质地点实施，反映具有种族/族裔、 拟议奖项的科学目标是开展混合研究。 类型 2 有效性实施和成本效益研究，其中我们将采用多阶段混合 同时实施评估过程和有效性结果的方法，同时还 检查可能调节和改变实施影响和有效性的背景因素。 为了实现这些目标，我们组建了一支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 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。 为明亮的身体以及关于干预措施的实施和有效性的宝贵证据 不同的环境，以促进广泛传播并增强可持续性。