A hybrid effectiveness-implementation trial of Go NAPSACC: a childcare-based obesity prevention program

Go NAPSACC 的混合有效性实施试验：基于儿童保育的肥胖预防计划

• 批准号: 9762198
• 负责人: Dianne Stanton Ward
• 金额: $ 75.03万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-15 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9762198
• 关键词: Academy; Address; Adopted; Adoption; Adult; Advisory Committees; Age; American; American Public Health Association; Behavior; Caring; Centers for Disease Control and Prevention (U.S.); Child; Child Care; Climate; Communication; Diet; Eating; Educational process of instructing; Effectiveness; Elements; Enrollment; Environment; Evidence based practice; Food; Fostering; Funding; Habits; Head Start Program; Health; Health Food; Health Promotion; Healthy Eating; Heart Diseases; Hybrids; Institute of Medicine (U.S.); Intervention; Kentucky; Knowledge; Maintenance; Modeling; Nursery Schools; Obesity; Outcome; Outcome Measure; Pediatrics; Physical activity; Pilot Projects; Play; Policies; Predictive Factor; Prevention program; Process; Provider; Public Health; Randomized Controlled Trials; Readiness; Risk Factors; Role; Self Assessment; Shapes; Structure; Time; Training; Translating; Weight; Work; authority; base; contextual factors; cost; cost effective; cost effectiveness; design; diabetes control; dissemination research; evidence base; healthy lifestyle; healthy weight; implementation research; implementation strategy; implementation trial; improved; insight; nutrition; obesity in children; obesity prevention; prevent; programs; recruit; research data dissemination; response; role model; scale up; school health; skills; tool; tv watching; user-friendly

ABSTRACT Child care settings play a significant role in shaping the eating and physical activity habits of many young children. These programs can foster healthy behaviors by serving healthy foods and limiting access to unhealthy foods, integrating time for active play, limiting screen time, providing healthy role models, and teaching children the knowledge and skills needed to make healthy lifestyle choices. National efforts to address childhood obesity increasingly call upon child care programs to implement these evidence-based practices; however, compliance remains low. Implementation studies represent a critical next step in helping to advance child care-based health promotion and obesity prevention efforts. The proposed study (submitted in response to Dissemination and Implementation Research in Health, PAR-16-238), will address these gaps using a randomized controlled trial and hybrid effectiveness-implementation design to evaluate the impact of Go NAPSACC on centers' implementation of evidence-based practices and assess the reach, adoption, implementation, and maintenance that can be achieved with an Enhanced vs. Basic implementation model. We will target child care centers in Kentucky, the state with the sixth highest rate of child obesity in the U.S. We will work with The Kentucky Department of Health and eight of their existing regional technical assistance (TA) providers to recruit 97 child care centers (~12 centers per region). Regional TA providers delivering Enhanced Go NAPSACC will integrate steps from the Quality Implementation Framework to support general and intervention-specific capacity building by child care centers, which are hypothesized to improve the implementation of evidence-based best practices. Outcomes, guided by RE-AIM and Consolidated Framework for Implementation Research, will assess centers' implementation of evidence- based practices, changes in the diet quality and physical activity of children while at child care, markers of Go NAPSACC implementation, contextual factors influencing implementation, and costs.

抽象的 儿童保育环境在塑造许多年幼的饮食和体育锻炼习惯中起着重要作用。这些 程序可以通过提供健康食品并限制获得不健康食品的机会来促进健康行为，并整合时间 为了积极的游戏，限制屏幕时间，提供健康的榜样以及教孩子知识和技能 需要做出健康的生活方式选择。国家肥胖越来越多地呼吁儿童保育的努力 实施这些基于证据的实践的计划；但是，合规性仍然很低。实施研究 代表了帮助促进基于儿童的健康促进和预防肥胖工作的关键下一步。这 拟议的研究（响应于卫生的传播和实施研究提交，Par-16-238），将 使用随机对照试验和混合有效性 - 实现设计来解决这些差距，以评估 NAPSACC对中心实施循证实践的影响，并评估覆盖范围，采用， 实施和维护可以通过增强和基本实施模型来实现。我们将定位 肯塔基州的儿童保育中心，该州在美国，儿童肥胖症率是第六的，我们将与该州合作 肯塔基州卫生部及其八个现有区域技术援助（TA）提供者，招募97名儿童 护理中心（每个地区约12个中心）。区域性TA提供商提供增强的GO NAPSACC将整合步骤 从质量实施框架到支持一般和特定于干预的能力建设 中心被认为是为了改善基于证据的最佳实践的实施。结果，指导 对实施研究的重新制定和合并的框架，将评估中心的实施证据 - 基于基于儿童的儿童饮食质量和身体活动的变化，育儿标记NAPSACC 实施，影响实施的上下文因素和成本。