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

基本信息

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
项目类别：
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

项目摘要

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幼儿的饮食和身体活动习惯方面发挥着重要作用。这些计划可以通过提供健康食品和限制获取不健康食品、整合时间来培养健康行为积极玩耍、限制屏幕时间、提供健康的榜样以及教授孩子知识和技能需要做出健康的生活方式选择。国家解决儿童肥胖问题的努力越来越需要儿童保育实施这些循证实践的计划；然而，遵守率仍然很低。实施研究这是帮助推进基于儿童保育的健康促进和肥胖预防工作的关键的下一步。这拟议的研究（针对健康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施设计来评估这些差距 Go NAPSACC 对各中心实施循证实践的影响，并评估其覆盖范围、采用率、可以通过增强型与基本实施模型来实现的实施和维护。我们将瞄准肯塔基州的儿童保育中心是美国儿童肥胖率第六高的州。我们将与肯塔基州卫生部及其现有的 8 家地区技术援助 (TA) 提供商将招募 97 名儿童护理中心（每个地区约 12 个中心）。提供Enhanced Go NAPSACC的区域TA提供商将整合步骤从质量实施框架中支持儿童保育的一般和特定干预能力建设中心，假设这些中心旨在改善基于证据的最佳实践的实施。结果，指导 RE-AIM 和实施研究综合框架将评估各中心的证据实施情况基于实践、儿童在托儿所期间饮食质量和身体活动的变化、Go NAPSACC 的标志实施、影响实施的背景因素以及成本。