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Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.

Publication ,  Journal Article
Neshteruk, CD; Skinner, AC; Counts, J; D'Agostino, EM; Frerichs, L; Howard, J; Story, M; Armstrong, SC
Published in: Implement Sci
February 24, 2023

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.

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Published In

Implement Sci

DOI

EISSN

1748-5908

Publication Date

February 24, 2023

Volume

18

Issue

1

Start / End Page

6

Location

England

Related Subject Headings

  • Recreation
  • Pediatric Obesity
  • Life Style
  • Humans
  • Health Promotion
  • Health Policy & Services
  • Exercise
  • Child
  • 52 Psychology
  • 32 Biomedical and clinical sciences
 

Citation

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Neshteruk, C. D., Skinner, A. C., Counts, J., D’Agostino, E. M., Frerichs, L., Howard, J., … Armstrong, S. C. (2023). Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial. Implement Sci, 18(1), 6. https://doi.org/10.1186/s13012-023-01264-5
Neshteruk, Cody D., Asheley C. Skinner, Julie Counts, Emily M. D’Agostino, Leah Frerichs, Janna Howard, Mary Story, and 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.Implement Sci 18, no. 1 (February 24, 2023): 6. https://doi.org/10.1186/s13012-023-01264-5.
Neshteruk CD, Skinner AC, Counts J, D’Agostino EM, Frerichs L, Howard J, et al. Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial. Implement Sci. 2023 Feb 24;18(1):6.
Neshteruk, Cody D., et al. “Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.Implement Sci, vol. 18, no. 1, Feb. 2023, p. 6. Pubmed, doi:10.1186/s13012-023-01264-5.
Neshteruk CD, Skinner AC, Counts J, D’Agostino EM, Frerichs L, Howard J, Story M, Armstrong SC. Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial. Implement Sci. 2023 Feb 24;18(1):6.
Journal cover image

Published In

Implement Sci

DOI

EISSN

1748-5908

Publication Date

February 24, 2023

Volume

18

Issue

1

Start / End Page

6

Location

England

Related Subject Headings

  • Recreation
  • Pediatric Obesity
  • Life Style
  • Humans
  • Health Promotion
  • Health Policy & Services
  • Exercise
  • Child
  • 52 Psychology
  • 32 Biomedical and clinical sciences