scholarly journals Using Process Evaluation for Implementation Success of Preschool‐Based Programs for Obesity Prevention: The TX Childhood Obesity Research Demonstration Study

2019 ◽  
Vol 89 (5) ◽  
pp. 382-392 ◽  
Author(s):  
Shreela V. Sharma ◽  
Ru‐Jye Chuang ◽  
Courtney Byrd‐Williams ◽  
Elizabeth Vandewater ◽  
Nancy Butte ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Process Evaluation ◽  
Obesity Prevention ◽  
Implementation Success ◽  
Obesity Research

scholarly journals A cluster RCT and process evaluation evaluating the effectiveness of an optimisation intervention to promote parental engagement in a childhood obesity prevention programme: Results of the Optimising Family Engagement in HENRY (OFTEN) trial

2021 ◽  
Author(s):  
Maria Bryant ◽  
Wendy Burton ◽  
Michelle Collinson ◽  
Amanda Farrin ◽  
Jane Nixon ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Process Evaluation ◽  
Obesity Prevention ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Parental Engagement ◽  
Childhood Obesity Prevention ◽  
Prevention Intervention ◽  
The Impact ◽  
Children’S Centres

Abstract Background Low parental participation reduces the impact and sustainability of public health childhood obesity prevention programmes. Using data from a focused ethnography, we developed a multi-level, theory-based implementation optimisation intervention. The optimisation intervention aimed to support local authorities and children’s centres to adopt behaviours to promote engagement in ‘HENRY (Health Exercise Nutrition for the Really Young)’, a UK community obesity prevention intervention. Methods We evaluated the effectiveness of the optimisation intervention on programme enrolment and completion over a 12 implementation period in a cluster randomised controlled trial. We randomised 20 local government authorities (with 126 children’s centres) to HENRY plus the optimisation intervention or to HENRY alone. Primary outcomes were (1) the proportion of centres enrolling at least eight parents per programme and (2) the proportion of centres with a minimum of 75% of parents attending at least five of eight sessions per programme. Trial analyses adjusted for stratification factors (pre-randomisation implementation of HENRY, local authority size, deprivation) and allowed for cluster design. A parallel mixed-methods process evaluation used qualitative interview data and routine monitoring to explain trial results. Results Neither primary outcome differed significantly between groups; 17.8% of intervention centres and 18.0% of control centres achieved the parent enrolment target (adjusted difference -1.2%; 95%CI: -19.5%, 17.1%); 17.1% of intervention centres and 13.9% of control centres achieved the attendance target (adjusted difference 1.2%; 95%CI: -15.7%, 18.1%). Unexpectedly, the trial coincided with substantial national service restructuring, including centre closures and reduced funds. Some commissioning and management teams stopped or reduced implementation of both HENRY and the optimisation intervention due to competing demands. Thus, at follow up, HENRY programmes were delivered to approximately half the number of parents compared to baseline (n=433 vs. 881). Conclusions During a period in which services were reduced by policies outside the realm of this research, this first definitive trial found no evidence of effectiveness for an implementation optimisation intervention promoting parent engagement in an obesity prevention intervention. Trial registration: ClinicalTrials.gov Identifier: NCT02675699 registered 4th February 2016. https://clinicaltrials.gov/ct2/show/NCT02675699

Rationale, Design, and Methods for Process Evaluation in the Childhood Obesity Research Demonstration Project

2015 ◽  
Vol 47 (6) ◽  
pp. 560-565.e1 ◽  
Author(s):  
Sitara Joseph ◽  
Andria M. Stevens ◽  
Tracey Ledoux ◽  
Teresia M. O'Connor ◽  
Daniel P. O'Connor ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Process Evaluation ◽  
Demonstration Project ◽  
Obesity Research ◽  
Design And Methods

Process Evaluation of an Early Care and Education Intervention: The California Childhood Obesity Research Demonstration Study (CA-CORD)

2018 ◽  
Vol 21 (2) ◽  
pp. 298-307 ◽  
Author(s):  
Shih-Fan Lin ◽  
Amy Binggeli-Vallarta ◽  
Griselda Cervantes ◽  
Janette Angulo ◽  
Jamie S. Moody ◽  
...  
Keyword(s):  
Physical Activity ◽  
Child Care ◽  
Childhood Obesity ◽  
Health Behavior ◽  
Process Evaluation ◽  
The United States ◽  
Early Care And Education ◽  
Latino Children ◽  
Early Care ◽  
Obesity Research

Given the widespread use of out-of-home child care in the United States, early care and education (ECE) providers offer ideal settings to promote health behaviors among Hispanic/Latino children whose obesity prevalence remains high. This study details the process evaluation of ECE intervention strategies of a childhood obesity research demonstration study (California Childhood Obesity Research Demonstration [CA-CORD]) to prevent and control obesity among Hispanic/Latino children aged 2 to 12 years. Participating ECE providers received the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) materials and action planning sessions with a trained interventionist; Sports, Play, and Active Recreation for Kids (SPARK) physical activity (PA), health behavior, and body mass index assessment trainings; and health behavior toolkit, cooking kit, water dispensers, and posters to promote healthy eating, PA, water consumption, and quality sleep. Intervention logs and director/lead teacher interviews evaluated how well 14 center-based and 9 private ECE providers implemented policy, system, and environmental changes. NAP SACC was implemented with higher fidelity than other strategies, and participation in SPARK trainings was lower than health behavior trainings. ECE directors/lead teachers reported that the intervention activities and materials helped them promote the targeted behaviors, especially PA. Results demonstrated that the use of NAP SACC, trainings, and toolkit had high fidelity and were potentially replicable for implementation in ECE settings among Hispanic/Latino communities.

Process Evaluation of a BC Initiative: Sustainable Childhood Obesity Prevention Through Community Engagement (SCOPE)

2012 ◽  
Vol 36 (5) ◽  
pp. S69
Author(s):  
Amelia C. Daly ◽  
Bonnie Mcintosh ◽  
Louise Masse ◽  
Joan Wharf Higgins ◽  
Patti-Jean Naylor ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Community Engagement ◽  
Process Evaluation ◽  
Obesity Prevention ◽  
Childhood Obesity Prevention
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