Elissa Jelalian1,2, Whitney Evans1,2, Katherine E Darling1,2, Ronald Seifer3, Patrick Vivier4, Jeanne Goldberg5, Catherine Wright5, Lindsay Tanskey6, Jennifer Warnick1, Jacqueline Hayes1,2, Donald Shepard7, Hannah Tuttle8, A Rani Elwy1,9. 1. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA. 2. The Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI, USA. 3. Frank Porter Graham Child Development Institute, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. 4. School of Public Health, Brown University, Providence, RI, USA. 5. Friedman School of Nutrition Science and Policy, Tufts University, Medford, MA, USA. 6. Eva Garland Consulting, Raleigh, NC, USA. 7. Heller School of Social Policy and Management, Brandeis University, Waltham, MA, USA. 8. Rally Health, Minneapolis, MN, USA. 9. Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Abstract
Background: Overweight and obesity in children is a public health crisis in the United States. Although evidence-based interventions have been developed, such programs are difficult to access. Dissemination of evidence-based pediatric weight management interventions (PWMIs) to families from diverse low-income communities is the primary objective of the CDC Childhood Obesity Research Demonstration (CORD) projects. Methods: The goal of the Rhode Island CORD 3.0 project is to adapt the evidence-based PWMI, JOIN for ME, for delivery among diverse families from low-income backgrounds and to test it in a hybrid effectiveness-implementation trial design in which the aims are to examine implementation and patient-centered outcomes. Children between the ages of 6 and 12 years with BMI ≥85th percentile and a caregiver will be recruited through two settings, a federally qualified health center, which serves as a patient-centered medical home, or low-income housing. Dyads will receive a remotely delivered group-based intervention that is 10 months in duration and includes 16 weekly sessions, followed by 4 biweekly and 4 monthly meetings. Assessments of child and caregiver weight status and child health-related quality of life will be conducted at baseline, and at 4 and 10 months after the start of intervention. Implementation outcomes assessing intervention acceptability, adoption, feasibility, fidelity, and penetration/reach will be collected to inform subsequent dissemination. Conclusions: If the adapted version of the JOIN for ME intervention can be successfully implemented and is shown to be effective, this project will provide a model for a scalable PWMI for families from low-income backgrounds. ClinicalTrials.gov no. NCT04647760.
Background: Overweight and obesity in children is a public health crisis in the United States. Although evidence-based interventions have been developed, such programs are difficult to access. Dissemination of evidence-based pediatric weight management interventions (PWMIs) to families from diverse low-income communities is the primary objective of the CDC Childhood Obesity Research Demonstration (CORD) projects. Methods: The goal of the Rhode Island CORD 3.0 project is to adapt the evidence-based PWMI, JOIN for ME, for delivery among diverse families from low-income backgrounds and to test it in a hybrid effectiveness-implementation trial design in which the aims are to examine implementation and patient-centered outcomes. Children between the ages of 6 and 12 years with BMI ≥85th percentile and a caregiver will be recruited through two settings, a federally qualified health center, which serves as a patient-centered medical home, or low-income housing. Dyads will receive a remotely delivered group-based intervention that is 10 months in duration and includes 16 weekly sessions, followed by 4 biweekly and 4 monthly meetings. Assessments of child and caregiver weight status and child health-related quality of life will be conducted at baseline, and at 4 and 10 months after the start of intervention. Implementation outcomes assessing intervention acceptability, adoption, feasibility, fidelity, and penetration/reach will be collected to inform subsequent dissemination. Conclusions: If the adapted version of the JOIN for ME intervention can be successfully implemented and is shown to be effective, this project will provide a model for a scalable PWMI for families from low-income backgrounds. ClinicalTrials.gov no. NCT04647760.
Authors: Denise E Wilfley; Amanda E Staiano; Myra Altman; Jeanne Lindros; Angela Lima; Sandra G Hassink; William H Dietz; Stephen Cook Journal: Obesity (Silver Spring) Date: 2016-12-07 Impact factor: 5.002