A mixed methods protocol for developing and testing implementation strategies for evidence-based obesity prevention

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Taren Swindle1, Susan L Johnson2, Leanne Whiteside-Mansell3

  • 1Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham St, #530, Little Rock, AR, 72205-7199, USA. tswindle@uams.edu.

Implementation Science : IS
|July 20, 2017
PubMed

Insights

This study tested strategies to implement obesity prevention practices in childcare settings. An enhanced strategy improved uptake and fidelity of evidence-based practices among educators and children.

Area of Science:

  • Childhood obesity prevention research
  • Implementation science in public health
  • Early childhood education and nutrition

Background:

  • A gap exists between evidence-based obesity prevention practices and their implementation in childcare settings.
  • Few studies investigate how implementation strategies impact the adoption of these practices.
  • Childcare settings offer a crucial opportunity to reach at-risk children.

Purpose of the Study:

  • To develop and test implementation strategies for evidence-based obesity prevention practices in childcare.
  • To compare a basic implementation strategy with an enhanced, stakeholder-informed strategy.
  • To evaluate the impact of these strategies on practice uptake, fidelity, and maintenance.

Main Methods:

  • A three-phase approach using a stakeholder-driven, evidence-based quality improvement process.
  • A Hybrid Type III cluster randomized trial comparing basic versus enhanced implementation strategies.
  • Utilizing the RE-AIM model to assess outcomes like Reach, Effectiveness, Adoption, Implementation, and Maintenance.

Main Results:

  • The study protocol outlines the systematic development and testing of tailored implementation strategies.
  • The enhanced strategy aims to improve the uptake, fidelity, and maintenance of obesity prevention practices.
  • Outcomes will be evaluated using the RE-AIM framework.

Conclusions:

  • A stakeholder-driven approach can enhance the implementation, fidelity, and maintenance of evidence-based obesity prevention practices in childcare.
  • This study provides a model for developing and testing tailored implementation strategies in early childhood settings.
Abstract

Keywords:
ChildcareImplementation scienceImplementation strategiesObesity prevention

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