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Evaluating a childhood obesity program with the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM)

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  • 1Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.

Preventive Medicine Reports
|February 23, 2019
PubMed
Summary

A pilot study found a lifestyle intervention effectively reduced childhood obesity in primary care. The RE-AIM framework guided the evaluation of this behavioral intervention, showing promising results for implementation and maintenance.

Keywords:
Childhood obesityInterventionPrimary careRE-AIM

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Area of Science:

  • Pediatric Endocrinology
  • Public Health
  • Implementation Science

Background:

  • Behavioral lifestyle interventions are effective for childhood overweight and obesity but challenging to implement in primary care.
  • Existing research often prioritizes intervention effectiveness over implementation details.
  • Evaluating the practical application of such interventions is crucial for successful dissemination.

Purpose of the Study:

  • To evaluate critical components of a childhood obesity intervention within a primary care setting.
  • To assess the implementation of a structured lifestyle intervention using the RE-AIM framework.
  • To understand the reach, effectiveness, adoption, implementation, and maintenance of the intervention.

Main Methods:

  • A pilot implementation study of a 10-session lifestyle intervention for children aged 6-8 with obesity was conducted in Switzerland (2013-2015).
  • The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was utilized for evaluation.
  • Data were stratified at both patient and physician levels.

Main Results:

  • The intervention resulted in a significant decrease in BMI z-score (-5.6%, p=0.01).
  • 14 physicians adopted the intervention, treating 26 patients, with an average of 8 consultations.
  • Maintenance showed 35% of children discontinued and 50% of physicians continued using intervention components.

Conclusions:

  • The pilot study demonstrated the successful implementation and positive outcomes of a childhood obesity intervention in primary care.
  • The RE-AIM framework provided valuable insights into the intervention's practical application and sustainability.
  • Results offer guidance for stakeholders aiming to disseminate and evaluate similar interventions in diverse settings.