Packaging of a Pediatric Weight Management Intervention and Implementation Blueprint for Rural and Micropolitan...

Area of Science:

• Public Health
• Health Services Research
• Implementation Science

Background:

• Pediatric weight management interventions (PWMIs) show promise for family health.
• Widespread dissemination of PWMIs could significantly impact pediatric obesity in rural settings.
• Effective strategies are needed to adapt and implement these interventions in diverse community contexts.

Purpose of the Study:

• To describe the backward design process used to create the Building Healthy Families (BHF) online program and implementation blueprint.
• To develop a scalable and sustainable PWMI for rural communities.
• To identify end-users and key outcomes based on the RE-AIM framework.

Main Methods:

• A backward design approach was employed, identifying end-users (facilitators, researchers, caregivers, children, community organizations, payors) and desired outcomes.
• Key outcomes were defined using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.
• An online package and implementation blueprint were developed, including modular training, recruitment resources, program materials, fidelity assessments, and a data portal.

Main Results:

• The backward design process yielded the BHF Online Training Resources and Program package and implementation blueprint.
• The package features modular training for facilitators, knowledge checks, recruitment tools, program materials, fidelity assessments, and a data portal.
• The design considered multiple end-user groups and RE-AIM outcomes for broad applicability.

Conclusions:

• The BHF Online Training Resources and Program package offers a structured approach for implementing PWMIs in rural areas.
• Further research, including product testing and a type 3 effectiveness-implementation trial, is planned.
• The program aims to enhance the reach, effectiveness, and sustainability of pediatric weight management efforts.