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Application of an Implementation Framework Using Mixed Methods in Preschool Settings.

Charlotte V Farewell1, Emily Bergling1, Emily Maiurro1

  • 1University of Colorado Denver, Aurora, CO, USA.

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Summary
This summary is machine-generated.

Implementing obesity prevention programs in preschools requires understanding provider skills and program adaptability. These factors are key to the successful, long-term sustainability of policy, system, and environment changes.

Keywords:
dissemination and implementationearly childhood obesityenvironment changespoliciespreschool settings

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Area of Science:

  • Public Health
  • Implementation Science
  • Early Childhood Education

Background:

  • Childhood obesity is a significant public health concern.
  • Preschool settings are critical for early intervention.
  • Dissemination and implementation (D&I) frameworks are essential for program success.

Purpose of the Study:

  • To investigate factors influencing the implementation and sustainability of obesity prevention programs in preschools.
  • To explore individual, organizational, and intervention-level determinants of policy, system, and environment (PSE) changes.
  • To understand the role of mixed methods in evaluating D&I efforts.

Main Methods:

  • Employed a simultaneous, exploratory, mixed-methods design.
  • Studied 20 randomly selected preschool centers.
  • Analyzed individual (provider attitudes/skills), organizational (staff/leadership engagement), and intervention (adaptability) factors.

Main Results:

  • Provider attitudes and skills significantly correlated with the sustainability of PSE changes (r = .56, p < .01).
  • Staff and leadership engagement positively impacted implementation and sustainability.
  • Program adaptability was crucial for successful D&I.

Conclusions:

  • Successful implementation and sustainability of preschool obesity prevention programs depend on multilevel factors.
  • Provider-level factors, particularly attitudes and skills, are vital.
  • Interventions must consider organizational support and program flexibility for lasting impact.