The Implementation of a Blended In-Person and Online Family-Based Childhood Obesity Management Program: A Process...

Area of Science:

• Pediatric Health
• Public Health Interventions
• Obesity Prevention

Background:

• The Early Intervention Program (EIP) is a proven family-based healthy living intervention for children with elevated BMI.
• Previous studies demonstrated EIP's effectiveness, but lacked detailed implementation insights.
• Process evaluations are crucial for understanding and enhancing intervention delivery.

Purpose of the Study:

• To evaluate the recruitment, content, delivery, and implementation of the EIP.
• To identify areas for quality improvement and inform potential program scale-up.
• To assess the feasibility and acceptability of the intervention for families and staff.

Main Methods:

• A mixed-methods process evaluation was employed.
• This evaluation was part of a Type I hybrid effectiveness trial.
• Data collection included participant feedback and staff interviews.

Main Results:

• The EIP successfully engaged 47 participants from diverse backgrounds.
• Key participation facilitators included low cost, family recreation passes, and convenient location.
• Implementation challenges involved recruitment, attendance, and limited delivery time, despite high feasibility and compatibility.

Conclusions:

• The EIP demonstrated high acceptability and feasibility among participants and delivery partners.
• Recruitment, attendance, and online engagement emerged as significant implementation barriers.
• Recommendations include program adjustments for improved scalability and informing future multi-site childhood health interventions.