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Open Access 01-12-2023 | Obesity | Study protocol

Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial

Authors: Cody D. Neshteruk, Asheley C. Skinner, Julie Counts, Emily M. D’Agostino, Leah Frerichs, Janna Howard, Mary Story, Sarah C. Armstrong

Published in: Implementation Science | Issue 1/2023

Abstract

Background

Safe and effective treatment exists for childhood obesity, but treatment recommendations have largely not been translated into practice, particularly among racial and ethnic minorities and low-wealth populations. A key gap is meeting the recommended treatment of ≥26 h of lifestyle modification over 6–12 months. Fit Together is an effective treatment model that meets these recommendations by integrating healthcare and community resources. Pediatric providers screen children for obesity, deliver counseling, and treat co-morbidities, while Parks and Recreation partners provide recreation space for a community nutrition and physical activity program.

Methods

This study will use a hybrid type II implementation-effectiveness design to evaluate the effectiveness of an online implementation platform (the Playbook) for delivering Fit Together. Clinical and community partners in two North Carolina communities will implement Fit Together, using the Playbook, an implementation package designed to facilitate new partnerships, guide training activities, and provide curricular materials needed to implement Fit Together. An interrupted time series design anchored in the Process Redesign Framework will be used to evaluate implementation and effectiveness outcomes in intervention sites. Implementation measures include semi-structured interviews with partners, before and after the implementation of Fit Together, and quantitative measures assessing several constructs within the Process Redesign Framework. The participants will be children 6–11 years old with obesity and their families (n=400). Effectiveness outcomes include a change in child body mass index and physical activity from baseline to 6 and 12 months, as compared with children receiving usual care. Findings will be used to inform the design of a dissemination strategy guided by the PCORI Dissemination Framework.

Discussion

This project addresses the knowledge-to-action gap by developing evidence-based implementation tools that allow clinicians and communities to deliver effective pediatric obesity treatment recommendations. Future dissemination of these tools will allow more children who have obesity and their families to have access to effective, evidence-based care in diverse communities.

Trial registration

ClinicalTrials.gov identifier: NCT05455190. Registered on 13 July 2022

Available only for authorised users

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Title: Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial
Authors: Cody D. Neshteruk
Asheley C. Skinner
Julie Counts
Emily M. D’Agostino
Leah Frerichs
Janna Howard
Mary Story
Sarah C. Armstrong
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Obesity
Obesity
Pediatric Obesity
Pediatrics
Published in: Implementation Science / Issue 1/2023
Electronic ISSN: 1748-5908
DOI: https://doi.org/10.1186/s13012-023-01264-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial

Abstract

Background

Methods

Discussion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Discussion

Trial registration

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