Cargando…
A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016
BACKGROUND: Novel approaches to health care delivery that leverage community resources could improve outcomes for children at high risk for obesity. COMMUNITY CONTEXT: We describe the process by which we created an online interactive community resources map for use in the Connect for Health randomiz...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510302/ https://www.ncbi.nlm.nih.gov/pubmed/28682745 http://dx.doi.org/10.5888/pcd14.160577 |
_version_ | 1783250157115015168 |
---|---|
author | Fiechtner, Lauren Puente, Gabriella C. Sharifi, Mona Block, Jason P. Price, Sarah Marshall, Richard Blossom, Jeff Gerber, Monica W. Taveras, Elsie M. |
author_facet | Fiechtner, Lauren Puente, Gabriella C. Sharifi, Mona Block, Jason P. Price, Sarah Marshall, Richard Blossom, Jeff Gerber, Monica W. Taveras, Elsie M. |
author_sort | Fiechtner, Lauren |
collection | PubMed |
description | BACKGROUND: Novel approaches to health care delivery that leverage community resources could improve outcomes for children at high risk for obesity. COMMUNITY CONTEXT: We describe the process by which we created an online interactive community resources map for use in the Connect for Health randomized controlled trial. The trial was conducted in the 6 pediatric practices that cared for the highest percentage of children with overweight or obesity within a large multi-specialty group practice in eastern Massachusetts. METHODS: By using semistructured interviews with parents and community partners and geographic information systems (GIS), we created and validated a community resource map for use in a randomized controlled trial for childhood obesity. We conducted semistructured interviews with 11 parents and received stakeholder feedback from 5 community partners, 2 pediatricians, and 3 obesity–built environment experts to identify community resources that could support behavior change. We used GIS databases to identify the location of resources. After the resources were validated, we created an online, interactive searchable map. We evaluated parent resource empowerment at baseline and follow-up, examined if the participant families went to new locations for physical activity and food shopping, and evaluated how satisfied the families were with the information they received. OUTCOME: Parents, community partners, and experts identified several resources to be included in the map, including farmers markets, supermarkets, parks, and fitness centers. Parents expressed the need for affordable activities. Parent resource empowerment increased by 0.25 units (95% confidence interval, 0.21–0.30) over the 1-year intervention period; 76.2% of participants were physically active at new places, 57.1% of participant families shopped at new locations; and 71.8% reported they were very satisfied with the information they received. INTERPRETATION: Parents and community partners identified several community resources that could help support behavior change. Parent resource empowerment and use of community resources increased over the intervention period, suggesting that community resource mapping should inform future interventions. |
format | Online Article Text |
id | pubmed-5510302 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-55103022017-07-26 A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016 Fiechtner, Lauren Puente, Gabriella C. Sharifi, Mona Block, Jason P. Price, Sarah Marshall, Richard Blossom, Jeff Gerber, Monica W. Taveras, Elsie M. Prev Chronic Dis Community Case Study BACKGROUND: Novel approaches to health care delivery that leverage community resources could improve outcomes for children at high risk for obesity. COMMUNITY CONTEXT: We describe the process by which we created an online interactive community resources map for use in the Connect for Health randomized controlled trial. The trial was conducted in the 6 pediatric practices that cared for the highest percentage of children with overweight or obesity within a large multi-specialty group practice in eastern Massachusetts. METHODS: By using semistructured interviews with parents and community partners and geographic information systems (GIS), we created and validated a community resource map for use in a randomized controlled trial for childhood obesity. We conducted semistructured interviews with 11 parents and received stakeholder feedback from 5 community partners, 2 pediatricians, and 3 obesity–built environment experts to identify community resources that could support behavior change. We used GIS databases to identify the location of resources. After the resources were validated, we created an online, interactive searchable map. We evaluated parent resource empowerment at baseline and follow-up, examined if the participant families went to new locations for physical activity and food shopping, and evaluated how satisfied the families were with the information they received. OUTCOME: Parents, community partners, and experts identified several resources to be included in the map, including farmers markets, supermarkets, parks, and fitness centers. Parents expressed the need for affordable activities. Parent resource empowerment increased by 0.25 units (95% confidence interval, 0.21–0.30) over the 1-year intervention period; 76.2% of participants were physically active at new places, 57.1% of participant families shopped at new locations; and 71.8% reported they were very satisfied with the information they received. INTERPRETATION: Parents and community partners identified several community resources that could help support behavior change. Parent resource empowerment and use of community resources increased over the intervention period, suggesting that community resource mapping should inform future interventions. Centers for Disease Control and Prevention 2017-07-06 /pmc/articles/PMC5510302/ /pubmed/28682745 http://dx.doi.org/10.5888/pcd14.160577 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Community Case Study Fiechtner, Lauren Puente, Gabriella C. Sharifi, Mona Block, Jason P. Price, Sarah Marshall, Richard Blossom, Jeff Gerber, Monica W. Taveras, Elsie M. A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016 |
title | A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016 |
title_full | A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016 |
title_fullStr | A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016 |
title_full_unstemmed | A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016 |
title_short | A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016 |
title_sort | community resource map to support clinical–community linkages in a randomized controlled trial of childhood obesity, eastern massachusetts, 2014–2016 |
topic | Community Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510302/ https://www.ncbi.nlm.nih.gov/pubmed/28682745 http://dx.doi.org/10.5888/pcd14.160577 |
work_keys_str_mv | AT fiechtnerlauren acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT puentegabriellac acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT sharifimona acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT blockjasonp acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT pricesarah acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT marshallrichard acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT blossomjeff acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT gerbermonicaw acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT taveraselsiem acommunityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT fiechtnerlauren communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT puentegabriellac communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT sharifimona communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT blockjasonp communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT pricesarah communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT marshallrichard communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT blossomjeff communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT gerbermonicaw communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 AT taveraselsiem communityresourcemaptosupportclinicalcommunitylinkagesinarandomizedcontrolledtrialofchildhoodobesityeasternmassachusetts20142016 |