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Communities for Healthy Living (CHL) A Community-based Intervention to Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol

BACKGROUND: Process evaluation can illuminate barriers and facilitators to intervention implementation as well as the drivers of intervention outcomes. However, few obesity intervention studies have documented process evaluation methods and results. Community-based participatory research (CBPR) requ...

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Autores principales: Beckerman-Hsu, Jacob P., Aftosmes-Tobio, Alyssa, Gavarkovs, Adam, Kitos, Nicole, Figueroa, Roger, Kalyoncu, Z. Begum, Lansburg, Kindra, Yu, Xinting, Kazik, Crystal, Vigilante, Adrienne, Leonard, Jessie, Torrico, Merieka, Jurkowski, Janine M., Davison, Kirsten K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376736/
https://www.ncbi.nlm.nih.gov/pubmed/32703293
http://dx.doi.org/10.1186/s13063-020-04571-0
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author Beckerman-Hsu, Jacob P.
Aftosmes-Tobio, Alyssa
Gavarkovs, Adam
Kitos, Nicole
Figueroa, Roger
Kalyoncu, Z. Begum
Lansburg, Kindra
Yu, Xinting
Kazik, Crystal
Vigilante, Adrienne
Leonard, Jessie
Torrico, Merieka
Jurkowski, Janine M.
Davison, Kirsten K.
author_facet Beckerman-Hsu, Jacob P.
Aftosmes-Tobio, Alyssa
Gavarkovs, Adam
Kitos, Nicole
Figueroa, Roger
Kalyoncu, Z. Begum
Lansburg, Kindra
Yu, Xinting
Kazik, Crystal
Vigilante, Adrienne
Leonard, Jessie
Torrico, Merieka
Jurkowski, Janine M.
Davison, Kirsten K.
author_sort Beckerman-Hsu, Jacob P.
collection PubMed
description BACKGROUND: Process evaluation can illuminate barriers and facilitators to intervention implementation as well as the drivers of intervention outcomes. However, few obesity intervention studies have documented process evaluation methods and results. Community-based participatory research (CBPR) requires that process evaluation methods be developed to (a) prioritize community members’ power to adapt the program to local needs over strict adherence to intervention protocols, (b) share process evaluation data with implementers to maximize benefit to participants, and (c) ensure partner organizations are not overburdened. Co-designed with low-income parents using CBPR, Communities for Healthy Living (CHL) is a family-centered intervention implemented within Head Start to prevent childhood obesity and promote family well-being. We are currently undertaking a randomized controlled trial to test the effectiveness of CHL in 23 Head Start centers in the greater Boston area. In this protocol paper, we outline an embedded process evaluation designed to monitor intervention adherence and adaptation, support ongoing quality improvement, and examine contextual factors that may moderate intervention implementation and/or effectiveness. METHODS: This mixed methods process evaluation was developed using the Pérez et al. framework for evaluating adaptive interventions and is reported following guidelines outlined by Grant et al. Trained research assistants will conduct structured observations of intervention sessions. Intervention facilitators and recipients, along with Head Start staff, will complete surveys and semi-structured interviews. De-identified data for all eligible children and families will be extracted from Head Start administrative records. Qualitative data will be analyzed thematically. Quantitative and qualitative data will be integrated using triangulation methods to assess intervention adherence, monitor adaptations, and identify moderators of intervention implementation and effectiveness. DISCUSSION: A diverse set of quantitative and qualitative data sources are employed to fully characterize CHL implementation. Simultaneously, CHL’s process evaluation will provide a case study on strategies to address the challenges of process evaluation for CBPR interventions. Results from this process evaluation will help to explain variation in intervention implementation and outcomes across Head Start programs, support CHL sustainability and future scale-up, and provide guidance for future complex interventions developed using CBPR. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03334669. Registered on October 10, 2017
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spelling pubmed-73767362020-07-23 Communities for Healthy Living (CHL) A Community-based Intervention to Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol Beckerman-Hsu, Jacob P. Aftosmes-Tobio, Alyssa Gavarkovs, Adam Kitos, Nicole Figueroa, Roger Kalyoncu, Z. Begum Lansburg, Kindra Yu, Xinting Kazik, Crystal Vigilante, Adrienne Leonard, Jessie Torrico, Merieka Jurkowski, Janine M. Davison, Kirsten K. Trials Study Protocol BACKGROUND: Process evaluation can illuminate barriers and facilitators to intervention implementation as well as the drivers of intervention outcomes. However, few obesity intervention studies have documented process evaluation methods and results. Community-based participatory research (CBPR) requires that process evaluation methods be developed to (a) prioritize community members’ power to adapt the program to local needs over strict adherence to intervention protocols, (b) share process evaluation data with implementers to maximize benefit to participants, and (c) ensure partner organizations are not overburdened. Co-designed with low-income parents using CBPR, Communities for Healthy Living (CHL) is a family-centered intervention implemented within Head Start to prevent childhood obesity and promote family well-being. We are currently undertaking a randomized controlled trial to test the effectiveness of CHL in 23 Head Start centers in the greater Boston area. In this protocol paper, we outline an embedded process evaluation designed to monitor intervention adherence and adaptation, support ongoing quality improvement, and examine contextual factors that may moderate intervention implementation and/or effectiveness. METHODS: This mixed methods process evaluation was developed using the Pérez et al. framework for evaluating adaptive interventions and is reported following guidelines outlined by Grant et al. Trained research assistants will conduct structured observations of intervention sessions. Intervention facilitators and recipients, along with Head Start staff, will complete surveys and semi-structured interviews. De-identified data for all eligible children and families will be extracted from Head Start administrative records. Qualitative data will be analyzed thematically. Quantitative and qualitative data will be integrated using triangulation methods to assess intervention adherence, monitor adaptations, and identify moderators of intervention implementation and effectiveness. DISCUSSION: A diverse set of quantitative and qualitative data sources are employed to fully characterize CHL implementation. Simultaneously, CHL’s process evaluation will provide a case study on strategies to address the challenges of process evaluation for CBPR interventions. Results from this process evaluation will help to explain variation in intervention implementation and outcomes across Head Start programs, support CHL sustainability and future scale-up, and provide guidance for future complex interventions developed using CBPR. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03334669. Registered on October 10, 2017 BioMed Central 2020-07-23 /pmc/articles/PMC7376736/ /pubmed/32703293 http://dx.doi.org/10.1186/s13063-020-04571-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Beckerman-Hsu, Jacob P.
Aftosmes-Tobio, Alyssa
Gavarkovs, Adam
Kitos, Nicole
Figueroa, Roger
Kalyoncu, Z. Begum
Lansburg, Kindra
Yu, Xinting
Kazik, Crystal
Vigilante, Adrienne
Leonard, Jessie
Torrico, Merieka
Jurkowski, Janine M.
Davison, Kirsten K.
Communities for Healthy Living (CHL) A Community-based Intervention to Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol
title Communities for Healthy Living (CHL) A Community-based Intervention to Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol
title_full Communities for Healthy Living (CHL) A Community-based Intervention to Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol
title_fullStr Communities for Healthy Living (CHL) A Community-based Intervention to Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol
title_full_unstemmed Communities for Healthy Living (CHL) A Community-based Intervention to Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol
title_short Communities for Healthy Living (CHL) A Community-based Intervention to Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol
title_sort communities for healthy living (chl) a community-based intervention to prevent obesity in low-income preschool children: process evaluation protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376736/
https://www.ncbi.nlm.nih.gov/pubmed/32703293
http://dx.doi.org/10.1186/s13063-020-04571-0
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