Developing and Testing Implementation Strategies for Evidence-Based Obesity Prevention in Childcare
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Obesity
- Sponsor
- University of Arkansas
- Enrollment
- 696
- Locations
- 1
- Primary Endpoint
- Change in Educators' Observed Implementation Fidelity Scores for Use of Evidence-Based Obesity Practices
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Investigators will pilot test the impact of an enhanced implementation strategy on implementation and child health outcomes using continuous formative evaluation. Investigators will test the hypothesis that better fidelity to the implementation strategy (WISE) is positively related to child outcomes (e.g., child fruit and vegetable intake, BMI).
Detailed Description
Investigators will determine whether the enhanced strategy is feasible, acceptable, and demonstrates improved implementation, fidelity, and sustainability using a Hybrid Type 3 implementation design. Investigators expect that the effectiveness of WISE on child outcomes will vary by the level of implementation fidelity, and a Hybrid 3 design allows for us to explore this hypothesis).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Early childhood educators from our partnering Head Start agency
Exclusion Criteria
- •Secondary Outcome Inclusion Criteria:
- •Children aged 3-5 years old in our partnering Head Start agency
Outcomes
Primary Outcomes
Change in Educators' Observed Implementation Fidelity Scores for Use of Evidence-Based Obesity Practices
Time Frame: From Baseline Up to 8 months
The WISE fidelity measure will be used across the school year. The WISE fidelity instrument is rated on a 1 to 4 scale with 4 representing the highest level of fidelity. Each core component is assessed with 2 items. Average fidelity scores above 3 are considered to reflect adequate fidelity on a component. That is, the 2 items on each fidelity component were averaged; an average of above 3 was considered as having achieved fidelity. We are reporting on the total number of classrooms that achieved fidelity in each condition at the spring (final assessment) for the evidence-based practices of WISE.