TY - JOUR
T1 - Implementation of a Scalable Family-Based Behavioral Treatment for Childhood Obesity Delivered through Primary Care Clinics
T2 - Description of the Missouri Childhood Obesity Research Demonstration Study Protocol
AU - Wilfley, Denise E.
AU - Fowler, Lauren A.
AU - Hampl, Sarah E.
AU - Dreyer Gillette, Meredith L.
AU - Staiano, Amanda E.
AU - Graham, Andrea K.
AU - Grammer, Anne Claire
AU - Nelson, Lisa
AU - Carlson, Jordan A.
AU - Brown, Derek S.
AU - Gabbert, Sherri
AU - Springstroh, Kelly
AU - Thomas, Fanice
AU - Ramel, Melissa
AU - Welch, Robinson
AU - Johnson, William
N1 - Funding Information:
This manuscript was supported by the Centers for Disease Control and Prevention of the US Department of Health and Human Services (HHS) (Award No.: U18DP006425). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the US Government. L.A.F., F.T., and A.C.G. are supported by grant T32 HL130357 from the National Heart, Lung, and Blood Institute of the National Institutes of Health (NIH). C.L.K. is supported by T32 DK064584 and A.K.G. is supported by K01 DK116925 from the National Institute of Diabetes and Digestive and Kidney Diseases of the NIH.
Publisher Copyright:
© 2021 Mary Ann Liebert, Inc., publishers.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - Background: Significant gaps exist in access to evidence-based pediatric weight management interventions, especially for low-income families who are disproportionately affected by obesity. As a part of the Centers for Disease Control and Prevention's Childhood Obesity Research Demonstration project (CORD 3.0), the Missouri team (MO-CORD) aims to increase access to and dissemination of an efficacious pediatric obesity treatment, specifically family-based behavioral treatment (FBT), for low-income families. Methods/Design: The implementation pilot study is a multisite matched-comparison group pilot of packaged FBT in pediatric clinics for low-income children with obesity, of ages 5 to 12 years old. The study is implemented in two Missouri pediatric primary care clinical sites, Freeman Health System Pediatric Clinics (rural Joplin) and Children's Mercy Hospital Pediatric Clinics (urban Kansas City). The design focuses on pragmatism through utilization of PRECIS (Pragmatic Explanatory Continuum Indicator Summary) domains, such as open eligibility criteria, limited follow-up intensity, reliance on medical records for creating a usual care comparison group data, and unobtrusive measurement of participant and provider adherence. The evaluation focuses on effectiveness as well as implementation outcomes and barriers to inform implementation scale up. Conclusions: Findings from this study will advance both science and practice by providing novel and immediately useful information to families, health care providers, health care organizations, payers, and other state Medicaid plans by developing and optimizing evidence-based pediatric weight management treatment for implementation and dissemination in health systems to address health disparities among low-income populations most affected by overweight and obesity.
AB - Background: Significant gaps exist in access to evidence-based pediatric weight management interventions, especially for low-income families who are disproportionately affected by obesity. As a part of the Centers for Disease Control and Prevention's Childhood Obesity Research Demonstration project (CORD 3.0), the Missouri team (MO-CORD) aims to increase access to and dissemination of an efficacious pediatric obesity treatment, specifically family-based behavioral treatment (FBT), for low-income families. Methods/Design: The implementation pilot study is a multisite matched-comparison group pilot of packaged FBT in pediatric clinics for low-income children with obesity, of ages 5 to 12 years old. The study is implemented in two Missouri pediatric primary care clinical sites, Freeman Health System Pediatric Clinics (rural Joplin) and Children's Mercy Hospital Pediatric Clinics (urban Kansas City). The design focuses on pragmatism through utilization of PRECIS (Pragmatic Explanatory Continuum Indicator Summary) domains, such as open eligibility criteria, limited follow-up intensity, reliance on medical records for creating a usual care comparison group data, and unobtrusive measurement of participant and provider adherence. The evaluation focuses on effectiveness as well as implementation outcomes and barriers to inform implementation scale up. Conclusions: Findings from this study will advance both science and practice by providing novel and immediately useful information to families, health care providers, health care organizations, payers, and other state Medicaid plans by developing and optimizing evidence-based pediatric weight management treatment for implementation and dissemination in health systems to address health disparities among low-income populations most affected by overweight and obesity.
KW - childhood obesity
KW - dissemination
KW - family-based behavioral treatment
KW - implementation
KW - primary care
UR - http://www.scopus.com/inward/record.url?scp=85116432019&partnerID=8YFLogxK
U2 - 10.1089/chi.2021.0175
DO - 10.1089/chi.2021.0175
M3 - Article
C2 - 34569843
AN - SCOPUS:85116432019
VL - 17
SP - S39-S47
JO - Childhood Obesity
JF - Childhood Obesity
SN - 2153-2168
IS - S1
ER -