Implementation Strategies for Childhood Obesity Prevention
Trial Summary
What is the purpose of this trial?
"Together, We Inspire Smart Eating" (WISE) is an intervention that improves children's diets in ECE. WISE includes 4 key evidence-based practices (EBPs): (1) hands-on exposures to fruits and vegetables, (2) role modeling by educators, (3) positive feeding practices, and (4) a mascot associated with fruits and vegetables. Standard implementation approaches to WISE result in suboptimal implementation of WISE EBPs. Additional implementation strategies are needed to increase adoption and fidelity to EBPs. To date, most studies have employed an "all-or-nothing" approach, comparing multifaceted strategies to control groups without implementation support. Thus, there is an urgent need for optimized strategies that tailor implementation support intensity to the unique challenges and limited resources of the ECE context. The overall objectives of this application are to determine the effectiveness and cost-effectiveness of an adaptive implementation approach to improve adoption of the EBPs of WISE while also examining implementation mechanisms. The central hypothesis is that the addition of high-intensity strategies at sites that do not respond to low-intensity strategies will improve implementation and health outcomes.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What data supports the effectiveness of the treatment High Intensity, Low Intensity, Adaptive Implementation Strategy, Low-Intensity Implementation Approach for childhood obesity prevention?
Is the implementation strategy for childhood obesity prevention safe for humans?
The studies reviewed focus on the implementation and effectiveness of obesity prevention programs in schools and childcare settings, but they do not report any safety concerns or adverse effects related to these programs. This suggests that the strategies are generally considered safe for use in humans.36789
How does the treatment in the Implementation Strategies for Childhood Obesity Prevention trial differ from other treatments for childhood obesity?
This treatment is unique because it focuses on implementing community-level strategies and engaging multiple settings like schools, homes, and healthcare to promote healthy behaviors in children, rather than relying solely on individual or clinical interventions. It emphasizes collaboration between healthcare and community organizations to create sustainable, tailored interventions based on local needs.510111213
Research Team
Taren M Swindle, Ph.D.
Principal Investigator
University of Arkansas
Eligibility Criteria
This trial is for early care and education settings not currently using the WISE program, serving at least 15 children aged 3 to 5. They must be in certain regions of Arkansas or Louisiana, participate in specific food programs, and agree to join in activities and data collection.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Implementation Strategy Evaluation
Evaluation of adaptive implementation strategies to improve adoption of WISE EBPs, including comparison of low-intensity and high-intensity strategies.
Follow-up
Participants are monitored for fidelity to WISE EBPs and child health outcomes after implementation strategies are applied.
Treatment Details
Interventions
- High Intensity
- Low Intensity
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Arkansas
Lead Sponsor
Louisiana Tech University
Collaborator