Factors Affecting Implementation of the California Childhood Obesity Research Demonstration (CA-CORD) Project, 2013

Chuang, Emmeline; Brunner, Julian; Moody, Jamie; Ibarra, Leticia; Hoyt, Helina; McKenzie, Thomas L.; Binggeli-Vallarta, Amy; Cervantes, Griselda; Finlayson, Tracy L.; Ayala, Guadalupe X.

doi:10.5888/pcd13.160238

Cited by 11 publications

(18 citation statements)

References 19 publications

(16 reference statements)

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“…The three projects around the US, identified the facilitators and barriers of implementing multi-setting interventions targeting levels of the socioecologial model in racially diverse, lower-income communities (Dooyema et al 2017). CORD 1.0 projects identified common implementation barriers in schools, rural communities and community centers, including staff turnover, limited resources, and competing needs for existing requirements (such as standardized testing in schools) (Chuang et al 2016. Interventions in rural communities and multiple settings benefited from engaging parents and obtaining support from organization members and leadership (Chuang et al 2016.…”

Section: Implementation and Research Translation Challengesmentioning

confidence: 99%

Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities

Smith

Kobayashi

2020

Annu. Rev. Clin. Psychol.

203

126

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Childhood obesity has become a global pandemic in developed countries, leading to a host of medical conditions that contribute to increased morbidity and premature death. The causes of obesity in childhood and adolescence are complex and multifaceted, presenting researchers and clinicians with myriad challenges in preventing and managing the problem. This article reviews the state of the science for understanding the etiology of childhood obesity, the preventive interventions and treatment options for overweight and obesity, and the medical complications and co-occurring psychological conditions that result from excess adiposity, such as hypertension, nonalcoholic fatty liver disease, and depression. Interventions across the developmental span, varying risk levels, and service contexts (e.g.,community, school, home, health care systems) are reviewed. Future directions for research are offered with an emphasis on translational issues for taking evidence-based interventions to scale in a manner that will reduce the public health burden of the childhood obesity pandemic.

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Section: Implementation and Research Translation Challengesmentioning

confidence: 99%

Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities

Smith

Kobayashi

2020

Annu. Rev. Clin. Psychol.

203

126

View full text Add to dashboard Cite

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“…Teachers and other school leaders may exert social environmental influences on child weight and weight‐related behaviors, through role modeling 10 . It is also possible that availability and access to different types and amounts of food, as well as physical activity opportunities also, may play a role in such settings 56 . Similarly, healthcare providers are important sources of influence related to child weight and weight‐related behaviors among Hispanic/Latinx families in the United States, and deserve greater systematic attention in this field 57,58 …”

Section: Introductionmentioning

confidence: 99%

The social environment and childhood obesity: Implications for research and practice in the United States and countries in Latin America

et al. 2021

Self Cite

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Summary The environments of children influence their risk for childhood obesity through, among other factors, a child's weight‐related behaviors (i.e., diet and physical activity). In this article, we present evidence on social environmental factors associated with a child's diet and physical activity, and more generally, the prevention and control of childhood obesity among Hispanic/Latinx children in the United States and children from countries in Latin America. Using a socio‐ecologic lens, we present evidence from cross‐sectional and longitudinal studies conducted in the United States involving Hispanic/Latinx children, and evidence from studies involving children in Latin America. Studies examining parenting factors in the home environment (e.g., parenting strategies) are especially emphasized, with more limited evidence on social environmental factors in other lived contexts (e.g., school). The influence of acculturation on social relationships cuts across levels of the socio‐ecological framework. Intervention research identified strategies and research gaps for intervening on social factors to promote healthy behaviors and reduce risk for childhood obesity. Community health workers and others forms of peer support were identified as relevant approaches at multiple levels of the socio‐ecological framework. This article concludes with directions for future research to further understand the environment using newer information and communication technologies.

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“…This is the first article to systematically describe the process evaluation and SWOT analysis of the policy component of a multilevel, multicomponent intervention. While other large, multilevel trials have conducted process evaluations, they lacked a policy component or an in-depth evaluation of that component (Chuang et al, 2016; Joseph et al, 2015; O’Connor et al, 2015). The study illustrates the utility of evaluating the Policy WG and reflects on its potential application for other multilevel, multicomponent studies collaborating with policymakers.…”

Section: Discussionmentioning

confidence: 99%

Process Evaluation and Lessons Learned From Engaging Local Policymakers in the B’More Healthy Communities for Kids Trial

Nam¹,

Ross

Ruggiero

et al. 2018

Health Educ Behav

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Partnerships linking researchers to the policymaking process can be effective in increasing communication and supporting health policy. However, these policy partnerships rarely conduct process evaluation. The Policy Working Group (Policy WG) was the policy-level intervention of the multilevel B'More Healthy Communities for Kids (BHCK) trial. The group sought to align interests of local policymakers, inform local food and nutrition policy, introduce policymakers to a new simulation modeling, and sustain intervention levels of BHCK. We conducted an evaluation on the Policy WG between July 2013 and May 2016. We evaluated process indicators for reach, dose-delivered, and fidelity and developed a SWOT (strengths, weaknesses, opportunities, and threats) analysis. The policy intervention was implemented with high reach and dose-delivered. Fidelity measures improved from moderate to nearly high over time. The number of health-related issues on policymakers' agenda increased from 50% in the first 2 years to 150% of the high standard in Year 3. SWOT analysis integrated a stakeholder feedback survey to consider areas of strength, weakness, opportunity, and threats. Although the fidelity of the modeling was low at 37% of the high standard, stakeholders indicated that the simulation modeling should be a primary purpose for policy intervention. Results demonstrate that process evaluation and SWOT analysis is useful for tracking the progress of policy interventions in multilevel trials and can be used to monitor the progress of building partnerships with policymakers.

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Factors Affecting Implementation of the California Childhood Obesity Research Demonstration (CA-CORD) Project, 2013

Cited by 11 publications

References 19 publications

Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities

Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities

The social environment and childhood obesity: Implications for research and practice in the United States and countries in Latin America

Process Evaluation and Lessons Learned From Engaging Local Policymakers in the B’More Healthy Communities for Kids Trial

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