Testing an Adaptive Implementation Strategy to Optimize Delivery of Obesity Prevention Practices in Early Care and Education Settings

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 3
Healthy Volunteers: f
View:

• Recruited teachers at participating early care and education site in the following 4 geographic regions: (1) Central Arkansas, (2) Arkansas River Valley, (3) North, Central Louisiana, and (4) Southeast Louisiana.

• Participation in Child and Adult Care Food Program in the states' quality rating system

• Serving at least 15 children age 3 to 5

• Agreeing to participate in implementation activities and data collection in all 3- to 5-year-old classrooms

• Having no classrooms currently using WISE.

Locations
United States
Arkansas
University of Arkansas for Medical Sciences
RECRUITING
Little Rock
Contact Information
Primary
Taren M Swindle, Ph.D.
tswindle@uams.edu
501-526-7058
Time Frame
Start Date: 2022-06-14
Estimated Completion Date: 2026-12-30
Participants
Target number of participants: 1850
Treatments
Active_comparator: Early Responders to Low Intensity
Early responders will include those with targeted levels of fidelity by the October assessment. They will continue to receive low intensity implementation support (i.e., formal commitments, local champions, implementation blueprint, reminder cutting boards, task-focused implementation).
Active_comparator: Non-Responders Continue Low Intensity
This group will include those not achieving desired levels of fidelity by the October assessment who will be randomized to continue receiving low intensity implementation support (i.e., formal commitments, local champions, implementation blueprint, reminder cutting boards, task-focused implementation).
Experimental: Non-Responders Increasing to High Intensity
This group will include those not achieving desired levels of fidelity by the October assessment who will be randomized to have high intensity support added (low intensity + holistic individualized facilitation, tailored educational materials).
Related Therapeutic Areas
Sponsors
Leads: University of Arkansas
Collaborators: Louisiana Tech University

This content was sourced from clinicaltrials.gov