ArticlePreventing chronic disease2017
Using School Staff Members to Implement a Childhood Obesity Prevention Intervention in Low-Income School Districts: the Massachusetts Childhood Obesity Research Demonstration (MA-CORD Project), 2012-2014.
Article in Preventing chronic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Barriers and facilitators influencing the sustainment of health behaviour interventions in schools and childcare services: a systematic review.Implementation science : IS · 2021Pooled it
- A Systematic Review and Content Analysis of Classroom Teacher Professional Development in Nutrition Education Programs.Advances in nutrition (Bethesda, Md.) · 2019Pooled it
- Measuring implementation fidelity of school-based obesity prevention programmes: a systematic review.The international journal of behavioral nutrition and physical activity · 2018Pooled it
- Trial
- Relationship between the inner setting of CFIR and the delivery of the Healthy School Recognized Campus initiative: a mixed-methods analysis.Implementation science communications · 2024Article
- Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review.Implementation science communications · 2024Review
- Aligning Organizational Priorities and System Policies to Support Implementation Scale-Up of a Tailored Classroom-Based Physical Activity Intervention in Low-Resource Schools.The Journal of school health · 2023Article
- A Pilot Randomised Controlled Trial to Increase the Sustainment of an Indoor-Outdoor-Free-Play Program in Early Childhood Education and Care Services: A Study Protocol for the Sustaining Play, Sustaining Health (SPSH) Trial.International journal of environmental research and public health · 2023Article
- Prevalence of Childhood Obesity in the United States in 1999-2018: A 20-Year Analysis.Obesity facts · 2022Article
- Article
- Protocol for the Rhode Island CORD 3.0 Study: Adapting, Testing, and Packaging theChildhood obesity (Print) · 2021Article
- A systematic review of school health policy measurement tools: implementation determinants and outcomes.Implementation science communications · 2021Article
- Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities.Annual review of clinical psychology · 2020Review
- Effective strategies for childhood obesity prevention via school based, family involved interventions: a critical review for the development of the Feel4Diabetes-study school based component.BMC endocrine disorders · 2020Review
- Kids SIPsmartER, a cluster randomized controlled trial and multi-level intervention to improve sugar-sweetened beverages behaviors among Appalachian middle-school students: Rationale, design & methods.Contemporary clinical trials · 2019Article
- Disseminating and implementing a lifestyle-based healthy weight program for mothers in a national organization: a study protocol for a cluster randomized trial.Implementation science : IS · 2019Article
- Barriers and facilitators to adoption, implementation and sustainment of obesity prevention interventions in schoolchildren- a DEDIPAC case study.BMC public health · 2019Article
- Implementation of B'More Healthy Communities for Kids: process evaluation of a multi-level, multi-component obesity prevention intervention.Health education research · 2018Article
- Advancing Health Disparities Research in Population Health.Preventing chronic disease · 2018Article
- Feasibility study of the SWITCH implementation process for enhancing school wellness.BMC public health · 2018Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
introductionAlthough evidence-based interventions to prevent childhood obesity in school settings exist, few studies have identified factors that enhance school districts' capacity to undertake such efforts. We describe the implementation of a school-based intervention using classroom lessons based on existing "Eat Well and Keep Moving" and "Planet Health" behavior change interventions and schoolwide activities to target 5,144 children in 4th through 7th grade in 2 low-income school districts.
methodsThe intervention was part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project, a multisector community-based intervention implemented from 2012 through 2014. Using mixed methods, we operationalized key implementation outcomes, including acceptability, adoption, appropriateness, feasibility, implementation fidelity, perceived implementation cost, reach, and sustainability.
resultsMA-CORD was adopted in 2 school districts that were facing resource limitations and competing priorities. Although strong leadership support existed in both communities at baseline, one district's staff reported less schoolwide readiness and commitment. Consequently, fewer teachers reported engaging in training, teaching lessons, or planning to sustain the lessons after MA-CORD. Interviews showed that principal and superintendent turnover, statewide testing, and teacher burnout limited implementation; passionate wellness champions in schools appeared to offset implementation barriers.
conclusionFuture interventions should assess adoption readiness at both leadership and staff levels, offer curriculum training sessions during school hours, use school nurses or health teachers as wellness champions to support teachers, and offer incentives such as staff stipends or play equipment to encourage school participation and sustained intervention activities.
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