Evidence map›Paper›PMID 28720140›Full record

Trial reportImplementation science : IS2017

A mixed methods protocol for developing and testing implementation strategies for evidence-based obesity prevention in childcare: a cluster randomized hybrid type III trial.

Taren Swindle, Susan L Johnson, Leanne Whiteside-Mansell, Geoffrey M Curran

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Implementation science : IS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03075085 (Developing and Testing Implementation Strategies for Evidence-Based Obesity Prevention in Childcare), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT03075085 nacompletednot on this mapstarted 2018, after this paper: background citation

Developing and Testing Implementation Strategies for Evidence-Based Obesity Prevention in Childcare

TypeinterventionalSponsorUniversity of ArkansasRan2018 to 2019Enrolled696ConditionsObesityArmsWISE (We Inspire Smart Eating)
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Use of the i-PARIHS framework in nutrition and dietetics research and practice: A citation analysis of the literature and case studies.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  6. Nutrients · 2025
    Article
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  8. Review
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  10. Observational
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  16. Implementation of theJournal of comparative effectiveness research · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Taren SwindleDepartment of Family and Preventive Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham St, #530, Little Rock, AR, 72205-7199, USA. tswindle@uams.edu.ORCID 0000-0001-7231-6002
Susan L JohnsonDepartment of Pediatrics, University of Colorado School of Medicine, 12700 East 19th Avenue Box C225, Auora, CO, 80045, USA.
Leanne Whiteside-MansellDepartment of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, 4301 W. Markham St, #522-4, Little Rock, AR, 72205-7199, USA.
Geoffrey M CurranDepartment of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, 4301 W. Markham St, #522-4, Little Rock, AR, 72205-7199, USA.

Funding

Developing and Testing Implementation Strategies for Evidence-Based Obesity Prevention in ChildcareK01DK110141 · NIDDK · UNIV OF ARKANSAS FOR MED SCIS · PI SWINDLE, TAREN · 2016 to 2019
$460k
NIDDK NIH HHS K01 DK110141
6 · The paper itself

Abstract

backgroundDespite the potential to reach at-risk children in childcare, there is a significant gap between current practices and evidence-based obesity prevention in this setting. There are few investigations of the impact of implementation strategies on the uptake of evidence-based practices (EBPs) for obesity prevention and nutrition promotion. This study protocol describes a three-phase approach to developing and testing implementation strategies to support uptake of EBPs for obesity prevention practices in childcare (i.e., key components of the WISE intervention).

methodsInformed by the i-PARIHS framework, we will use a stakeholder-driven evidence-based quality improvement (EBQI) process to apply information gathered in qualitative interviews on barriers and facilitators to practice to inform the design of implementation strategies. Then, a Hybrid Type III cluster randomized trial will compare a basic implementation strategy (i.e., intervention as usual) with an enhanced implementation strategy informed by stakeholders. All Head Start centers (N = 12) within one agency in an urban area in a southern state in the USA will be randomized to receive the basic or enhanced implementation with approximately 20 classrooms per group (40 educators, 400 children per group). The educators involved in the study, the data collectors, and the biostastician will be blinded to the study condition. The basic and enhanced implementation strategies will be compared on outcomes specified by the RE-AIM model (e.g., Reach to families, Effectiveness of impact on child diet and health indicators, Adoption commitment of agency, Implementation fidelity and acceptability, and Maintenance after 6 months). Principles of formative evaluation will be used throughout the hybrid trial. DISCUSSION: This study will test a stakeholder-driven approach to improve implementation, fidelity, and maintenance of EBPs for obesity prevention in childcare. Further, this study provides an example of a systematic process to develop and test a tailored, enhanced implementation strategy.

trial registrationClinicalTrials.gov, NCT03075085.

Indexed as

Child HealthChild, PreschoolDiet, HealthyEvidence-Based PracticeHealth PromotionHumansPediatric ObesityProgram DevelopmentProgram EvaluationResearch DesignSingle-Blind MethodChildcareImplementation scienceImplementation strategiesObesity prevention

Identifiers

PMID28720140
PMCPMC5516351

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.