ArticleJournal of nutrition education and behavior2019
A Mixed-Methods Exploration of Barriers and Facilitators to Evidence-Based Practices for Obesity Prevention in Head Start.
Article in Journal of nutrition education and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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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
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Barriers and facilitators to implementation of direct fruit and vegetables provision interventions in kindergartens and schools: a qualitative systematic review applying the consolidated framework for implementation research (CFIR).The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Deimplementation of inappropriate feeding practices in early care and education: a Hybrid Type 3 cluster-randomized trial.Implementation science : IS · 2026Trial
- Trial
- Obesity prevention practices in early care and education settings: an adaptive implementation trial.Implementation science : IS · 2022Trial
- Stakeholder selected strategies for obesity prevention in childcare: results from a small-scale cluster randomized hybrid type III trial.Implementation science : IS · 2021Trial
- CELEBRATE Feeding: Impacts of a responsive feeding behaviour change coaching intervention in child care settings.Journal of nutritional science · 2026Article
- 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 · 2025Review
- Advancing implementation science in community settings: the implementation strategies applied in communities (ISAC) compilation.The international journal of behavioral nutrition and physical activity · 2024Article
- Implementing a nutrition education intervention in Eastern Norwegian Kindergartens: barriers and facilitators.BMC nutrition · 2024Article
- Integration of Food-based Learning With Science in the Preschool Classroom: Implementation Gaps and Opportunities.Journal of nutrition education and behavior · 2023Article
- Implementation fidelity, attitudes, and influence: a novel approach to classifying implementer behavior.Implementation science communications · 2022Article
- Perceived factors that influence adoption, implementation and sustainability of an evidence-based intervention promoting healthful eating and physical activity in childcare centers in an urban area in the United States serving children from low-income, racially/ethnically diverse families.Frontiers in health services · 2022Article
- Elementary Schools' Response to Student Wellness Needs during the COVID-19 Shutdown: A Qualitative Exploration Using the R = MCInternational journal of environmental research and public health · 2021Article
- An Overview of Research Opportunities to Increase the Impact of Nutrition Intervention Research in Early Childhood and Education Care Settings According to the RE-AIM Framework.International journal of environmental research and public health · 2021Article
- A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas.Preventing chronic disease · 2021Article
- Factors Influencing Fidelity to a Calorie Posting Policy in Public Hospitals: A Mixed Methods Study.Frontiers in public health · 2021Article
- De-implementation of detrimental feeding practices: a pilot protocol.Pilot and feasibility studies · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo identify positive and negative deviant cases using quantitative fidelity data from a previous implementation of a nutrition intervention, Together, We Inspire Smart Eating (WISE), and to determine barriers and facilitators to fidelity by conducting qualitative interviews with deviant cases.
designExplanatory sequential mixed methods.
settingHead Start Program agencies in 2 southern US states.
participantsQuantitative fidelity data were collected in 42 Head Start classrooms. Recruitment for qualitative interviews prioritized those who were positive or negative deviants across fidelity components (African American, n = 21; white, n = 19; and Hispanic, n = 3).
interventionWISE introduces children to fruits and vegetables using evidence-based practices of role modeling, positive feeding, mascot use, and hands-on exposure. ANALYSIS: A directed content analysis approach informed by the integrated Promoting Action on Research Implementation in Health Service framework. PHENOMENON OF INTEREST: Barriers and facilitators to WISE evidence-based practices implementation.
resultsQualitative analyses identified themes of culture, leadership support, and mechanisms for embedding change as key contextual factors. Key findings related to recipient characteristics were beliefs about what works, personalized strategies to use WISE, and classroom management. Primary themes for the innovation construct were time and preparation, degree of fit, and WISE advantage. Finally, findings relative to the construct of facilitation included trainer support and desire for additional training. CONCLUSIONS AND IMPLICATIONS: The study of cases at the extreme ends of the fidelity spectrum can provide unique perspectives on barriers and facilitators to implementation of interventions.
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Registered trials
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