Evidence map›Paper›PMID 36829237›Full record

ArticleImplementation science : IS2023

Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.

Cody D Neshteruk, Asheley C Skinner, Julie Counts, Emily M D'Agostino, Leah Frerichs, Janna Howard, Mary Story, Sarah C Armstrong

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Implementation science : IS, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05455190 (Parks & Pediatrics Fit Together), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
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.

NCT05455190 nacompletednot on this map

Parks & Pediatrics Fit Together: Translating Knowledge Into Action for Child Obesity Treatment in Partnership With Parks and Recreation

TypeinterventionalSponsorDuke UniversityRan2022 to 2026Enrolled209ConditionsPediatric Obesity, ImplementationArmsFit Together, Educational materials
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Article
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

8 authors at 3 institutions in 1 country.

Cody D NeshterukDepartment of Population Health Sciences, Duke University School of Medicine, 215 Morris Street, Suite 210, Durham, NC, 27701, USA. cody.neshteruk@duke.edu.ORCID 0000-0002-0516-6873
Asheley C SkinnerDepartment of Population Health Sciences, Duke University School of Medicine, 215 Morris Street, Suite 210, Durham, NC, 27701, USA.
Julie CountsDuke Molecular Physiology Institute, Durham, NC, USA.
Emily M D'AgostinoDepartment of Population Health Sciences, Duke University School of Medicine, 215 Morris Street, Suite 210, Durham, NC, 27701, USA.
Leah FrerichsDepartment of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Janna HowardDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Mary StoryDepartment of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC, USA.
Sarah C ArmstrongDepartment of Population Health Sciences, Duke University School of Medicine, 215 Morris Street, Suite 210, Durham, NC, 27701, USA.
Duke University · USDuke Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

Dissemination and Implementation Science in Cardiovascular Outcomes (DISCO)K12HL138030 · NHLBI · DUKE UNIVERSITY · PI BOSWORTH, HAYDEN B · 2017 to 2021
$3.9M
Parks & Pediatrics Fit Together: Translating knowledge into action for child obesity treatment in partnership with Parks and RecreationR01HD100417 · NICHD · DUKE UNIVERSITY · PI ARMSTRONG, SARAH C, SKINNER, ASHELEY COCKRELL · 2020 to 2024
$3.2M
NHLBI NIH HHS K12 HL138030NICHD NIH HHS R01 HD100417
6 · The paper itself

Abstract

backgroundSafe and effective treatment exists for childhood obesity, but treatment recommendations have largely not been translated into practice, particularly among racial and ethnic minorities and low-wealth populations. A key gap is meeting the recommended treatment of ≥26 h of lifestyle modification over 6-12 months. Fit Together is an effective treatment model that meets these recommendations by integrating healthcare and community resources. Pediatric providers screen children for obesity, deliver counseling, and treat co-morbidities, while Parks and Recreation partners provide recreation space for a community nutrition and physical activity program.

methodsThis study will use a hybrid type II implementation-effectiveness design to evaluate the effectiveness of an online implementation platform (the Playbook) for delivering Fit Together. Clinical and community partners in two North Carolina communities will implement Fit Together, using the Playbook, an implementation package designed to facilitate new partnerships, guide training activities, and provide curricular materials needed to implement Fit Together. An interrupted time series design anchored in the Process Redesign Framework will be used to evaluate implementation and effectiveness outcomes in intervention sites. Implementation measures include semi-structured interviews with partners, before and after the implementation of Fit Together, and quantitative measures assessing several constructs within the Process Redesign Framework. The participants will be children 6-11 years old with obesity and their families (n=400). Effectiveness outcomes include a change in child body mass index and physical activity from baseline to 6 and 12 months, as compared with children receiving usual care. Findings will be used to inform the design of a dissemination strategy guided by the PCORI Dissemination Framework. DISCUSSION: This project addresses the knowledge-to-action gap by developing evidence-based implementation tools that allow clinicians and communities to deliver effective pediatric obesity treatment recommendations. Future dissemination of these tools will allow more children who have obesity and their families to have access to effective, evidence-based care in diverse communities.

trial registrationClinicalTrials.gov identifier: NCT05455190 . Registered on 13 July 2022.

Indexed as

Pediatric ObesityChildExerciseHealth PromotionHumansLife StyleRecreationDisseminationExerciseImplementation scienceMixed methodsObesity treatmentPediatricsPhysical activityProtocol

Identifiers

PMID36829237
PMCPMC9951422
OpenAlexW4321785409

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.