Trial reportThe international journal of behavioral nutrition and physical activity2025
Cross-Sectional associations between inner setting determinants of self-efficacy and intent to deliver a healthy eating and activity curriculum embedded in a community setting.
Trial report in The international journal of behavioral nutrition and physical activity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03758638 (Disseminating and Implementing A Lifestyle Based Healthy Weight Program in a National Organization), which is not on this map. Not yet cited in PubMed.
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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
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Disseminating and Implementing A Lifestyle Based Healthy Weight Program in a National Organization
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0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
Abstract
backgroundHealthy Eating and Active Living Taught at Home (HEALTH) embeds healthy eating and activity content within Parents as Teachers (PAT), a national home visiting program. HEALTH is evidence based to prevent weight gain among mothers of young children. This secondary analysis aims to understand the factors associated with intention and self-efficacy to deliver HEALTH among parent educators (home vising providers).
methodsThis is a cross-sectional, secondary analysis of data from a trial evaluating the effectiveness of HEALTH when delivered by parent educators as part of usual practice. Parent educators completed surveys following training in the HEALTH intervention; demographic characteristics (including self-reported body mass index) were collected in a baseline survey (pre-training). Surveys were based on two implementation science frameworks: Consolidated Framework for Implementation Research (CFIR, implementation context) and Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM, implementation outcomes). Associations between intent to deliver HEALTH (intent) and self-efficacy (SE) to deliver HEALTH, implementation context constructs and demographic characteristics were explored using Pearson correlations (continuous variables) and t-tests (binary variable). Relationships were considered significant if the p-value was < 0.05.
resultsAmong the 149 parent educators who completed the survey, just over half identified as white/non-Hispanic (53%), while just over a third identified as Hispanic. Participants reported having worked at their site for a mean of 4.7 years (standard deviation, SD = 5.85), and the mean body mass index was 30.43 kg/m
conclusionsWhen implementing healthy eating and activity content within community settings, it is important to consider what factors may be related to provider intent and provider self-efficacy to deliver the content. Specifically, mission alignment, complexity, evidence strength and quality, and relative advantage may be important.
trial registrationNCT03758638 ( https://clinicaltrials.gov/study/NCT03758638 ), registered Nov 29, 2018.
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