Evaluating sustainability in the Childhood Obesity Research Demonstration project: the model and process
| Autor: | Nathan H. Parker, Hanadi S. Rifai, Rebecca E. Lee, Camila Kochi, Daniel P. O'Connor, Dennis Kao, Allen M. Hallett, Maria Modelska |
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| Rok vydání: | 2019 |
| Předmět: |
Process management
Psychological intervention 030209 endocrinology & metabolism Context (language use) Population health Community Childhood obesity 03 medical and health sciences 0302 clinical medicine 11. Sustainability medicine 030212 general & internal medicine Children Chronic care Operationalization 9. Industry and infrastructure Intervention study Physical activity lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Health services research Methodology lcsh:RA1-1270 medicine.disease 3. Good health Diet Sustainability Psychology Organization |
| Zdroj: | Archives of Public Health Archives of Public Health, Vol 78, Iss 1, Pp 1-10 (2020) |
| ISSN: | 0778-7367 |
| Popis: | Background In the context of health-related interventions, sustainability is the capacity to maintain the changes resulting from the intervention. These can be improved policies, practices or trends intended to improve population health. The Childhood Obesity Research Demonstration (CORD) project was a multi-site, multi-intervention collaboration testing the Obesity Chronic Care Model with interventions for childhood obesity prevention and management. We present the model, definitions and methodology used for the cross-site sustainability evaluation of CORD. Methods We applied the Ecologic Model of Obesity to childhood obesity interventions to operationalize four sustainability constructs: replicability, continuation of benefits, institutionalization, and community capacity. We used a triangulation approach and employed mixed methods to assess sustainability constructs at each level of the Ecologic Model of Obesity: Micro, Meso, Exo and Macro. We constructed checklists to count and code intervention activities, use of evidence-based practices among providers, and environmental factors and policies hypothesized to influence intervention sustainability. We developed in-depth interviews for principal investigators and project leads. We applied the Wilder Collaboration Factors Inventory with key stakeholders. Results Lessons learned suggested that sustainability constructs should be clearly identified and operationalized a priori. Constructs must be flexible to account for differences between intervention plans and implementation to obtain robust and informative data. Conclusion Strong links are needed among researchers, program implementers and communities to accomplish consistent, robust and valuable data collection efforts to assure sustainable and healthy communities. |
| Databáze: | OpenAIRE |
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