Factors Affecting Implementation of the California Childhood Obesity Research Demonstration (CA-CORD) Project, 2013
| Autor: | Jamie Moody, Griselda Cervantes, Guadalupe X. Ayala, Leticia Ibarra, Tracy L. Finlayson, Emmeline Chuang, Julian Brunner, Amy Binggeli-Vallarta, Thomas L. McKenzie, Helina Hoyt |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Parents Gerontology Pediatric Obesity medicine.medical_specialty Health Behavior Preventing Chronic Disease California Childhood obesity 03 medical and health sciences Organizational Case Studies 0302 clinical medicine Residence Characteristics Health care medicine Humans 030212 general & internal medicine Program Development Child Original Research Schools 030505 public health business.industry 4. Education Health Policy Public health Behavior change Public Health Environmental and Occupational Health Public relations medicine.disease Intervention planning 3. Good health Turnover Child Preschool Female 0305 other medical science business |
| Zdroj: | Preventing Chronic Disease |
| ISSN: | 1545-1151 |
| DOI: | 10.5888/pcd13.160238 |
| Popis: | Author(s): Chuang, Emmeline; Brunner, Julian; Moody, Jamie; Ibarra, Leticia; Hoyt, Helina; McKenzie, Thomas L; Binggeli-Vallarta, Amy; Cervantes, Griselda; Finlayson, Tracy L; Ayala, Guadalupe X | Abstract: IntroductionEcological approaches to health behavior change require effective engagement from and coordination of activities among diverse community stakeholders. We identified facilitators of and barriers to implementation experienced by project leaders and key stakeholders involved in the Imperial County, California, Childhood Obesity Research Demonstration project, a multilevel, multisector intervention to prevent and control childhood obesity.MethodsA total of 74 semistructured interviews were conducted with project leaders (n = 6) and key stakeholders (n = 68) representing multiple levels of influence in the health care, early care and education, and school sectors. Interviews, informed by the Multilevel Implementation Framework, were conducted in 2013, approximately 12 months after year-one project implementation, and were transcribed, coded, and summarized.ResultsRespondents emphasized the importance of engaging parents and of ensuring support from senior leaders of participating organizations. In schools, obtaining teacher buy-in was described as particularly important, given lower perceived compatibility of the intervention with organizational priorities. From a program planning perspective, key facilitators of implementation in all 3 sectors included taking a participatory approach to the development of program materials, gradually introducing intervention activities, and minimizing staff burden. Barriers to implementation were staff turnover, limited local control over food provided by external vendors or school district policies, and limited availability of supportive resources within the broader community.ConclusionProject leaders and stakeholders in all sectors reported similar facilitators of and barriers to implementation, suggesting the possibility for synergy in intervention planning efforts. |
| Databáze: | OpenAIRE |
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