A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas
PURPOSE AND OBJECTIVES: We developed a competitive application process to test the feasibility of a fund and contract dissemination strategy to identify and engage communities that demonstrated the necessary resources and motivation to adopt, implement, and sustain a pediatric weight management inte...
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ftpubmed:oai:pubmedcentral.nih.gov:7879964 2023-05-15T17:53:40+02:00 A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas Golden, Caitlin A. Hill, Jennie L. Heelan, Kate A. Bartee, R. Todd Abbey, Bryce M. Malmkar, Ali Estabrooks, Paul A. 2021-02-11 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879964/ http://www.ncbi.nlm.nih.gov/pubmed/33571083 https://doi.org/10.5888/pcd18.200248 en eng Centers for Disease Control and Prevention http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879964/ http://www.ncbi.nlm.nih.gov/pubmed/33571083 http://dx.doi.org/10.5888/pcd18.200248 https://creativecommons.org/licenses/by/4.0/ Preventing Chronic Disease is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. CC-BY PDM Prev Chronic Dis Implementation Evaluation Text 2021 ftpubmed https://doi.org/10.5888/pcd18.200248 2021-03-07T01:37:07Z PURPOSE AND OBJECTIVES: We developed a competitive application process to test the feasibility of a fund and contract dissemination strategy to identify and engage communities that demonstrated the necessary resources and motivation to adopt, implement, and sustain a pediatric weight management intervention, Building Healthy Families, in rural and micropolitan (<50,000 residents) communities in Nebraska. INTERVENTION APPROACH: From April through December 2019, a community advisory board with representation from rural and micropolitan clinical, public health, education, and recreational organizations collaboratively developed a request for applications, as a fund and contract dissemination strategy, to encourage community adoption of Building Healthy Families. EVALUATION METHODS: Quantitative assessments included determining the distribution of requests for applications, evaluating organizational readiness to change assessment (ORCA) ratings (on a scale of 1 to 5, from strongly disagree to strongly agree that the organization is ready to change), and reviewing community advisory board member ratings of applications. We gathered qualitative data from community narratives provided in response to the request for applications and community advisory board reviews of the applications. RESULTS: The request for applications was distributed to all 93 counties in Nebraska. Of the 8 communities that submitted a letter of intent, 7 submitted a community narrative. Across the 8 communities, 31 ORCAs were completed by the organizational decision makers (n = 15) and staff members (n = 16) who would be responsible for screening, recruiting, or implementing the intervention. Overall mean ORCA scores varied by ratings of evidence (4.1–4.6), context (4.2–4.9), and facilitation (4.3–4.8), indicating a high degree of readiness. Community advisory board ratings of applications ranged from 2.3 to 3.4 of 4 points. Qualitative data indicated that lower community narrative scores were primarily caused by weak implementation and ... Text Orca PubMed Central (PMC) Preventing Chronic Disease 18 |
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English |
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Implementation Evaluation |
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Implementation Evaluation Golden, Caitlin A. Hill, Jennie L. Heelan, Kate A. Bartee, R. Todd Abbey, Bryce M. Malmkar, Ali Estabrooks, Paul A. A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas |
topic_facet |
Implementation Evaluation |
description |
PURPOSE AND OBJECTIVES: We developed a competitive application process to test the feasibility of a fund and contract dissemination strategy to identify and engage communities that demonstrated the necessary resources and motivation to adopt, implement, and sustain a pediatric weight management intervention, Building Healthy Families, in rural and micropolitan (<50,000 residents) communities in Nebraska. INTERVENTION APPROACH: From April through December 2019, a community advisory board with representation from rural and micropolitan clinical, public health, education, and recreational organizations collaboratively developed a request for applications, as a fund and contract dissemination strategy, to encourage community adoption of Building Healthy Families. EVALUATION METHODS: Quantitative assessments included determining the distribution of requests for applications, evaluating organizational readiness to change assessment (ORCA) ratings (on a scale of 1 to 5, from strongly disagree to strongly agree that the organization is ready to change), and reviewing community advisory board member ratings of applications. We gathered qualitative data from community narratives provided in response to the request for applications and community advisory board reviews of the applications. RESULTS: The request for applications was distributed to all 93 counties in Nebraska. Of the 8 communities that submitted a letter of intent, 7 submitted a community narrative. Across the 8 communities, 31 ORCAs were completed by the organizational decision makers (n = 15) and staff members (n = 16) who would be responsible for screening, recruiting, or implementing the intervention. Overall mean ORCA scores varied by ratings of evidence (4.1–4.6), context (4.2–4.9), and facilitation (4.3–4.8), indicating a high degree of readiness. Community advisory board ratings of applications ranged from 2.3 to 3.4 of 4 points. Qualitative data indicated that lower community narrative scores were primarily caused by weak implementation and ... |
format |
Text |
author |
Golden, Caitlin A. Hill, Jennie L. Heelan, Kate A. Bartee, R. Todd Abbey, Bryce M. Malmkar, Ali Estabrooks, Paul A. |
author_facet |
Golden, Caitlin A. Hill, Jennie L. Heelan, Kate A. Bartee, R. Todd Abbey, Bryce M. Malmkar, Ali Estabrooks, Paul A. |
author_sort |
Golden, Caitlin A. |
title |
A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas |
title_short |
A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas |
title_full |
A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas |
title_fullStr |
A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas |
title_full_unstemmed |
A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas |
title_sort |
dissemination strategy to identify communities ready to implement a pediatric weight management intervention in medically underserved areas |
publisher |
Centers for Disease Control and Prevention |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879964/ http://www.ncbi.nlm.nih.gov/pubmed/33571083 https://doi.org/10.5888/pcd18.200248 |
genre |
Orca |
genre_facet |
Orca |
op_source |
Prev Chronic Dis |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879964/ http://www.ncbi.nlm.nih.gov/pubmed/33571083 http://dx.doi.org/10.5888/pcd18.200248 |
op_rights |
https://creativecommons.org/licenses/by/4.0/ Preventing Chronic Disease is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
op_rightsnorm |
CC-BY PDM |
op_doi |
https://doi.org/10.5888/pcd18.200248 |
container_title |
Preventing Chronic Disease |
container_volume |
18 |
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1766161369175949312 |