Adaptation and dissemination of an evidence-based obesity prevention intervention: design of a comparative effectiveness trial.

Joanna Buscemi, Angela Odoms-Young, Melinda L Stolley, Lara Blumstein, Linda Schiffer, Michael L Berbaum, Jennifer McCaffrey, Anastasia McGee Montoya, Carol Braunschweig, Marian L Fitzgibbon

Journal: Contemporary clinical trials 2015;38(2):355-60

PMID: 24952282

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Abstract

Low-income youth are at increased risk for excess weight gain. Although evidence-based prevention programs exist, successful adaptation to provide wide dissemination presents a challenge. Hip-Hop to Health (HH) is a school-based obesity prevention intervention that targets primarily preschool children of low-income families. In a large randomized controlled trial, HH was found to be efficacious for prevention of excessive weight gain. The Expanded Food and Nutrition Education Program (EFNEP) and the Supplemental Nutrition Assistance Program-Education (SNAP-Ed) are USDA-funded nutrition education programs offered to low-income families, and may provide an ideal platform for the wide dissemination of evidence-based obesity prevention programs. A research-practice partnership was established in order to conduct formative research to guide the adaptation and implementation of HH through EFNEP and SNAP-Ed. We present the design and method of a comparative effectiveness trial that will determine the efficacy of HH when delivered by peer educators through these programs compared to the standard EFNEP and SNAP-Ed nutrition education (NE) curriculum. Results from this trial will inform larger scale dissemination. The dissemination of HH through government programs has the potential to increase the reach of efficacious obesity prevention programs that target low-income children and families.

Address: University of Illinois at Chicago, Institute for Health Research and Policy, 1747 West Roosevelt Road, Chicago, IL 60608, United States. Electronic address: [email protected].; University of Illinois at Chicago, Department of Kinesiology and Nutrition, 1919 West Taylor Street, Chicago, IL 60612, United States.; University of Illinois at Chicago, Institute for Health Research and Policy, 1747 West Roosevelt Road, Chicago, IL 60608, United States.; University of Illinois at Chicago, Department of Medicine, Division of Health Promotion Research, 1747 West Roosevelt Road, Chicago, IL 60608, United States.; University of Illinois at Urbana-Champaign, Family and Consumer Sciences, University of Illinois Cooperative Extension Service, 905 S. Goodwin Avenue, Urbana, IL 61801, United States.; University of Illinois at Chicago, Chicago Partnership for Health Promotion, Office of Community Engagement and Neighborhood Health Partnerships, 828S. Wolcott, Suite B40, Chicago, IL 60612, United States.; University of Illinois at Chicago, Institute for Health Research and Policy, 1747 West Roosevelt Road, Chicago, IL 60608, United States; University of Illinois at Chicago, Department of Medicine, Division of Health Promotion Research, 1747 West Roosevelt Road, Chicago, IL 60608, United States; University of Illinois at Chicago, Institute for Health Research and Policy, Health Promotion Research Program, 1747 West Roosevelt Road, Chicago, IL 60608, United States; University of Illinois Cancer Center, Population Health, Behavior and Outcomes Program, 1747 West Roosevelt Road, Chicago, IL 60608, United States.

DOI: 10.1016/j.cct.2014.06.007

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MeSH Terms: Child, Preschool, Comparative Effectiveness Research, Diet, Exercise, Female, Health Education, Health Promotion, Humans, Male, Obesity, Pediatric Obesity, Poverty, Public Assistance, Research Design, Sedentary Behavior