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Adaptive Implementation to Optimize Delivery of Obesity Prevention Practices in Early Care and Education Settings

CompletedNA

Sponsor: University of Arkansas

Conditions: Obesity, Childhood, Nutrition Aspect of Cancer

Interventions: Low Intensity, High Intensity

Countries: United States

"Together, We Inspire Smart Eating" (WISE) is an intervention that improves children's diets in ECE. WISE includes 4 key evidence-based practices (EBPs): (1) hands-on exposures to fruits and vegetables, (2) role modeling by educators, (3) positive feeding practices, and (4) a mascot associated with fruits and vegetables. Standard implementation approaches to WISE result in suboptimal implementation of WISE EBPs. Additional implementation strategies are needed to increase adoption and fidelity to EBPs. To date, most studies have employed an "all-or-nothing" approach, comparing multifaceted strategies to control groups without implementation support. Thus, there is an urgent need for optimized strategies that tailor implementation support intensity to the unique challenges and limited resources of the ECE context. The overall objectives of this application are to determine the effectiveness and cost-effectiveness of an adaptive implementation approach to improve adoption of the EBPs of WISE while also examining implementation mechanisms. The central hypothesis is that the addition of high-intensity strategies at sites that do not respond to low-intensity strategies will improve implementation and health outcomes.

Eligibility overview

Sex: ALL

Age: 3 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Recruited teachers at participating early care and education site in the following 4 geographic regions: (1) Central Arkansas, (2) Arkansas River Valley, (3) North, Central Louisiana, and (4) Southeast Louisiana.
* Participation in Child and Adult Care Food Program in the states' quality rating system
* Serving at least 15 children age 3 to 5
* Agreeing to participate in implementation activities and data collection in all 3- to 5-year-old classrooms
* Having no classrooms currently using WISE.

Exclusion Criteria:

* Having classrooms currently using WISE.

Locations (1)

Little Rock, Arkansas, United States