Communities for Healthy Living (chl) a Community-Based Intervention To Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol

dc.authorid KALYONCU ATASOY, ZEYNEP BEGUM/0000-0001-6208-3540
dc.authorid Figueroa, Roger/0000-0002-2549-7741
dc.authorid Aftosmes-Tobio, Alyssa/0000-0002-5472-3146
dc.authorid Gavarkovs, Adam/0000-0002-2108-1183
dc.authorscopusid 57218265244
dc.authorscopusid 56582215500
dc.authorscopusid 57191919402
dc.authorscopusid 6507443354
dc.authorscopusid 57190281487
dc.authorscopusid 56667600300
dc.authorscopusid 23467004900
dc.authorwosid Davison, Kirsten K/T-5932-2017
dc.authorwosid KALYONCU ATASOY, ZEYNEP BEGUM/ACJ-4783-2022
dc.authorwosid Figueroa, Roger/I-9174-2019
dc.authorwosid Kalyoncu, Zeynep Begum/B-9957-2019
dc.contributor.author Beckerman-Hsu, Jacob P.
dc.contributor.author Aftosmes-Tobio, Alyssa
dc.contributor.author Gavarkovs, Adam
dc.contributor.author Kitos, Nicole
dc.contributor.author Figueroa, Roger
dc.contributor.author Kalyoncu, Z. Begum
dc.contributor.author Davison, Kirsten K.
dc.contributor.other Nutrition and Dietetics
dc.date.accessioned 2024-07-05T15:38:11Z
dc.date.available 2024-07-05T15:38:11Z
dc.date.issued 2020
dc.department Atılım University en_US
dc.department-temp [Beckerman-Hsu, Jacob P.] Harvard TH Chan Sch Publ Hlth, Dept Nutr, 677 Huntington Ave, Boston, MA 02115 USA; [Aftosmes-Tobio, Alyssa; Davison, Kirsten K.] Boston Coll, Sch Social Work, McGuinn Hall Room 115,140 Commonwealth Ave, Chestnut Hill, MA 02467 USA; [Gavarkovs, Adam] Univ Toronto, Fac Med, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada; [Gavarkovs, Adam] Univ Toronto, Wilson Ctr, Fac Med, Toronto, ON, Canada; [Kitos, Nicole] Massachusetts Dept Publ Hlth, Boston, MA 02115 USA; [Figueroa, Roger] Cornell Univ, Div Nutr Sci, 244 Garden Ave, Ithaca, NY 14853 USA; [Kalyoncu, Z. Begum] Atilim Univ, Nutr & Dietet Dept, TR-06830 Ankara, Turkey; [Lansburg, Kindra; Torrico, Merieka] Act Boston Community Dev, 178 Tremont St, Boston, MA 02111 USA; [Yu, Xinting] Harvard Med Sch, Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA; [Yu, Xinting] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Boston, MA 02115 USA; [Kazik, Crystal; Vigilante, Adrienne; Leonard, Jessie] Community Act Agcy Somerville, 66 Union Sq, Somerville, MA 02143 USA; [Jurkowski, Janine M.] SUNY Albany, Sch Publ Hlth, Dept Hlth Policy Management & Behav, 1 Univ Pl, Rensselaer, NY 12144 USA en_US
dc.description KALYONCU ATASOY, ZEYNEP BEGUM/0000-0001-6208-3540; Figueroa, Roger/0000-0002-2549-7741; Aftosmes-Tobio, Alyssa/0000-0002-5472-3146; Gavarkovs, Adam/0000-0002-2108-1183 en_US
dc.description.abstract BackgroundProcess evaluation can illuminate barriers and facilitators to intervention implementation as well as the drivers of intervention outcomes. However, few obesity intervention studies have documented process evaluation methods and results. Community-based participatory research (CBPR) requires that process evaluation methods be developed to (a) prioritize community members' power to adapt the program to local needs over strict adherence to intervention protocols, (b) share process evaluation data with implementers to maximize benefit to participants, and (c) ensure partner organizations are not overburdened. Co-designed with low-income parents using CBPR, Communities for Healthy Living (CHL) is a family-centered intervention implemented within Head Start to prevent childhood obesity and promote family well-being. We are currently undertaking a randomized controlled trial to test the effectiveness of CHL in 23 Head Start centers in the greater Boston area. In this protocol paper, we outline an embedded process evaluation designed to monitor intervention adherence and adaptation, support ongoing quality improvement, and examine contextual factors that may moderate intervention implementation and/or effectiveness.MethodsThis mixed methods process evaluation was developed using the Perez et al. framework for evaluating adaptive interventions and is reported following guidelines outlined by Grant et al. Trained research assistants will conduct structured observations of intervention sessions. Intervention facilitators and recipients, along with Head Start staff, will complete surveys and semi-structured interviews. De-identified data for all eligible children and families will be extracted from Head Start administrative records. Qualitative data will be analyzed thematically. Quantitative and qualitative data will be integrated using triangulation methods to assess intervention adherence, monitor adaptations, and identify moderators of intervention implementation and effectiveness.DiscussionA diverse set of quantitative and qualitative data sources are employed to fully characterize CHL implementation. Simultaneously, CHL's process evaluation will provide a case study on strategies to address the challenges of process evaluation for CBPR interventions. Results from this process evaluation will help to explain variation in intervention implementation and outcomes across Head Start programs, support CHL sustainability and future scale-up, and provide guidance for future complex interventions developed using CBPR.Trial registrationClinicalTrials.gov, NCT03334669. Registered on October 10, 2017 en_US
dc.description.sponsorship National Institutes of Health [T32DK007703] en_US
dc.description.sponsorship This work was supported by the National Institutes of Health (grant number R01DK108200). Jacob Beckerman-Hsu was supported by the National Institutes of Health (grant number T32DK007703). Roger Figueroa was supported by the National Institutes of Health (grant number T32DK007703). No funding agency was involved in the study design, writing of the report, or decision to submit the article for publication. en_US
dc.identifier.citationcount 3
dc.identifier.doi 10.1186/s13063-020-04571-0
dc.identifier.issn 1745-6215
dc.identifier.issue 1 en_US
dc.identifier.pmid 32703293
dc.identifier.scopus 2-s2.0-85088515989
dc.identifier.scopusquality Q2
dc.identifier.uri https://doi.org/10.1186/s13063-020-04571-0
dc.identifier.uri https://hdl.handle.net/20.500.14411/3066
dc.identifier.volume 21 en_US
dc.identifier.wos WOS:000555894600005
dc.identifier.wosquality Q3
dc.institutionauthor Atasoy, Zeynep Begüm Kalyoncu
dc.language.iso en en_US
dc.publisher Bmc en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 7
dc.subject Process evaluation en_US
dc.subject Community-based participatory research en_US
dc.subject Adaptive intervention en_US
dc.subject Stepped-wedge trial en_US
dc.title Communities for Healthy Living (chl) a Community-Based Intervention To Prevent Obesity in Low-Income Preschool Children: Process Evaluation Protocol en_US
dc.type Article en_US
dc.wos.citedbyCount 6
dspace.entity.type Publication
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