An Implementation Approach Comparison of a Child Care Center-Based Obesity Prevention Program Article Swipe
Ruby Natale
,
Folefac Atem
,
Sitara M. Weerakoon
,
Cynthia N. Lebron
,
M. Sunil Mathew
,
Krystal Sardinas
,
Catherina Chang
,
Karla P. Shelnutt
,
Rachel E. Spector
,
Frédéric Altare
,
Sarah Messiah
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1097/dbp.0000000000000861
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1097/dbp.0000000000000861
Objective: To compare the effectiveness of the Healthy Caregivers-Healthy Children (HC2) phase 1 (2011–2014) and 2 (2015–2018) child care center (CCC)-based obesity prevention intervention(s) on child dietary practices and body mass index percentile (PBMI) outcomes over 2 years. Phase 1 was implemented via a university-based research team, and phase 2 was delivered via a train-the-trainers approach (university-based research team trains preschool-based coaches, who in turn train CCC teachers to implement and disseminate HC2). Methods: Phase 1 and 2 were both cluster randomized controlled trials of the HC2 obesity prevention intervention. Phase 1 was composed of 1224 children in 28 CCCs (12 intervention and 16 control). Phase 2 was composed of 825 children in 24 CCCs (12 intervention and 12 control). Both phases included CCCs serving low-resource, predominantly ethnic minority families. Results: The mean rate of weekly fruit consumption significantly increased (β = 0.16, p = 0.001) in phase 1, whereas vegetable intake significantly increased (β = 0.16, p = 0.002) in phase 2 intervention CCCs. Fried (β = −0.36, p < 0.001), fast (β = −0.16, p = 0.001), and other unhealthy food (β = −0.57, p < 0.001) consumption significantly decreased in phase 1 only. The mean rate of snack food consumption significantly decreased in phase 2 (β = −0.97, p < 0.001). Mean child PBMI remained in the healthy range over 2 years for all groups in both study phases. Conclusion: A university-based research team implementation and dissemination approach seemed to be more effective than a train-the-trainers implementation method in improving dietary intake patterns. This finding suggests that CCCs may need robust educational support beyond their existing internal resources for long-term positive dietary intake pattern changes.
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Metadata
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- en
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- https://doi.org/10.1097/dbp.0000000000000861
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- green
- Cited By
- 7
- References
- 45
- Related Works
- 10
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- https://openalex.org/W3087007932
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3087007932Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/dbp.0000000000000861Digital Object Identifier
- Title
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An Implementation Approach Comparison of a Child Care Center-Based Obesity Prevention ProgramWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-09-16Full publication date if available
- Authors
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Ruby Natale, Folefac Atem, Sitara M. Weerakoon, Cynthia N. Lebron, M. Sunil Mathew, Krystal Sardinas, Catherina Chang, Karla P. Shelnutt, Rachel E. Spector, Frédéric Altare, Sarah MessiahList of authors in order
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https://doi.org/10.1097/dbp.0000000000000861Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://www.ncbi.nlm.nih.gov/pmc/articles/9336224Direct OA link when available
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Center (category theory), Medicine, Chemistry, CrystallographyTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2025: 3, 2023: 4Per-year citation counts (last 5 years)
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45Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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