Evaluating the Implementation of the Connect for Health Pediatric Weight Management Program
Authors' conclusion
These findings suggest that by understanding what strategies enable the adoption of scalable and implementation-ready programs by other health care organizations, it is feasible to improve the screening, identification, and management of children with overweight or obesity and mitigate existing disparities.
Study context
- Population
- Pediatric primary care clinicians and staff and families with children aged 2 to 12 years with body mass index (BMI) ≥85th percentile, 3 health care organizations serving low-income communities (Denver, Boston, Greenville), November 2019 to April 2022children with elevated BMI
- Participants
- 18,333 clinicians
- Comparison
- Denver Health vs Massachusetts General Hospital (MGH) vs Prisma Health
- Denver Healthn = 8,480
- MGHn = 6,190
- Prisma Healthn = 3,663
- Outcome
- RE-AIM constructs (parent, clinician and leadership surveys and EHR data): children screened and identified, use of clinical decision support tools, program acceptability, fidelity to intervention and implementation strategies, program sustainability
Methodological detailsmultisite (3 health care organizations), Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework evaluation
- Multisite (3 health care organizations)
- RE-AIM framework evaluation
Main finding
As reported in the abstract
Reach, adoption, fidelity, acceptability and sustainability
| Group | Value | Strategies used consistently | Acceptability of Intervention Measure, mean (SD) | Program sustainability score, mean (SD) |
|---|---|---|---|---|
| Denver Health | 92.4% | 4 (67%) | 3.72 (0.84) | 4.46 (1.61) |
| MGH | 65.8% | 6 (100%) | 3.82 (0.86) | 5.63 (1.28) |
| Prisma Health | 47% | 5 (83%) | 4.28 (0.68) | 5.54 (0.92) |
Value
Denver Health92.4%
MGH65.8%
Prisma Health47%
Strategies used consistently
Denver Health4 (67%)
MGH6 (100%)
Prisma Health5 (83%)
Acceptability of Intervention Measure, mean (SD)
Denver Health3.72 (0.84)
MGH3.82 (0.86)
Prisma Health4.28 (0.68)
Program sustainability score, mean (SD)
Denver Health4.46 (1.61)
MGH5.63 (1.28)
Prisma Health5.54 (0.92)
- Children screened and identified as having elevated BMI
- 18 333
- Actionable flagging system used
- 8718 children (48%)
- Clinical decision support tool uses associated with implementation strategies
- 7091 (39%)
Original publication
Evaluating the Implementation of the Connect for Health Pediatric Weight Management Program. JAMA Netw Open. Published 2 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →