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. 2021 Mar 16;11(2):393-407.
doi: 10.1093/tbm/ibaa058.

Stakeholder perspectives and sustainability of an integrated care model for the prevention and management of obesity: the Childhood Obesity Research Demonstration (CORD) project

Rebecca E Lee  1 , Nathan H Parker  2 , Allen M Hallett  3 , Dennis Kao  4 , Maria J Modelska  5 , Hanadi S Rifai  5 , Erica G Soltero  6 , Daniel P O'Connor  7
Affiliations

Stakeholder perspectives and sustainability of an integrated care model for the prevention and management of obesity: the Childhood Obesity Research Demonstration (CORD) project

Rebecca E Lee et al. Transl Behav Med. .

Abstract

Although reliable strategies exist to promote healthy habits that reduce childhood obesity, the sustainability of these strategies remains an ongoing public health challenge. This study aimed to identify factors experienced in a large, multisite project aimed at reducing childhood obesity that might contribute to project sustainability. Hypothesized constructs underpinning sustainability included replicability, continuation of benefits, institutionalization, and community capacity. Key informants (n = 27) completed 60 min, in-depth interviews, which were audio recorded and transcribed. Transcripts were first coded using a combined deductive and inductive approach. Four major themes emerged (with numerous subthemes): developing partnerships, challenges to the sustainability of implemented programming, the importance of intervening in multiple settings, and ongoing implementation and evaluation strategies. Replicability of complex childhood obesity interventions is possible when there are strong partnerships. Benefits can continue to be conferred from programming, particularly when evidence-based strategies are used that employ best practices. Implementation is facilitated by institutionalization and policies that buffer challenges, such as staffing or leadership changes. Community capacity both enhances the sustainability of interventions and develops as a result of strengthening partnerships and policies that support childhood obesity programming.

Keywords: Child; Community; Delivery of health care; Integrated; Interview; Obesity; Program sustainability; Provider.

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References

    1. Economos CD, Curtatone JA. Shaping up Somerville: A community initiative in Massachusetts. Prev Med. 2010;50(Suppl 1):S97–S98. - PubMed
    1. Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year outcomes of behavioral family-based treatment for childhood obesity. Health Psychol. 1994;13(5):373–383. - PubMed
    1. Quattrin T, Roemmich JN, Paluch R, Yu J, Epstein LH, Ecker MA. Efficacy of family-based weight control program for preschool children in primary care. Pediatrics. 2012;130(4):660–666. - PMC - PubMed
    1. Huang TTK, Grimm B, Hammond RA. A systems-based typological framework for understanding the sustainability, scalability, and reach of childhood obesity interventions. Child Health Care. 2011;40(3):253–266.
    1. Pluye P, Potvin L, Denis JL. Making public health programs last: Conceptualizing sustainability. Eval Program Plann. 2004;27(2):121–133.

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