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

Running, not enrolling · Not applicable

Conditions studied: Obesity, Childhood, Nutrition Aspect of Cancer

In brief

"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.

Key facts

Study ID

NCT05050539

Run by

University of Arkansas

People needed

1850

Starts

2022-06-14

Expected to finish

2026-12-30

Last updated by the study team

2026-02-23

Who can join

Age: 3 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• Having classrooms currently using WISE.

Where it is running

• University of Arkansas for Medical Sciences — Little Rock, Arkansas, United States

Full record on ClinicalTrials.gov

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