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Outcome Measures

Primary Outcomes (1)

Implementation Fidelity (community level)
The primary implementation-fidelity outcome will be measured by direct observation and is defined as the number of session activities completed by the number of sessions delivered.
From BHF session initiation to the end of sessions (~ 12 months) for one cohort in each enrolled community.

Secondary Outcomes (2)

Change in child weight status
3 months
Costs
Up to 24 months

Study Arms (2)

Building Healthy Families (BHF) Program Resources Package Only (BHF-PO)

ACTIVE COMPARATOR

The BHF Program Resources include an online train-the-trainer system, program materials, and a data portal for use by community-based implementation teams. Communities randomized to the BHF Program Resources Package Only (BHF-PO) study condition will have access to the online train-the-trainer system, program materials, and a data portal for use by community-based implementation teams. Community-based implementation teams (CITs) will use the BHF Program Resources to train and deliver the BHF Program to families in their community.

Behavioral: Building Healthy Families Program

Building Healthy Families Learning Collaborative (BHF-LC).

EXPERIMENTAL

Communities randomized to the BHF-LC study condition have access to BHF Program Resources and enhanced training through the learning collaborative facilitation strategy. Community Implementation Team (CIT) members in this study condition will participate in the learning collaborative, which consists of quarterly virtual learning sessions (8 total), over a two-year period. In between learning sessions, each BHF-LC CIT will have a 1-hour 1:1 action period meeting with the research team. Community-based implementation teams (CITs) will use the BHF Program Resources to train and deliver the BHF Program to families in their community.

Interventions

Building Healthy Families ProgramBehavioral

Building Healthy Families (BHF) is an evidence-based, family-based weight management program designed for children aged 5-13 who are overweight or obese and their parents or caregivers. Family-based weight management programs focus on creating a supportive, positive environment for lifestyle behavior change that promotes healthy growth and development. BHF is a group-based program, and education sessions focus on healthy eating, physical activity, and lifestyle modification for the entire family. The BHF Program consists of 12 weekly education sessions (\~2 hours each) and 6 relapse-prevention refresher sessions over 1 year (12 months total). The BHF program meets the current recommendations for intensive health behavior and lifestyle treatment (IHBLT) programs from professional groups, and BHF is a recommended program for community adoption and implementation.

Also known as: BHF Program

Building Healthy Families (BHF) Program Resources Package Only (BHF-PO)Building Healthy Families Learning Collaborative (BHF-LC).

Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.

Eligibility Criteria

Age5 Years+

Sexall

Healthy VolunteersNo

Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

Communities must respond to a call for proposals by submitting a letter of intent and a brief narrative describing the local need for BHF and readiness for implementation. Community eligibility for this trial includes: * Any community is eligible to apply for the competitive BHF RFA process; * BHF RFA scoring prioritizes community narratives that meet the following criteria: (1)Childhood obesity prevention and treatment are a priority health concern; (2) Communities and community-based organizations located in rural, frontier, or micropolitan areas, and/or that provide services to families from these areas; (3) Communities and community-based organizations that provide services or reach families in other low-resource contexts, such as areas with limited access to evidence-based health promotion and disease prevention/treatment interventions. * The community is willing to be randomized to either study condition. * The community is willing to form a Community Implementation Team (CIT) to implement BHF. Eligibility for Community Implementation Teams (CIT) includes: * Adults, age 18 years or older * Employed by or affiliated with the community-based organizations that applied and were selected through the bundled adoption strategy (i.e., LOI/RFA) process. BHF Program Family Eligibility: * Must have at least one child between the ages of 5 and 13 years with a BMI at or above the 85th percentile; * One parent or caregiver must agree to attend BHF sessions with the child.

Study Design

Study Type

interventional

Phase

not applicable

Allocation

RANDOMIZED

Masking

NONE

Purpose

PREVENTION

Intervention Model

PARALLEL

Model Details: Hybrid type three effectiveness-implementation community-level randomized control trial in which communities will be recruited and assigned to one of two study conditions.

Sponsor Type

OTHER

Responsible Party

PRINCIPAL INVESTIGATOR

PI Title

Associate Professor

Scaling up Building Healthy Families

Brief Summary

Registry Overview

Trial Relationships

Study Timeline

Study Start

First Submitted

First Posted

Primary Completion

Study Completion

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (2)

Study Arms (2)

Building Healthy Families (BHF) Program Resources Package Only (BHF-PO)

Building Healthy Families Learning Collaborative (BHF-LC).

Interventions

Eligibility Criteria

Sponsors & Collaborators

Study Sites (1)

MeSH Terms

Conditions

Condition Hierarchy (Ancestors)

Study Officials

Central Study Contacts

Study Design

Study Record Dates

Data Sharing

Source record

Locations

Brief Summary

Registry Overview

Trial Relationships

Related Scientific Literature

Study Timeline

Study Start

First Submitted

First Posted

Primary Completion

Study Completion

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (2)

Study Arms (2)

Building Healthy Families (BHF) Program Resources Package Only (BHF-PO)

Building Healthy Families Learning Collaborative (BHF-LC).

Interventions

Eligibility Criteria

Sponsors & Collaborators

Study Sites (1)

MeSH Terms

Conditions

Condition Hierarchy (Ancestors)

Study Officials

Central Study Contacts

Study Design

Study Record Dates

Data Sharing

Source record

Locations