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Childhood Obesity Research Demonstration Project: Cross-Site Evaluation Methods

机译:儿童肥胖研究示范项目:跨站点评估方法

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摘要

>Introduction: The Childhood Obesity Research Demonstration (CORD) project links public health and primary care interventions in three projects described in detail in accompanying articles in this issue of Childhood Obesity. This article describes a comprehensive evaluation plan to determine the extent to which the CORD model is associated with changes in behavior, body weight, BMI, quality of life, and healthcare satisfaction in children 2–12 years of age.>Design/Methods: The CORD Evaluation Center (EC-CORD) will analyze the pooled data from three independent demonstration projects that each integrate public health and primary care childhood obesity interventions. An extensive set of common measures at the family, facility, and community levels were defined by consensus among the CORD projects and EC-CORD. Process evaluation will assess reach, dose delivered, and fidelity of intervention components. Impact evaluation will use a mixed linear models approach to account for heterogeneity among project-site populations and interventions. Sustainability evaluation will assess the potential for replicability, continuation of benefits beyond the funding period, institutionalization of the intervention activities, and community capacity to support ongoing program delivery. Finally, cost analyses will assess how much benefit can potentially be gained per dollar invested in programs based on the CORD model.>Conclusions: The keys to combining and analyzing data across multiple projects include the CORD model framework and common measures for the behavioral and health outcomes along with important covariates at the individual, setting, and community levels. The overall objective of the comprehensive evaluation will develop evidence-based recommendations for replicating and disseminating community-wide, integrated public health and primary care programs based on the CORD model.
机译:>简介:儿童肥胖研究示范项目(CORD)将公共卫生和初级保健干预措施与本期《儿童肥胖》随附文章中详细描述的三个项目联系在一起。本文介绍了一项综合评估计划,以确定CORD模型与2至12岁儿童的行为,体重,BMI,生活质量和医疗保健满意度的变化相关的程度。>设计/方法::CORD评估中心(EC-CORD)将分析来自三个独立示范项目的汇总数据,每个示范项目都将公共卫生与初级保健儿童肥胖症干预措施结合在一起。在CORD项目和EC-CORD之间达成共识,从而在家庭,设施和社区级别定义了一系列广泛的通用措施。过程评估将评估范围,递送的剂量以及干预成分的保真度。影响评估将使用混合线性模型方法来说明项目现场人群和干预措施之间的异质性。可持续性评估将评估可复制性的潜力,超出资助期限的利益继续,干预活动的制度化以及社区支持正在进行的计划交付的能力。最后,成本分析将评估基于CORD模型的每美元投资于程序的潜在收益。>结论:跨多个项目组合和分析数据的关键包括CORD模型框架和通用衡量行为和健康结果的方法,以及个人,环境和社区各级的重要协变量。全面评估的总体目标将提出基于证据的建议,以基于CORD模型复制和传播社区范围的综合公共卫生和初级保健计划。

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