Adaptive Implementation to Optimize Delivery of Obesity Prevention Practices in Early Care and Education Settings
Obesity, Childhood, Nutrition Aspect of Cancer
About this trial
This is an interventional prevention trial for Obesity, Childhood
Eligibility Criteria
Inclusion Criteria:
- 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.
Exclusion Criteria:
- Having classrooms currently using WISE.
Sites / Locations
- University of Arkansas for Medical SciencesRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Experimental
Early Responders to Low Intensity
Non-Responders Continue Low Intensity
Non-Responders Increasing to High Intensity
Early responders will include those with targeted levels of fidelity by the October assessment. They will continue to receive low intensity implementation support (i.e., formal commitments, local champions, implementation blueprint, reminder cutting boards, task-focused implementation).
This group will include those not achieving desired levels of fidelity by the October assessment who will be randomized to continue receiving low intensity implementation support (i.e., formal commitments, local champions, implementation blueprint, reminder cutting boards, task-focused implementation).
This group will include those not achieving desired levels of fidelity by the October assessment who will be randomized to have high intensity support added (low intensity + holistic individualized facilitation, tailored educational materials).