Extension Family Development, Human Development, Washington State University, Seattle, WA 98103, USA.
Human Development, Washington State University, Vancouver, WA 98686, USA.
Int J Environ Res Public Health. 2020 Sep 25;17(19):7038. doi: 10.3390/ijerph17197038.
Because families are the primary food socialization agent for children, they are a key target for nutrition interventions promoting healthy eating development. Although researchers and clinicians have developed and tested successful family nutrition interventions, few have gained widespread dissemination. Prevention and implementation science disciplines can inform the design, testing, and dissemination of feeding interventions to advance the goals of widespread adoption and population health impact. We review concepts and frameworks from prevention science and dissemination and implementation (D&I) research that are useful to consider in designing, implementing, and evaluating feeding interventions. Risk and protective factor frameworks, types of translation processes, and implementation dimensions are explained. Specifically, we address how research-practice partnerships can reduce time to dissemination, how designing for modularity can allow for contextual adaptation, how articulating core components can strengthen fidelity and guide adaptation, and how establishing technical assistance infrastructure supports these processes. Finally, we review strategies for building capacity in D&I research and practice for nutrition professionals. In sum, the research and knowledge bases from prevention and implementation sciences offer guidance on designing and delivering family interventions in ways that maximize the potential for their broad dissemination, reducing time to translation and optimizing interventions for real-world settings.
由于家庭是儿童主要的食物社会化代理,因此它们是促进健康饮食发展的营养干预的关键目标。尽管研究人员和临床医生已经开发和测试了成功的家庭营养干预措施,但很少有措施得到广泛传播。预防和实施科学学科可以为喂养干预措施的设计、测试和传播提供信息,以推进广泛采用和对人口健康产生影响的目标。我们回顾了预防科学和传播及实施(D&I)研究中的概念和框架,这些概念和框架在设计、实施和评估喂养干预措施时很有用。解释了风险和保护因素框架、翻译过程类型和实施维度。具体来说,我们讨论了如何通过研究-实践伙伴关系来缩短传播时间,如何通过设计模块化来允许适应背景,如何阐明核心组件来增强一致性并指导适应,以及如何建立技术援助基础设施来支持这些过程。最后,我们回顾了为营养专业人员建立 D&I 研究和实践能力的策略。总之,预防和实施科学的研究和知识库为设计和提供家庭干预措施提供了指导,这些干预措施以最大限度地扩大其广泛传播的潜力为目标,从而缩短转化时间,并针对实际情况优化干预措施。