Kinesiology and Sports Sciences Department, University of Nebraska at Kearney, Kearney, NE, USA.
Department of Health Promotion, University of Nebraska Medical Center, Omaha, NE, USA.
Child Obes. 2021 Sep;17(S1):S62-S69. doi: 10.1089/chi.2021.0171.
Pediatric weight management interventions (PWMIs) have resulted in positive changes among family members and, if widely disseminated, could have an impact on pediatric weight management in rural communities. The purpose of this article is to describe a backward design approach taken to create an online packaged program and implementation blueprint for building healthy families (BHF), an effective PWMI for implementation in rural communities. The backward design process included the identification of end users: primary (facilitators to be trained through the packaged program and implementation blueprint), secondary (researchers and evaluators), terminal (caregivers and children impacted by PWMI participation), tertiary (community support organizations, funding agency promoting widespread PWMI, and payors), as well as, key outcomes for respective end user groups based on the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework. This process resulted in the BHF Online Training Resources and Program package and implementation blueprint that included a modular approach encompassing the interplay of training modules for program facilitators, knowledge checks to ensure mastery of program components, recruitment resources for school and clinical settings, all program materials, embedded fidelity assessments for quality assurance, and a data portal to track participant success. Next steps include preliminary product testing with potential facilitators and a type 3 effectiveness implementation trial to determine the utility of the BHF Online Training Resources and Program package with and without participation in a learning collaborative to support implementation and sustainability.
儿科体重管理干预措施（PWMIs）已经使家庭成员发生了积极变化，如果广泛传播，可能会对农村社区的儿科体重管理产生影响。本文的目的是描述一种反向设计方法，用于创建一个在线综合计划和实施蓝图，以建立健康家庭（BHF），这是一种在农村社区实施的有效的儿科体重管理干预措施。反向设计过程包括确定最终用户：主要用户（通过综合计划和实施蓝图进行培训的促进者）、次要用户（研究人员和评估人员）、终端用户（受 PWMI 参与影响的照顾者和儿童）、三级用户（社区支持组织、促进广泛实施 PWMI 的资助机构和支付方），以及基于可及性、有效性、采用、实施和维持（RE-AIM）框架的各自最终用户群体的关键结果。这一过程产生了 BHF 在线培训资源和计划包以及实施蓝图，其中包括一种模块化方法，涵盖了为计划促进者提供的培训模块的相互作用、确保掌握计划组件的知识检查、学校和临床环境的招募资源、所有计划材料、嵌入式质量保证的忠实度评估以及一个数据门户，用于跟踪参与者的成功。下一步包括与潜在促进者进行初步产品测试，以及 3 型有效性实施试验，以确定 BHF 在线培训资源和计划包的实用性，以及是否参与学习协作以支持实施和可持续性。
