Abstract
Background: Significant gaps exist in access to evidence-based pediatric weight management interventions, especially for low-income families. As a part of the Centers for Disease Control and Prevention's Childhood Obesity Research Demonstration project 3.0 (CORD), the Missouri CORD (MO-CORD) team aims to increase access to and dissemination of an efficacious pediatric obesity treatment, family-based behavioral treatment (FBT), among low-income families. This article describes the MO-CORD team's approach to translating FBT into a digital package for delivery to low-income families through primary care practices. Methods: Using digital technology, the primary care setting, and existing reimbursement mechanisms, the MO-CORD team is developing a scalable user-centered design informed treatment package of FBT. This package will be implemented in primary care clinics and delivered to children (5-12 years) with obesity from low-income households in rural and urban communities. The digital platform includes three main components: (1) provider and interventionist training, (2) interventionist-facing materials, and (3) family-facing treatment materials. User-centered design techniques and continuous iterative stakeholder feedback are utilized to emphasize tailoring to a low-income population, along with scalability and sustainability of the digital package. Conclusions: The MO-CORD project addresses the critical need to increase access to obesity treatment for children from low-income households and establishes a platform for future large-scale (i.e., nation-wide) dissemination of evidence-based pediatric weight-management interventions. This study determines whether the digital FBT package can be implemented within real-world settings to create a system by which children with obesity and their families can be effectively treated in primary care settings.
| Original language | English (US) |
|---|---|
| Pages (from-to) | S30-S38 |
| Journal | Childhood Obesity |
| Volume | 17 |
| Issue number | S1 |
| DOIs | |
| State | Published - Sep 1 2021 |
Funding
This manuscript was supported by the Centers for Disease Control and Prevention of the US Department of Health and Human Services (HHS) (award no. U18DP006425). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the US Government. L.A.F. and F.T. are supported by grant T32 HL130357 from the National Heart, Lung, and Blood Institute of the National Institutes of Health (NIH). C.L.K. is supported by T32 DK064584 and A.K.G. is supported by K01 DK116925 from the National Institute of Diabetes and Digestive and Kidney Diseases of the NIH. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Keywords
- dissemination
- evidence-based treatment
- family-based behavioral treatment
- pediatric obesity
- primary care
- technology
- training
ASJC Scopus subject areas
- Nutrition and Dietetics
- Pediatrics, Perinatology, and Child Health
- Endocrinology, Diabetes and Metabolism
