Go NAPSACC Kentucky Dissemination and Implementation
A hybrid effectiveness-implementation trial of Go NAPSACC: a childcare-based obesity prevention program
The study includes a randomized controlled trial and hybrid effectiveness-implementation design to (1) evaluate the impact of Go NAPSACC on centers’ implementation of evidence-based practices, and (2) assess the reach, adoption, implementation, and maintenance that can be achieved with an Enhanced vs. Basic implementation model. The study targets child care centers in Kentucky, the state with the 6th highest rate of child obesity in the U.S. The study team works with Child Care Aware of Kentucky and 26 of their existing technical assistance (TA) coaches across Kentucky to recruit 97 child care centers. TA coaches delivering Enhanced Go NAPSACC will integrate steps from the Quality Implementation Framework to support general and intervention-specific capacity building by child care centers, which are hypothesized to improve the implementation of evidence-based best practices. Outcomes, guided by RE-AIM and Consolidated Framework for Implementation Research, assess centers’ implementation of evidence- based practices, changes in the diet quality and physical activity provided to children while at child care, markers of Go NAPSACC implementation, contextual factors influencing implementation, and costs. This is a project of the Children’s Healthy Weight Research Group (CHWRG).
Dianne Ward, EdD
National Heart, Lung, and Blood Institute (NHLBI)