Ignite Creation Date:
2024-10-26 @ 3:37 PM
Last Modification Date:
2024-10-26 @ 3:37 PM
Study NCT ID:
NCT06546696
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-06
Brief Title:
The ADAPT Trial Adapting Evidence-Based Obesity Interventions in Community Settings
Sponsor:
None
Organization:
None
Study Overview
Official Title:
The ADAPT Trial Adapting Evidence-Based Obesity Interventions in Community Settings
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Evidence-based obesity treatment is inaccessible to most children in the United States This lack of access is a source of health inequity whereby children from rural and minority communities who have the highest rates of childhood obesity are also the least likely to receive an evidence-based intervention Developing strategies to improve access to evidence-based obesity interventions could reduce health disparities by improving reach to these underserved communities The premise of this study is that using a systematic framework to adapt a community-based behavioral intervention for childhood obesity that accounts for individual family and community factors will increase reach and effectiveness among low-income minority and rural populations COACH is a multi-level obesity intervention that supports 1 the individual child through developmentally appropriate health behavior curriculum 2 the family by directly addressing parent weight loss and engaging parents as agents of change for their children and 3 the community by building the capacity of local community centers to offer parent-child programming The investigators propose testing the process of adapting COACH in a cluster-randomized trial
Detailed Description:
In Aim 1 the investigators will conduct a community readiness assessment for COACH in 50 community centers serving rural minority and low-income families in middle TN In 25 randomly selected community centers the investigators will use a systematic process to adapt the intervention protocol based on the assessment results while maintaining fidelity to COACHs core components In Aim 2 in a cluster-randomized trial the investigators will test the comparative effectiveness of each implementation strategy adaptation vs original program on the implementation outcomes of reach adoption implementation and maintenance In Aim 3 the investigators will test the comparative effectiveness of the adapted and original intervention
This research is innovative because it uses adaptation science as a potential solution to reduce health disparities in childhood obesity By testing this intervention in a community resource available to 230 million Americans community centers the investigators aim to create a scalable obesity intervention that could be implemented in traditionally underserved populations across the country This study will also develop and test a theory-based process for adapting behavioral interventions for both obesity and other health outcomes among diverse rural and urban communities
This research is innovative because it uses adaptation science as a potential solution to reduce health disparities in childhood obesity By testing this intervention in a community resource available to 230 million Americans community centers the investigators aim to create a scalable obesity intervention that could be implemented in traditionally underserved populations across the country This study will also develop and test a theory-based process for adapting behavioral interventions for both obesity and other health outcomes among diverse rural and urban communities
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None