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A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas
IMPLEMENTATION EVALUATION — Volume 18 — February 11, 2021
PEER REVIEWED
Of the 93 counties in Nebraska, 3 were ineligible as a site for Building Healthy Families. Of the 90 counties eligible, 7 communities representing 17 counties (Scotts Bluff, Lincoln, Hall, Adams, Webster, Nuckolls, Clay, Hamilton, Merrick, Nance Boone, Platte, Colfax, Cedar, Wayne, Dixon, Thurston) submitted both a letter of intent and a community narrative. Community E, representing 12 counties, submitted a letter of intent only.
Figure 1.
Counties deemed eligible (n = 90) and response to the request for application among counties interested in adopting and implementing Building Healthy Families, a pediatric weight management intervention, Nebraska, 2019.
Figure 2.
Organizational readiness to change assessment (ORCA) scores in the 8 communities that submitted a letter of intent expressing interest in adopting and implementing Building Healthy Families, a pediatric weight management intervention, Nebraska, 2019. Readiness was operationalized as “ready” if the mean scale and subscale scores were greater than 4.0, “somewhat ready” if the mean scores were greater than 3.0 but less than 4.0, and “not ready” if the mean scores were 3.0 or less.
| Community | Evidence | Context | Facilitation |
|---|---|---|---|
| Community A | 4.5 | 4.7 | 4.7 |
| Community B | 4.6 | 4.8 | 4.7 |
| Community C | 4.3 | 4.6 | 4.8 |
| Community D | 4.5 | 4.9 | 4.8 |
| Community E | 4.1 | 4.5 | 4.5 |
| Community F | 4.2 | 4.6 | 4.4 |
| Community G | 4.2 | 4.2 | 4.3 |
| Community H | 4.6 | 4.5 | 4.6 |
Figure 3.
Community readiness to implement Building Healthy Families (BHF), a pediatric weight management intervention, Nebraska, 2019. Readiness was operationalized as “ready” (in green) if the mean scale and subscale scores were greater than 4.0, “somewhat ready” (in yellow) if the mean scores were greater than 3.0 but less than 4.0, and “not ready” (in red) if the mean scores were 3.0 or less. Abbreviations: CAB, community advisory board; NA, not applicable.
| Community A | Community B | Community C | Community D | Community E | Community F | Community G | Community H |
|---|---|---|---|---|---|---|---|
| Evidence | Evidence | Evidence | Evidence | Evidence | Evidence | Evidence | Evidence |
| Research (ready) | Research (ready) | Research (ready) | Research (ready) | Research (somewhat ready) | Research (ready) | Research (ready) | Research (ready) |
| Community experience (ready) | Community experience (ready) | Community experience (ready) | Community experience (ready) | Community experience (somewhat ready) | Community experience (ready) | Community experience (ready) | Community experience (ready) |
| Community member preference (ready) | Community member preference (ready) | Community member preference (ready) | Community member preference (ready) | Community member preference (ready) | Community member preference (ready) | Community member preference (ready) | Community member preference (ready) |
| Context | Context | Context | Context | Context | Context | Context | Context |
| Leader culture (ready) | Leader culture (ready) | Leader culture (ready) | Leader culture (ready) | Leader culture (ready) | Leader culture (ready) | Leader culture (ready) | Leader culture (ready) |
| Staff culture (ready) | Staff culture (ready) | Staff culture (ready) | Staff culture (ready) | Staff culture (ready) | Staff culture (ready) | Staff culture (ready) | Staff culture (ready) |
| Leadership behavior (ready) | Leadership behavior (ready) | Leadership behavior (ready) | Leadership behavior (ready) | Leadership behavior (ready) | Leadership behavior (ready) | Leadership behavior (ready) | Leadership behavior |
| Measurement (ready) | Measurement (ready) | Measurement (ready) | Measurement (ready) | Measurement (ready) | Measurement (ready) | Measurement (somewhat ready) | Measurement (ready) |
| Opinion leader readiness (ready) | Opinion leader readiness (ready) | Opinion leader readiness (ready) | Opinion leader readiness (ready) | Opinion leader readiness (ready) | Opinion leader readiness (ready) | Opinion leader readiness (ready) | Opinion leader readiness (ready) |
| General resources (ready) | General resources (ready) | General resources (ready) | General resources (ready) | General resources (somewhat ready) | General resources (ready) | General resources (somewhat ready) | General resources (ready) |
| Facilitation | Facilitation | Facilitation | Facilitation | Facilitation | Facilitation | Facilitation | Facilitation |
| Leader characteristics (ready) | Leader characteristics (ready) | Leader characteristic (ready)s | Leader characteristics (ready) | Leader characteristics (ready) | Leader characteristics (ready) | Leader characteristics (ready) | Leader characteristics (ready) |
| Project champion characteristics (ready) | Project champion characteristics (ready) | Project champion characteristics (ready) | Project champion characteristics (ready) | Project champion characteristics (ready) | Project champion characteristics (ready) | Project champion characteristics (ready) | Project champion characteristics (ready) |
| Leadership implementation roles (ready) | Leadership implementation roles (ready) | Leadership implementation roles (ready) | Leadership implementation roles (ready) | Leadership implementation roles (ready) | Leadership implementation roles (ready) | Leadership implementation roles (ready) | Leadership implementation roles (ready) |
| Implementation team roles (ready) | Implementation team roles (ready) | Implementation team roles (ready) | Implementation team roles (ready) | Implementation team roles (ready) | Implementation team roles (ready) | Implementation team roles (ready) | Implementation team roles (ready) |
| Community narrative rank 4 |
Community narrative rank 5 |
Community narrative rank 6 |
Community narrative rank 3 |
Community narrative rank NA |
Community narrative rank 7 |
Community narrative rank 2 |
Community narrative rank 1 |
| BHF-CAB research team member narrative score (ready) | BHF-CAB research team member narrative score (somewhat ready) | BHF-CAB research team member narrative score (somewhat ready) | BHF-CAB research team member narrative score (somewhat ready) | BHF-CAB research team member narrative score (not ready) | BHF-CAB research team member narrative score (somewhat ready) | BHF-CAB research team member narrative score (ready) | BHF-CAB research team member narrative score (ready) |
| BHF-CAB community team member narrative score (somewhat ready) | BHF-CAB community team member narrative score (ready) | BHF-CAB community team member narrative score (somewhat ready) | BHF-CAB community team member narrative score (ready) | BHF-CAB community team member narrative score (not ready) | BHF-CAB community team member narrative score (somewhat ready) | BHF-CAB community team member narrative score (ready) | BHF-CAB community team member narrative score (ready) |
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