Using the RE-AIM Framework to Evaluate a Community-based Summer Camp for Children with Obesity: a Prospective Feasibility Study

Overview

Journal BMC Obes

Publisher Biomed Central

Date 2015 Jul 29

PMID 26217536

Citations 12

Authors

Shauna M Burke

Sheree Shapiro

Robert J Petrella

Jennifer D Irwin

Michelle Jackman

Erin S Pearson

Harry Prapavessis

Joel Kevin Shoemaker

Affiliations

Soon will be listed here.

Abstract

Background: Increasing rates of childhood overweight and obesity highlight a need for the evaluation of lifestyle interventions. The purpose of the study was to determine the Reach, Effectiveness, Adoption, Implementation and Maintenance of a novel family-focused program targeting children with obesity (i.e., the Children's Health and Activity Modification Program [C.H.A.M.P.]) using the RE-AIM framework, an evaluation tool for community-based health interventions.

Methods: A single-centre, single cohort interventional feasibility study was conducted over the course of two years. Children with obesity and their families completed a 4-week group-based lifestyle intervention in Year 1 (n = 15; M age = 10.6; 53% female) and/or Year 2 (n = 25; M age = 10.6; 56% female). Outcome variables were measured pre- and post-intervention, as well as 6- and 12-months following completion of the formal program.

Results: Overall, C.H.A.M.P. had high reach in terms of participant representativeness. In addition, participation in the program was associated with significantly improved standardized body mass index (BMI-z), body fat percentage, lean mass percentage, and child- and parent-proxy reported quality of life (QOL; effectiveness/individual maintenance). Furthermore, a number of community partnerships were built, strengthened, and maintained prior to, during, and following implementation of the two-year program (adoption/setting maintenance, respectively). Finally, the intervention was delivered as intended as evidenced by high adherence to the schedule, attendance rates, and cost effectiveness (implementation).

Conclusions: Based on RE-AIM metrics, C.H.A.M.P. appears to be a promising childhood obesity program. The findings reported will inform researchers and practitioners on how to design and implement future community-based programs addressing pediatric obesity.

Trial Registration: ISRCTN Registry, Study ID ISRCTN13143236. Registered 27 March 2015.

Citing Articles

Using the RE-AIM framework to evaluate the feasibility of a parent-focused intervention targeting childhood obesity.

Briatico D, Reilly K, Tucker P, Irwin J, Johnson A, Pearson E Pilot Feasibility Stud. 2023; 9(1):38.

PMID: 36915150 PMC: 10009980. DOI: 10.1186/s40814-023-01248-8.

Designing a program evaluation for a medical-dental service for adults with autism and intellectual disabilities using the RE-AIM framework.

Lai J, Klag M, Shikako-Thomas K Learn Health Syst. 2019; 3(3):e10192.

PMID: 31317073 PMC: 6628980. DOI: 10.1002/lrh2.10192.

Participants' Perceptions of "C.H.A.M.P. Families": A Parent-Focused Intervention Targeting Paediatric Overweight and Obesity.

Reilly K, Briatico D, Irwin J, Tucker P, Pearson E, Burke S Int J Environ Res Public Health. 2019; 16(12).

PMID: 31248201 PMC: 6617231. DOI: 10.3390/ijerph16122171.

Operationalizing the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework to evaluate the collective impact of autonomous community programs that promote health and well-being.

Shaw R, Sweet S, McBride C, Adair W, Martin Ginis K BMC Public Health. 2019; 19(1):803.

PMID: 31234804 PMC: 6591988. DOI: 10.1186/s12889-019-7131-4.

Evaluating a childhood obesity program with the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.

Lew M, lAllemand D, Meli D, Frey P, Maire M, Isenschmid B Prev Med Rep. 2019; 13:321-326.

PMID: 30792947 PMC: 6369326. DOI: 10.1016/j.pmedr.2019.01.017.

References

Bellg A, Borrelli B, Resnick B, Hecht J, Minicucci D, Ory M . Enhancing treatment fidelity in health behavior change studies: best practices and recommendations from the NIH Behavior Change Consortium. Health Psychol. 2004; 23(5):443-51. DOI: 10.1037/0278-6133.23.5.443. View

Klesges L, Williams N, Davis K, Buscemi J, Kitzmann K . External validity reporting in behavioral treatment of childhood obesity: a systematic review. Am J Prev Med. 2012; 42(2):185-92. PMC: 4573550. DOI: 10.1016/j.amepre.2011.10.014. View

Davison K, Lawson H, Coatsworth J . The Family-centered Action Model of Intervention Layout and Implementation (FAMILI): the example of childhood obesity. Health Promot Pract. 2011; 13(4):454-61. DOI: 10.1177/1524839910377966. View

Robertson W, Friede T, Blissett J, Rudolf M, Wallis M, Stewart-Brown S . Pilot of "Families for Health": community-based family intervention for obesity. Arch Dis Child. 2008; 93(11):921-6. DOI: 10.1136/adc.2008.139162. View

Wilfley D, Tibbs T, Van Buren D, Reach K, Walker M, Epstein L . Lifestyle interventions in the treatment of childhood overweight: a meta-analytic review of randomized controlled trials. Health Psychol. 2007; 26(5):521-32. PMC: 2040042. DOI: 10.1037/0278-6133.26.5.521. View

Upton P, Taylor C, Erol R, Upton D . Family-based childhood obesity interventions in the UK: a systematic review of published studies. Community Pract. 2014; 87(5):25-9. View

Collins C, Warren J, Neve M, McCoy P, Stokes B . Measuring effectiveness of dietetic interventions in child obesity: a systematic review of randomized trials. Arch Pediatr Adolesc Med. 2006; 160(9):906-22. DOI: 10.1001/archpedi.160.9.906. View

Roberts K, Shields M, de Groh M, Aziz A, Gilbert J . Overweight and obesity in children and adolescents: results from the 2009 to 2011 Canadian Health Measures Survey. Health Rep. 2012; 23(3):37-41. View

Gately P, Cooke C, Butterly R, Mackreth P, Carroll S . The effects of a children's summer camp programme on weight loss, with a 10 month follow-up. Int J Obes Relat Metab Disord. 2000; 24(11):1445-52. DOI: 10.1038/sj.ijo.0801405. View

10.

Franckle R, Adler R, Davison K . Accelerated weight gain among children during summer versus school year and related racial/ethnic disparities: a systematic review. Prev Chronic Dis. 2014; 11:E101. PMC: 4060873. DOI: 10.5888/pcd11.130355. View

11.

Baur L . Tackling the epidemic of childhood obesity. CMAJ. 2009; 180(7):701-2. PMC: 2659832. DOI: 10.1503/cmaj.090196. View

12.

Pearson E, Irwin J, Burke S . The Children's Health and Activity Modification Program (C.H.A.M.P.): participants' perspectives of a four-week lifestyle intervention for children with obesity. J Child Health Care. 2012; 16(4):382-94. DOI: 10.1177/1367493512446239. View

13.

Garst B, Browne L, Bialeschki M . Youth development and the camp experience. New Dir Youth Dev. 2011; 2011(130):73-87. DOI: 10.1002/yd.398. View

14.

Foster G, Sundal D, McDermott C, Jelalian E, Lent M, Vojta D . Feasibility and preliminary outcomes of a scalable, community-based treatment of childhood obesity. Pediatrics. 2012; 130(4):652-9. DOI: 10.1542/peds.2012-0344. View

15.

Varni J, Seid M, Kurtin P . PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001; 39(8):800-12. DOI: 10.1097/00005650-200108000-00006. View

16.

Patsopoulos N . A pragmatic view on pragmatic trials. Dialogues Clin Neurosci. 2011; 13(2):217-24. PMC: 3181997. View

17.

Glasgow R . RE-AIMing research for application: ways to improve evidence for family medicine. J Am Board Fam Med. 2006; 19(1):11-9. DOI: 10.3122/jabfm.19.1.11. View

18.

John J, Wolfenstetter S, Wenig C . An economic perspective on childhood obesity: recent findings on cost of illness and cost effectiveness of interventions. Nutrition. 2012; 28(9):829-39. DOI: 10.1016/j.nut.2011.11.016. View

19.

. Position of the American Dietetic Association: individual-, family-, school-, and community-based interventions for pediatric overweight. J Am Diet Assoc. 2006; 106(6):925-45. DOI: 10.1016/j.jada.2006.03.001. View

20.

Jelalian E, Foster G, Sato A, Berlin K, McDermott C, Sundal D . Treatment adherence and facilitator characteristics in a community based pediatric weight control intervention. Int J Behav Nutr Phys Act. 2014; 11:17. PMC: 3926266. DOI: 10.1186/1479-5868-11-17. View