Evaluation Overview for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project

Davison, Kirsten K.; Falbe, Jennifer; Taveras, Elsie M.; Gortmaker, S. L.; Kulldorff, Martin; Perkins, Meghan; Blaine, Rachel E.; Franckle, Rebecca L.; Ganter, C.; Baidal, Jennifer Woo; Kwass, Jo‐Ann; Buszkiewicz, James; Smith, Lauren A.; Land, Thomas

doi:10.1089/chi.2014.0059

Cited by 38 publications

(54 citation statements)

References 39 publications

(44 reference statements)

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“…26,27 MA-CORD is a multisector intervention to address childhood obesity in 2 Massachusetts communities. MA-CORD communities are predominantly non-Hispanic white (68%) with large Hispanic populations (17% and 22%).…”

Section: Participants and Settingmentioning

confidence: 99%

Sleep Duration, Restfulness, and Screens in the Sleep Environment

Falbe

Davison²,

Franckle³

et al. 2015

Pediatrics

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201

152

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BACKGROUND AND OBJECTIVE: Associations of inadequate sleep with numerous health outcomes among youth necessitate identifying its modifiable determinants. Television (TV) has been associated with sleep curtailment, but little is known about small screens (eg, smartphones), which can be used in bed and emit notifications. Therefore, we examined associations of different screens in sleep environments with sleep duration and perceived insufficient rest or sleep.

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Section: Participants and Settingmentioning

confidence: 99%

Sleep Duration, Restfulness, and Screens in the Sleep Environment

Falbe

Davison²,

Franckle³

et al. 2015

Pediatrics

Self Cite

201

152

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“…8,9 Common measures from previously validated instruments were selected for the CORD target outcomes: fruit and vegetable consumption; sugar-sweetened beverage and water consumption; physical activity (PA); screen time; and sleep duration. In addition, the set of common measures includes indicators that capture important characteristics of communities (e.g., sociodemographics), facilities (e.g., healthcare centers and schools), providers (e.g., physicians and teachers), families and children (e.g., education, income, weight status, and health-related behaviors), as well as aspects of process, sustainability, and costs.…”

Section: Evaluation Frameworkmentioning

confidence: 99%

“…Because the communities and catchment areas were selected by the demonstration project investigators using population-level matching on a wide range of demographic and socioeconomic variables, the initial design groups are adequately sized, matched, and balanced to facilitate within-project comparisons. 2,3,9 Consequently, including categorical variables representing the units of assignment in the analytical model will provide a method for incorporating the heterogeneity among projects and communities into the analysis of the pooled data. This statistical approach is consistent with existing recommendations for pooled analysis and meta-analysis of individual-level data from different studies.…”

Section: Impact Evaluationmentioning

confidence: 99%

Childhood Obesity Research Demonstration Project: Cross-Site Evaluation Methods

O’Connor

Lee²,

Mehta

et al. 2015

Childhood Obesity

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Introduction: The Childhood Obesity Research Demonstration (CORD) project links public health and primary care interventions in three projects described in detail in accompanying articles in this issue of Childhood Obesity. This article describes a comprehensive evaluation plan to determine the extent to which the CORD model is associated with changes in behavior, body weight, BMI, quality of life, and healthcare satisfaction in children 2-12 years of age.Design/Methods: The CORD Evaluation Center (EC-CORD) will analyze the pooled data from three independent demonstration projects that each integrate public health and primary care childhood obesity interventions. An extensive set of common measures at the family, facility, and community levels were defined by consensus among the CORD projects and EC-CORD. Process evaluation will assess reach, dose delivered, and fidelity of intervention components. Impact evaluation will use a mixed linear models approach to account for heterogeneity among project-site populations and interventions. Sustainability evaluation will assess the potential for replicability, continuation of benefits beyond the funding period, institutionalization of the intervention activities, and community capacity to support ongoing program delivery. Finally, cost analyses will assess how much benefit can potentially be gained per dollar invested in programs based on the CORD model.Conclusions: The keys to combining and analyzing data across multiple projects include the CORD model framework and common measures for the behavioral and health outcomes along with important covariates at the individual, setting, and community levels. The overall objective of the comprehensive evaluation will develop evidence-based recommendations for replicating and disseminating community-wide, integrated public health and primary care programs based on the CORD model.

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“…More detailed descriptions of the overall CORD project, the CA-CORD and MA-CORD interventions, and the communities in which they are being implemented are available elsewhere. 48,49,60,61 …”

Section: Initial Conceptualization Of the Multilevel Implementation Fmentioning

confidence: 99%

“…Data on three dimensions of implementation effectiveness (dose delivered, reach, and fidelity) and participant-level intervention outcomes (e.g., child BMI, physical activity, and fruit and vegetable consumption) will be collected as part of the overall CORD evaluation and are described in more detail elsewhere. 60,61 Data on participant responsiveness and differentiation will be collected as part of the qualitative procedures outlined above.…”

Section: Measuring Implementation Effectivenessmentioning

confidence: 99%

Evaluation Protocol To Assess an Integrated Framework for the Implementation of the Childhood Obesity Research Demonstration Project at the California (CA-CORD) and Massachusetts (MA-CORD) Sites

et al. 2015

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Background: The long-term success of child obesity prevention and control efforts depends not only on the efficacy of the approaches selected, but also on the strategies through which they are implemented and sustained. This study introduces the Multilevel Implementation Framework (MIF), a conceptual model of factors affecting the implementation of multilevel, multisector interventions, and describes its application to the evaluation of two of three state sites (CA and MA) participating in the Childhood Obesity Research Demonstration (CORD) project.Methods/Design: A convergent mixed-methods design is used to document intervention activities and identify determinants of implementation effectiveness at the CA-CORD and MA-CORD sites. Data will be collected from multiple sectors and at multiple levels of influence (e.g., delivery system, academic-community partnership, and coalition). Quantitative surveys will be administered to coalition members and staff in participating delivery systems. Qualitative, semistructured interviews will be conducted with project leaders and key informants at multiple levels (e.g., leaders and frontline staff) within each delivery system. Document analysis of project-related materials and in vivo observations of training sessions will occur on an ongoing basis. Specific constructs assessed will be informed by the MIF. Results will be shared with project leaders and key stakeholders for the purposes of improving processes and informing sustainability discussions and will be used to test and refine the MIF.Conclusions: Study findings will contribute to knowledge about how to coordinate and implement change strategies within and across sectors in ways that effectively engage diverse stakeholders, minimize policy resistance, and maximize desired intervention outcomes.

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Evaluation Overview for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project

Abstract: There is ample room for improvement in BMI and health behaviors in children in MA-CORD communities. If successful, MA-CORD may serve as a model for multilevel, multisector approaches to childhood obesity prevention and control.

Cited by 38 publications

References 39 publications

Sleep Duration, Restfulness, and Screens in the Sleep Environment

Sleep Duration, Restfulness, and Screens in the Sleep Environment

Childhood Obesity Research Demonstration Project: Cross-Site Evaluation Methods

Evaluation Protocol To Assess an Integrated Framework for the Implementation of the Childhood Obesity Research Demonstration Project at the California (CA-CORD) and Massachusetts (MA-CORD) Sites

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