Open AccessTranslating Family-Based Behavioral Treatment for Childhood Obesity into a User-Friendly Digital Package for Delivery to Low-Income Families through Primary Care Partnerships: The MO-CORD Study
Author(s) -
Lauren A. Fowler,
Sarah Hampl,
Meredith L. Dreyer Gillette,
Amanda E. Staiano,
Andrea K. Graham,
Sherri Gabbert,
Kelly Springstroh,
Fanice Thomas,
Lisa Nelson,
Aubrie E. Hampp,
Jordan Carlson,
R. Robinson Welch,
Denise E. Wilfley
Publication year - 2021
Publication title -
childhood obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.913
H-Index - 38
eISSN - 2153-2176
pISSN - 2153-2168
DOI - 10.1089/chi.2021.0174
Subject(s) - childhood obesity , psychological intervention , medicine , stakeholder , reimbursement , business , family medicine , nursing , obesity , health care , public relations , economic growth , overweight , economics , political science
Background: Significant gaps exist in access to evidence-based pediatric weight management interventions, especially for low-income families. As a part of the Centers for Disease Control and Prevention's Childhood Obesity Research Demonstration project 3.0 (CORD), the Missouri CORD (MO-CORD) team aims to increase access to and dissemination of an efficacious pediatric obesity treatment, family-based behavioral treatment (FBT), among low-income families. This article describes the MO-CORD team's approach to translating FBT into a digital package for delivery to low-income families through primary care practices. Methods: Using digital technology, the primary care setting, and existing reimbursement mechanisms, the MO-CORD team is developing a scalable user-centered design informed treatment package of FBT. This package will be implemented in primary care clinics and delivered to children (5-12 years) with obesity from low-income households in rural and urban communities. The digital platform includes three main components: (1) provider and interventionist training, (2) interventionist-facing materials, and (3) family-facing treatment materials. User-centered design techniques and continuous iterative stakeholder feedback are utilized to emphasize tailoring to a low-income population, along with scalability and sustainability of the digital package. Conclusions: The MO-CORD project addresses the critical need to increase access to obesity treatment for children from low-income households and establishes a platform for future large-scale ( i.e. , nation-wide) dissemination of evidence-based pediatric weight-management interventions. This study determines whether the digital FBT package can be implemented within real-world settings to create a system by which children with obesity and their families can be effectively treated in primary care settings.