Table 2.
CAPACITY EFFORTS | CAPACITY AND SUSTAINABILTY OUTCOMES | |
---|---|---|
Conception | • Conducted planning meetings with select partners • SWOT analysis used to further understand childhood obesity treatment needs in the region • Developed research aims for an NIH Planning Grant • Partners provided input on budget and scope of work necessary for proposed project |
•Successful submission of NIH Planning grant • Awarded funding for a 3 year NIH planning grant “Partnering for Obesity Planning and Sustainability (POPS)” |
Development | •Met face to face regularly on a monthly basis • Neutral facilitator to lead meetings/team building activities • Established decision and shared agenda making procedures • Members identified individual/organizational resources • Identification of key capacity constructs and development of a capacity evaluation plan to monitor progress of the CAB • Collaborative review of evidence-based childhood obesity treatment programs • Group roles defined (e.g., development, recruitment, implementation, dissemination) • Creation of subcommittees for curriculum development, recruitment, and implementation |
•Established a common vision that connects with the mission of each partner organization • Identified a childhood obesity program for adaptation • Expertise on target population used to adapt the program • Implemented the capacity evaluation plan • Planned and executed recruitment procedures for cohort 1 • Planned an implementation strategy for cohort 1 |
Implementation | • Established regular communication channels to problem solve issues with implementation • Community partners trained in program implementation • Adapted program materials to address health literacy using feedback from participants and CAB members • Trained community partners for leadership role in cohort 2 • Recruited and enrolled participants into cohort 1 • Collected and analyzed cohort 1 data • Rresults from cohort 1 informed adaptations for cohort 2 • Recruited and enrolled eligible participants into cohort 2 |
• Adapted program materials using universal health literacy precautions • Identified key aspects of the sustainably action plan • Presented a poster of capacity findings at the Minority Health and Health Disparities Grantee’s Conference • Implemented Cohorts 1 and 2 with high levels of fidelity • Analysis of cohort 1 data indicated preliminary success with primary outcomes • Initial capacity evaluation findings indicated positive capacity building efforts |
Evaluation/Adaptation | • Review Cohort 1 and 2 data analyses • Identify and brainstorm on problems identified through the data (e.g., recruitment, retention, adherence) • Developed and disseminated a marketing video on iChoose • Recruited and enrolled participants into cohort 3 • Piloted open referral processes, including eligibility screening • Collected and analyzed cohort 2 and 3 data • CAB members are involved in discussing research questions to guide grant proposals • Collaborative grant writing efforts • CAB members solicit additional future members to include in future efforts • Celebrated successes with community stakeholders |
• Community partners implemented Cohort 3 with high fidelity • Obtained supplemental NIH funding to create a PAT made up of former iChoose participants to inform curriculum enhancements and strategize on recruitment and engagment • Vision of the PAT becomes central to proposal aims • Submitted proposal for NIH R01 grant [unsuccessful] • Submitted proposal for NIH U01 grant [unsuccessful] • Received letters of support from Danville City Public Schools and Piedmont Access to Health Services as potential future CAB members • Three conference research posters presented (health literacy, process evaluation, and call engagement) • CAB members present iChoose at local Health Summit |
Sustainability | • CAB members continue to contribute to grant writing efforts • PAT continues to meet on a regular basis to pilot future curriculum ideas |
• Funding gap addressed through overhead funds and in-kind contributions from partners • Submitted third proposal for NIH R01 grant funding [not successful] • Submitted fourth proposal to PCORI funding [successful—project start date is set as June 1st, 2017] • Lessons Plans for expanded iChoose curriculum created • Submission of manuscripts on capacity and health literacy • Conference research poster presentation on engagement and satisfaction |
Notes: Strengths, Weaknesses, Opportunities, and Threats (SWOT); Children’s Healthcare Center (CHC); Pittsylvania Danville Health District (PDHD); Virginia Tech (VT); Parent Advisory Team (PAT); Patient Centered Outcomes Research Institute (PCORI)