Table 2.
Interview guide based on CFIR constructs.
Construct | Aim | Questions | Probes/Follow-up Questions |
---|---|---|---|
Intervention characteristics | |||
Relative advantage | Feasibility of past pediatric weight management strategies in their health centers and community | We'd like to talk about your community's experience in the past with weight management programs and obesity treatment programs. | |
What has been tried in the past? In what setting? | |||
What has worked and why? | |||
What has failed and why? | |||
Gaps and successes in past and current childhood obesity control efforts | What are the key elements to run a successful obesity program? | Specific program elements (advise about nutrition, cooking, portion size, physical activity…) | |
How frequently should patients be engaged in the program? | Personnel? | ||
Do you have recommendations for resources/programs we should work with in your community or in the state? | If coaching is a priority who could deliver this? Community Health Worker? Registered Dietician? What would be ideal? | ||
Funding? | |||
Insurance Reimbursement? | |||
What are the most effective behavioral strategies in your opinion? | |||
Adaptability | Preferred settings for pediatric weight management | We'd like to talk about the ideal setting for children and families to receive obesity treatment. In your opinion what would be the ideal setting for children to receive obesity treatment? | Community vs. Clinical: School, Home, YMCA, PWMI |
What makes this a good setting? | |||
Thoughts on using telephone-based, video-based or other technologies | |||
Domain 2: Outer Setting | |||
Patient needs and resources | Major factors contributing to childhood obesity in their communities | What do you think are a few of the main contributors to childhood obesity in your community? | Lack of access to clinical care? |
Access to community resources such a physical activity, food? | |||
Poverty? | |||
Crime? | |||
External policy and incentives | What would a pediatric weight management treatment package look like that would be appealing to payers | What would a childhood obesity treatment package look like that would be appealing to payers? | Private Insurance, Medicaid, examples of packages previously funded by payers i.e., Diabetes Prevention Program at the YMCA |