Abstract：
:A media competition was part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study. Criss et al., previously outlined the development and implementation of the competition, including variation in reach and adoption of the intervention across schools and afterschool programs. In this qualitative study, we examine community, provider, and organizational factors that explain the variation of media competition reach in school and afterschool programs, and describe the awareness of the media competition across other community sectors. Durlak and DuPre's ecological framework for understanding effective implementation provided the theoretical underpinnings for this study. Fifty-four key informant interviews were conducted, transcribed, and analyzed. Organizational capacity of committed teachers/staff and adaptability of the media competition seemed to be drivers for higher reach within school and afterschool programs. Salient themes that emerged as facilitators of effective implementation were having a cascade of champions and providing opportunity to participate in the media competition outside traditional class time. Clinics and coalitions were identified as additional sectors aware of the media competition. Specifically, our findings offer a new perspective on intervention design and a recommended direction for further study.
journal_name
Int J Environ Res Public Healthauthors
Criss S,Tran A,Ganter C,Aftosmes-Tobio A,Gortmaker S,Viswanath K,Kwass JA,Davison KKdoi
10.3390/ijerph13040404subject
Has Abstractpub_date
2016-04-05 00:00:00pages
404issue
4eissn
1661-7827issn
1660-4601pii
ijerph13040404journal_volume
13pub_type
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