Complementary Feeding Interventions for Infants and Young Children Under Age 2 Scoping of Promising Interventions to Implement at the Community or State Level (2023) / Chapter Skim
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Appendix F: Scalability Assessments for Informative Studies
Appendix F: Scalability Assessments for Informative Studies
Pages 453-472
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-- a community- eating and active play and, in turn, based cluster RCT of healthy growth from the start of life an early intervention promoting healthy eating and active play and, in turn, healthy growth from the start of life continued 453
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• Videos via internet/app intervention, • Topic-specific handouts • Mobile app including • Additional brochures Materials for training intervention given to from reputable sources providers participants (e.g., Australian Dietary • Comprehensive online training or used in Guidelines) via a learning management intervention • DVD with session system delivery or in videos • Implementation guide the training of • Between session providers)
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after sessions are completed Who: Intervention provider: Intervention provider: Delivered Intervention Research dietitian employed as part of routine practice by provider by the research team practitioners such as dietitians, (describe their Training of provider: maternal and child health nurses, expertise, 2-hr face-to-face training health promotion officers, midwives, background, meetings prior to each other parenting support or allied and any round of INFANT sessions health workers. Training of specific (six in total)
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Groups may be constructed community maternal and for the purpose of delivery or child health nurses as part embedded into existing groups. of free universal health care system in Victoria Australia INFANT sessions started with the group directly after the nurses concluded/when parents took over their own management of the groups When: Total intervention period: 15 Total intervention period: 18 months Describe the months 4× 1.5-hr group sessions at 3, 6, 9, 12 number of 6× 2-hr sessions at 3, 6, 9, mo of age times the 12, 15, 18 mo of age Additional support via app, intervention 5× newsletters sent between including push notifications and was delivered sessions discussion forum between birth and over what 18 mo period of time (including the number of sessions, their schedule and duration, intensity or dose)
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were used key messages and promote facilitator reporting of delivery of to maintain adherence intervention in 12-mo or improve post-training survey fidelity) How well: Program fidelity was Program implementation and data Actual audited via checklists collection in progress; therefore, (describe by researchers attending fidelity is currently uncertain.
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Does the innovation address Addressing unhealthy eating a persistent health or service habits since early infancy and + delivery problem? corresponding obesity risk is a top priority in Victoria Is the innovation based on Based on efficacy trial and sound sound evidence and preferable + conceptual frameworks to alternative approaches?
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institutional factors been considered in designing the project? Has the package of Scale-up based on inputs from interventions been kept as efficacy trial, translational trial, and + simple as possible without stakeholders' input jeopardizing outcomes?
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. INSIGHT TABLE F-3 INSIGHT TIDieR Delivery Feature RCT Intervention Brief Name: Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT)
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Education/guidance and discussions on responsive parenting/obesity prevention messages corresponding to four infant behavior states Specific messages on feeding taught to parents to recognize hunger and satiety cues, offer age-appropriate foods, portion size, repeated exposure, not to use food as a reward, etc. In-person and video demonstrations Who: Intervention provider Intervention provider: Research nurses (describe their expertise, Training of provider: Who performed the background, and any specific trainings was not described training given)
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. TABLE F-4 INSIGHT ExpandNeT Checklist Questions Related to Potential Yes No More Information/Action Needed Scalability (+)
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Has the project identified – Not reported; study conducted in and taken into consideration one community with a homogenous, community, cultural, and gender privileged population factors that might constrain or support implementation of the innovation? Have the norms, values, and – Not reported; no implementing operational culture of the agency identified implementing agency been taken into account in the design of the project?
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but no strong evidence of process evaluation/rigorous study of implementation process Is there provision for early and ? Unclear to what extent funders have continuous engagement with been engaged donors and technical partners to build a broad base of financial support for scale-up?
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Paterson's family systems ecological family systems ecological developmental theory developmental theory Social cognitive theory Social cognitive theory What: Materials Session delivery: Home Session delivery: Home (describe any visiting program delivered visiting program delivered physical or by Navajo paraprofessional by Navajo paraprofessional information family health coaches family health coaches materials used in the intervention, Resources provided to Resources provided to including given participants: FSN content participants: FSN content to participants included optimal infant included optimal infant or used in feeding practices, responsive feeding practices, responsive intervention feeding, avoiding SSBs, feeding, avoiding SSBs, delivery or in optimal complementary optimal complementary the training of feeding practices, and feeding practices, and wholeproviders) whole-family healthy eating family healthy eating practices practices Materials for training: not Materials for training: not described described continued
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Motivational interviewing Motivational interviewing Who: Intervention Navajo paraprofessionals Navajo paraprofessionals provider (describe family health coaches family health coaches their expertise, background, and any specific training given) Who: Target Navajo mothers ages 13 or Expectant Navajo and White population older that lived within 50 Mountain Apache mothers miles of Northern Navajo ages 14–24 having first or Medical Center and had an second baby infant <14 weeks of age How: Mode of Face to face Face to face delivery (e.g., Tablet use Tablet use face to face; and Tabletop flip charts (visuals)
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In addition, they are observed in person on a quarterly basis, and all lessons are audio recorded so that a random 10% of recordings can be reviewed and rated for fidelity. How well: Actual Of the 68 mothers -- (describe the randomized to the Family extent to which Spirit Nurture group, 60 the intervention received at least one home was delivered as visit (88%)
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. TABLE F-6 Family Spirit Nurture ExpandNET Checklist Questions Related to Yes (No)
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(‒) More Information/Action Needed Is the innovation based + Family Spirit Nurture uses the same on sound evidence and format and delivery system as Family preferable to alternative Spirit, a national home visiting model approaches?
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Is the innovation being + Being tested in the home visiting setting tested in the type of and will be delivered in home visiting service delivery points and setting institutional settings in which it will be scaled up? Does the innovation being + The Family Spirit home visiting model is tested require human and currently being implemented in >130 tribal financial resources that can communities in 21 U.S.
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Unclear to what extent existing Family for changes in policies, Spirit model programs would need regulations, and other to change to implement Family Spirit health system components Nurture needed to institutionalize the innovation? Does the project design ‒ No strong evidence of process evaluation/ include mechanisms to rigorous study of implementation process review progress and incorporate new learning into the implementation process?
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2016. Effect of the IN SIGHT responsive parenting intervention on rapid infant weight gain and overweight status at age 1 year: A randomized clinical trial.
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