Reducing childhood obesity through coordinated care: Development of a park prescription program

Table 1 Abbreviated reach, effectiveness/efficacy, adoption, implementation, and maintenance item(s) and methods/approach/ measure

Study topic area: Childhood obesity prevention via coordination of care, Parks Rx 4HealthTM	Study setting: Pediatric Primary Care Clinics, MDPROS-based afterschool Fit2PlayTM program
Dimensions/item	Method/approach/measure
Reach
Characteristics of participants compared to non-participants or to target population	Proportion of family/patient referrals who register for Fit2PlayTM, continue to participate for entire 6 mo Proportion of pediatricians who make referrals via Parks Rx 4HealthTM
Effectiveness
Measure of primary outcome with or w/o comparison to a public health goal	Proportion of youth participants who improve in above listed individual measures (BMI, BP, fitness, etc.)
Measure of broader outcomes (e.g., other outcomes, measure of life improvements, or potential negative outcome)	Mean improvement of cardiovascular health, physical activity levels, anthropometrics; satisfaction with Parks Rx 4HealthTM program
Adoption-setting level
Characteristics of settings participating (comparison and intervention) compared to either: non participants or relevant resource data	Overall satisfaction with Parks Rx 4HealthTM program (pediatrician referral process, Fit2PlayTM program, family/child Fit2PlayTM participants/completers vs non-completers)
Use of qualitative methods to understand adoption at setting level	Focus group with pediatricians, park coaches and children; process evaluation with pediatricians, park coaches and parents
Implementation
Percent of perfect delivery (adherence or consistency)	Pediatrician and Parent Satisfaction Survey, Parks Rx 4HealthTM adherence measure
Adaptations made to intervention during study	Focus groups with pediatricians and park coaches at end of study
Maintenance - individual level
Measure of primary outcome at follow-up after final intervention contact	Proportion of children participants who continue in Fit2PlayTM Proportion of pediatricians who make Parks Rx 4HealthTM referrals
Qualitative data to understand long -term effects	Pediatrician, Family and Park Health and Wellness Coaches Satisfaction Survey
Maintenance - setting level
Program is ongoing at ≥ 6 mo post-study funding	Proportion of pediatricians using Parks Rx 4HealthTM 3-mo post-pilot phase
Some measure/discussion of alignment to organization mission or sustainability	Adoption of Parks Rx 4HealthTM program by the National Recreation and Park Association, promotion by the American Academy of Pediatrics

MDPROS: Miami Dade County Department of Parks, Recreation and Open Spaces; BMI: Body mass index.