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  • Engaging with 5 HCs, 1 state PCA and 1 CBO

  • 4 states

  • Cultural adaptations and sustainability prioritization of evidence-based intensive programs for family healthy weight utilizing Implementation Science principles

    • Building new evidence to inform further scale and spread within HCs

  • Evaluation includes:

    • Reach, Equity, Effectiveness, Adoption, Implementation, Maintenance

    • Health behavior change

    • Health knowledge

    • Weight-related Quality of Life

    • Change in weight, BMI and BMI trajectory

    • Weight-related comorbidities: hypertension, prediabetes, and fatty liver

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Measures

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Reach

o   “touches”

o   Addressing ongoing barriers

o   EQUITY

Effectiveness

o   BMI and BP trajectories

o   Labs

o   Pt, family, and staff satisfaction

Adoption

o   Intervention details

o   Staffing models

Implementation

o   INNOVATION tracking

o   Implementation strategies (feeds into reach and effectiveness)

Maintenance

o   Reimbursement models

o   Individual technical assistance

o   Sustainability framework

o   Facilitation guide

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