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Full text release has been delayed at the author's request until August 02, 2025

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Southside Simple Suppers Scale-Up (S4): Results of a Type Two Hybrid Effectiveness-Implementation Trial of an Evidence-Based Family Meals Program

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2020, Master of Science, Ohio State University, Nutrition Program, The Ohio State University.
Background: Simple Suppers is a 10-week evidence-based intervention (EBI) designed to improve family mealtime routines and child weight status among racially diverse elementary-age children from low-income households. Results from a previous trial demonstrated effectiveness, thereby warranting a scale-out study to reach other child populations. Objective: The Southside Simple Suppers Scale-Up (S4) is a hybrid type 2 effectiveness-implementation trial, which has a dual focus on effectiveness and implementation outcomes. This type of trial will allow facilitation of the research translation process to develop effective solutions to promote the health of preschool-age children. Methods: S4 occurred during the 2019-20 school year (Fall, Winter) at 2 Head Start sites (school readiness program for low-income children). Effectiveness outcomes (child health measures, child food preparation skills, family meal routines) were collected at pre- and post-programming via direct measure and survey. Implementation outcomes (appropriateness, adoption, fidelity, fiscal efficiency) were collected throughout programming. Acceptability and appropriateness are assessed through qualitative methods, i.e. caregiver focus groups. Adoption is measured by weekly attendance. Fidelity is assessed with a program-specific checklist. Fiscal efficiency is evaluated by assessing cost of programming per family. Results: Thirty-one families enrolled, and 22 families completed pre- and post-test data collection in 2019-2020. 38% of families were low-income. Mean (SD) child age was 3.67 (0.70) yr, 46% were female, and mean (SD) BMI z-score was 0.92 (1.46). Child attendance was, on average, 56%. Child food preparation skills significantly increased from pre- to post-test (p< 0.05). Programming was delivered as intended >80% of the time at all 3 sessions. Mean weekly cost of food per family was $6.45, and mean cost of full weekly programming (including food, take-home bag, supplies) was $22.19 per family. Conclusions: Results from this novel hybrid effectiveness-implementation trial show that the program was delivered with high fidelity and is highly acceptable, feasible, and appropriate. Effectiveness results show promise, but further research is needed. Continued program modifications will continue to promote this translational research as it is adapted to develop an effective, sustainable program to promote health in preschool-age children and their families. Acknowledgements: USDA NIFA
Carolyn Gunther, PhD (Advisor)
Julie Kennel, PhD, RD (Committee Member)
Tonya Orchard, PhD, RD (Committee Member)
Danielle Musick, MS, RD (Committee Member)
125 p.

Recommended Citations

Citations

  • May, L. R. (2020). Southside Simple Suppers Scale-Up (S4): Results of a Type Two Hybrid Effectiveness-Implementation Trial of an Evidence-Based Family Meals Program [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1593176589768861

    APA Style (7th edition)

  • May, Leah. Southside Simple Suppers Scale-Up (S4): Results of a Type Two Hybrid Effectiveness-Implementation Trial of an Evidence-Based Family Meals Program. 2020. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1593176589768861.

    MLA Style (8th edition)

  • May, Leah. "Southside Simple Suppers Scale-Up (S4): Results of a Type Two Hybrid Effectiveness-Implementation Trial of an Evidence-Based Family Meals Program." Master's thesis, Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1593176589768861

    Chicago Manual of Style (17th edition)