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Media Competition Implementation for the Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD): Adoption and Reach
Open AccessArticle

A Cascade of Champions: A Qualitative Study about the MA-CORD Media Competition Implementation

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Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge Building, Boston, MA 02115, USA
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Department of Nutrition, Harvard T.H. Chan School of Public Health, 655 Huntington Avenue, Boston, MA 02115, USA
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Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA
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Massachusetts Department of Public Health, Bureau of Community Health and Prevention, 250 Washington Street, Boston, MA 02108, USA
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Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2016, 13(4), 404; https://doi.org/10.3390/ijerph13040404
Received: 26 February 2016 / Revised: 15 March 2016 / Accepted: 23 March 2016 / Published: 5 April 2016
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. View Full-Text
Keywords: media competition; elementary school; implementation; qualitative; ecological framework for understanding effective implementation media competition; elementary school; implementation; qualitative; ecological framework for understanding effective implementation
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Criss, S.; Tran, A.; Ganter, C.; Aftosmes-Tobio, A.; Gortmaker, S.; Viswanath, K.; Kwass, J.-A.; Davison, K.K. A Cascade of Champions: A Qualitative Study about the MA-CORD Media Competition Implementation. Int. J. Environ. Res. Public Health 2016, 13, 404.

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