{"doi":"10.1002/oby.24107","title":"Improving access to first‐line treatment for pediatric obesity: Lessons from the dissemination of <scp>SmartMoves</scp>","abstract":"OBJECTIVE: The increasing prevalence of and inequities in childhood obesity demand improved access to effective treatment. The SmartMoves curriculum used in Bright Bodies, a proven-effective, intensive health behavior and lifestyle treatment (IHBLT), was disseminated to ≥30 US sites from 2003 to 2018. We aimed to identify barriers to and facilitators of IHBLT implementation/sustainment. METHODS: We surveyed and interviewed key informants about experiences acquiring/implementing SmartMoves. In parallel, we analyzed and then integrated survey findings and themes from interviews using the constant comparative method. RESULTS: Participants from 16 sites (53%) completed surveys, and 12 participants at 10 sites completed interviews. The 11 sites (63%) that implemented SmartMoves varied in both use of training opportunities/materials and fidelity to program components. In interviews, demand for obesity programming, organizational priorities, and partnerships facilitated implementation. Seven sites discontinued SmartMoves prior to the COVID-19 pandemic. Funding insecurity and insufficient staffing emerged as dominant barriers to implementation/sustainment discussed by all interviewees, and some also noted participants' competing demands and the program's fit with population as challenges. CONCLUSIONS: System- and organizational-level barriers impeded sustainment of an evidence-based IHBLT program. Adequate funding could enable sufficient staffing and training to promote fidelity to the intervention's core functions and adaptation to fit local populations/context.","journal":"Obesity","year":2024,"id":450569,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9552,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":924402,"name":"Caroline V. Keller","orcid":null,"position":1,"is_corresponding":false},{"id":431916,"name":"Marissa A. Gowey","orcid":"0000-0002-4986-3021","position":2,"is_corresponding":false},{"id":524896,"name":"Mary Savoye","orcid":null,"position":3,"is_corresponding":false},{"id":936951,"name":"Stephanie Samuels","orcid":"0000-0002-0873-9841","position":4,"is_corresponding":false},{"id":254531,"name":"Abby F. Fleisch","orcid":"0000-0002-2789-6412","position":5,"is_corresponding":false},{"id":1271073,"name":"Victoria Rogers","orcid":"0009-0003-3756-8134","position":6,"is_corresponding":false},{"id":465647,"name":"Margaret Grey","orcid":"0000-0003-2473-8088","position":7,"is_corresponding":false},{"id":68555,"name":"Laura J. Damschroder","orcid":"0000-0002-3657-8459","position":8,"is_corresponding":false},{"id":798012,"name":"Amy L. Beck","orcid":"0000-0002-4567-8857","position":9,"is_corresponding":false},{"id":413218,"name":"Mona Sharifi","orcid":"0000-0002-1632-7038","position":10,"is_corresponding":false},{"id":517257,"name":"Emily Finn","orcid":null,"position":0,"is_corresponding":true}],"reference_count":48,"raw_metadata":null,"created_at":"2026-07-19T02:02:28.969209Z","pmid":"39192771","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}