What type of study is this?

This is a Pre-Registered Trial study.

What question did this study set out to answer?

To identify strengths and gaps in coverage of the HEALTH intervention to inform implementation strategies.

February 26, 2026Open Access

Accessibility, acceptability, and usage during COVID-19 of the evidence-based intervention Healthy Eating and Active Living Taught at Home (HEALTH): implications for implementation strategies

Key Points

To identify strengths and gaps in coverage of the HEALTH intervention to inform implementation strategies.
Descriptive analyses of baseline data from the HEALTH D&I study during COVID-19.
Measurement of coverage using an adapted RE-AIM framework.
Assessment of home visitor referrals, mother satisfaction, and number of visits.
Evaluation of the proportion of HEALTH content and lessons delivered.
67% of home visitors made at least one referral to HEALTH; the average was 2.05 referrals.
80% of mothers reported satisfaction with HEALTH.
Mothers received an average of 13.91 visits.
39% of all HEALTH lessons, 66% of core lessons, and 33% of handouts were delivered.
Only 26% of mothers received all 8 core HEALTH lessons.

Abstract

Healthy Eating and Active Living Taught at Home (HEALTH) is an evidence-based intervention (EBI) embedded in Parents as Teachers (PAT) home visiting to improve weight outcomes among mothers. Public health impact of HEALTH relies on EBI coverage (accessibility, acceptability, usage). Therefore, the purpose of this study is to identify coverage strengths/gaps which can inform dissemination and implementation (D however, 33% made no HEALTH referrals. The average number of referrals was 2.05 (SD = 2.38). Most mothers (80%) were satisfied with HEALTH. The average number of visits mothers received was 13.91 (SD = 10.62). On average 39% of all 24 HEALTH lessons, 66% of the eight core HEALTH lessons, and 33% of the HEALTH handouts were delivered. Only 26% of mothers received all 8 core HEALTH lessons. These lessons focus on goals and basic information on healthy eating and physical activity (e.g., Your Health Goals, Let’s Get Moving!, Making Healthy Beverage Habits) and make up the core section of the HEALTH curriculum. This study demonstrates integration of D usage) supporting the need for implementation strategies to increase adoption (e.g., building partner relationships, choosing strategic partners, ) and support implementation (e.g., facilitate peer learning, create program guide). NCT03758638 (https//clinicaltrials.gov/study/NCT03758638), registered Nov 29, 2018.

Accessibility, acceptability, and usage during COVID-19 of the evidence-based intervention Healthy Eating and Active Living Taught at Home (HEALTH): implications for implementation strategies

Key Points

Abstract

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