Testing Technology-Based Implementation Strategies for a Family-Based Pediatric Health Behavior Intervention in Community-Based Primary Care: A Cluster Randomized Factorial Trial

Project Summary/Abstract Decades of research support the effectiveness of family-centered preventive interventions (FCPIs)in limiting cardiovascular disease (CVD) risk for children. Pediatric primary care offers the ideal delivery system in which to embed effective FCPIs for CVD risk given goal alignment, parents’ trust in and longitudinal contact with

pediatricians, and reach into communities facing CVD disparities. Despite endorsement from the United States Preventive Services Task Force, few FCPIs have been widely implemented in primary care, resulting in limited access for families and public health impact. This application focuses on facilitating the widespread

implementation of the evidence-based Family Check-Up 4 Health (FCU4Health), a FCPI with demonstrated positive effects on family and child health behaviors. To test the FCU4Health, we conducted an RCT with 240 primarily Mexican American and low-income families in partnership with multiple primary care systems. Children

were ≥5.5 to