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The Trail Guide curriculum for childhood obesity treatment program model

The Trail Guide curriculum for childhood obesity treatment program model

Unmet Need

Childhood obesity is an ongoing health concern involving cardiometabolic risk, reduced quality of life and long-term health consequences. Current child obesity treatment guidelines recommend 26 or more hours of behavior treatment, delivered over a six-month period in a multidisciplinary weight management clinic. However, these guidelines are not feasible in real-world settings where clinic visits are costly and poorly reimbursed, and attrition is high, particularly among the most vulnerable children. Current research indicates that integrated clinic-community partnerships may increase the improve the effectiveness of child obesity treatment. Therefore, there is a need for materials supporting and facilitating their implementation.


Duke researchers have developed a curriculum and comprehensive implementation platform, along with required materials lists, training videos, checklists, supportive documentation, and live technical assistance to support a novel clinic-community partnership for pediatric obesity treatment. Named “The TrailGuide” and the “Fit Together” curriculum, these paired materials provide comprehensive instructions and tools for developing a new collaboration between Pediatric Clinic and Parks and Recreation partners who wish to deliver the intervention. It contains information, tools, and resources for building a successful program, including thorough descriptions of roles of personnel involved, clinic referral strategies, invoice templates, expected timelines, planning tools and characteristics to consider, curriculum and activity examples.


  • Facilitates local clinic-community partnerships, supports the development of an integrated childhood obesity treatment program.
  • Effective, engaging, and scalable obesity treatment option for low-income and racially diverse children.
  • Digital access to existing training materials.

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