Using Process Evaluation for Implementation Success of Preschool‐Based Programs for Obesity Prevention: The TX Childhood Obesity Research Demonstration Study.

BACKGROUND: Through the Texas Childhood Obesity Research Demonstration study, we implemented and evaluated a system‐oriented model of primary and secondary prevention approaches to mitigate obesity among low‐income Texas children aged 2 to 12 years. Primary prevention included implementing the Coord...

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Publicado en:Journal of School Health Vol. 89; no. 5; pp. 382 - 393
Autores principales: Sharma, Shreela V., Chuang, Ru‐Jye, Byrd‐Williams, Courtney, Vandewater, Elizabeth, Butte, Nancy, Hoelscher, Deanna M.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell May2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2019
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      pub: Wiley-Blackwell
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        atl: Using Process Evaluation for Implementation Success of Preschool‐Based Programs for Obesity Prevention: The TX Childhood Obesity Research Demonstration Study.
      aug:
        au:
          Sharma, Shreela V.
          Chuang, Ru‐Jye
          Byrd‐Williams, Courtney
          Vandewater, Elizabeth
          Butte, Nancy
          Hoelscher, Deanna M.
        affil: Department of Epidemiology, Human Genetics & Environmental Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston School of Public Health, 1200 Pressler, RAS E603, Houston, TX 77030.
      sug:
        subj:
          Program Implementation
          Success
          Pediatric Obesity Prevention and Control
          School Health Services Texas
          Human
          Texas
          Child, Preschool
          Child
          Schools, Nursery
          Quasi-Experimental Studies
          Cross Sectional Studies
          Administrative Personnel
          Teachers
          Health Promotion
          Social Learning Theory
          Parents
          Questionnaires
          Descriptive Statistics
          Mann-Whitney U Test
          Adult
          Middle Age
          Male
          Female
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: BACKGROUND: Through the Texas Childhood Obesity Research Demonstration study, we implemented and evaluated a system‐oriented model of primary and secondary prevention approaches to mitigate obesity among low‐income Texas children aged 2 to 12 years. Primary prevention included implementing the Coordinated Approach To Child Health Early Childhood (CATCH EC) program in Head Start preschools. In this paper, we describe the methods and results of CATCH EC program process evaluation over 2 years of implementation. METHODS: We used a quasi‐experimental design with serial cross‐sectional data collected from Head Start centers across intervention and comparison catchment areas in Houston and Austin, Texas (intervention: N = 12 centers in 2012‐2013 [Year 1], N = 12 in 2013‐2014 [Year 2]; comparison: N = 13 centers in Year 1, N = 12 in Year 2). Process evaluation included center director and teacher surveys conducted in both years of implementation. We developed indices for implementation of CATCH EC and non‐CATCH health events at the centers. RESULTS: Implementation scores were higher among intervention centers as compared to comparison centers across both years of implementation, and these differences were statistically significant (p < .01). There was also high variability in program implementation in intervention centers across both years ranging from 55% to 95%. CONCLUSION: These implementation index strategies may inform future evaluation of preschool‐based obesity prevention program implementation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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