Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents.
Background: Implementation of school‐based health promotion programs requires contextual fit. To strengthen the nutrition education program "Krachtvoer" (ENG: "Power Food") and learn general lessons about contextual fit, this study examined how the program, the context, and program‐context interacti...
| Publicado en: | Journal of School Health Vol. 95; no. 6; pp. 423 - 433 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185257309&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185257309 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00224391 JOS jtl: Journal of School Health issn: 00224391 maglogo: Y pubinfo: dt: Jun2025 vid: 95 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 185257309 184860501 185257309 185257309 10.1111/josh.70009 185257309 ppf: 423 ppct: 10 formats: tig: atl: Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents. aug: au: Driessen‐Willems, Marion D. Bartelink, Nina H. M. Bessems, Kathelijne M. H. H. Kremers, Stef K. van Assema, Patricia affil: Department of Health Promotion, Research Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, Maastricht, the Netherlands sug: subj: Nutrition Education Methods Program Implementation Health Promotion Methods School Health Services Schools Netherlands Adaptation, Physiological Health Education Human Funding Source Netherlands Male Female Adolescence Action Research Nonexperimental Studies Semi-Structured Interview Teachers Psychosocial Factors Conceptual Framework Descriptive Statistics Data Analysis Software Implementation Science Adult Student Attitudes Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Background: Implementation of school‐based health promotion programs requires contextual fit. To strengthen the nutrition education program "Krachtvoer" (ENG: "Power Food") and learn general lessons about contextual fit, this study examined how the program, the context, and program‐context interactions affected teachers' balancing between implementation fidelity and adaptation. Methods: As part of a co‐creation process with continuous micro‐process cycles of implementing, measuring, evaluating, and adapting the program, action‐oriented research was conducted during the pilot implementation of program modules by 25 teachers in 32 classes with 635 students. Using observations and interviews, data were collected about indicators of the implementation process, technology, layout, and content aspects of the program, inner and broader school contextual factors including teacher, student, and school characteristics, and interactions between program‐ and context‐related aspects that influence the implementation process. Results: Even small mismatches between the program and the context affected the implementation process. Differences in the technological savviness of teachers and students, "adaptive management" skills to respond to changing circumstances of teachers, and the maturity and attention span of students were among the many contextual differences in and between schools. Implication for School‐Based Health Promotion: Sustainability of health promotion programs fitting the context requires continuous and co‐creating efforts from all stakeholders. Conclusions: Action‐oriented research with micro‐process cycles proved appropriate for strengthening the program. However, further research is needed on capacity building among program implementers in balancing fidelity and adaptation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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