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Methods, Results, and Lessons Learned from Process Evaluation of the High 5 School-Based Nutrition Intervention

Center for Behavioral Research and Community Studies, AMC Cancer Research Center, Lakewood, Coloradoreynoldsk{at}amc.org

Frank A. Franklin, MD, PhD

University of Alabama at Birmingham, Department of Pediatrics, Division of GI Nutrition, the Children’s Hospital, Birmingham

Laura C. Leviton, PhD

Robert Wood Johnson Foundation, Princeton, New Jersey

Julie Maloy, MS

AMC Cancer Research Center, Lakewood, Colorado

Kathleen F. Harrington, MPH, MAEd

University of Alabama at Birmingham, Department of Health Behavior, Birmingham

Amy L. Yaroch, PhD

AMC Cancer Research Center, Lakewood, Colorado

Sharina Person, PhD

University of Alabama at Birmingham, Department of Biostatistics, Birmingham

Penelope Jester, RN, MP

University of Alabama at Birmingham, Office of Clinical Research, Eye Foundation Hospital, Birmingham

This article describes the process evaluation of High 5, a school-based intervention targeting fruit and vegetable consumption among fourth graders and their families. The outcome evaluation involved 28 schools randomized to intervention or control conditions. The intervention included classroom, family, and cafeteria components. Process evaluation was completed on each of these components by using observations, self-report checklists, surveys, and other measures. Results indicated high implementation rates on the classroom activities. Moderate family involvement was attained, perhaps diminishing intervention effects on parent consumption. Cafeterias provided environmental cues, and fruit and vegetable offerings as directed by the program. A lower dose of the intervention was delivered to schools with larger African American enrollments and lower-income families. This article provides insights into the effective elements of a school-based dietary intervention and provides suggestions for process evaluation in similar studies.

Health Education & Behavior, Vol. 27, No. 2, 177-186 (2000)
DOI: 10.1177/109019810002700204


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