TY - JOUR
T1 - Development of an innovative process evaluation approach for the families improving together (FIT) for weight loss trial in African American adolescents
AU - Alia, Kassandra A.
AU - Wilson, Dawn K.
AU - McDaniel, Tyler
AU - St. George, Sara M.
AU - Kitzman-Ulrich, Heather
AU - Smith, Kelsey
AU - Heatley, Va Shawn
AU - Wise, Courtney
N1 - Funding Information:
This research was supposed by a grant ( NIH R01 HD072153 ; PI: Dawn K Wilson, PhD) funded by the National Institutes of Child Health and Human Development and by grant NIH T32GM081740 to Tyler McDaniel (Ron Prinze and Rosemarie Booze Co-PIs) . The authors would also like to acknowledge Ruth Saunders for her valuable input on developing this process evaluation method.
Publisher Copyright:
© 2014 Elsevier Ltd.
PY - 2015/4/1
Y1 - 2015/4/1
N2 - This study demonstrates how a multi-theoretical, multilevel process evaluation was used to assess implementation of the Families Improving Together (FIT) for weight loss intervention. FIT is a randomized controlled trial evaluating a culturally tailored, motivational plus family-based program on weight loss in African American adolescents and their parents. Social Cognitive, Self Determination, Family Systems theories and cultural tailoring principles guided the conceptualization of essential elements across individual/family, facilitator, and group levels. Data collection included an observational rating tool, attendance records, and a validated psychosocial measure. Results: Attendance records (0. = absent, 1. = present, criteria. = ≥70%) indicated that 71.5% of families attended each session. The survey (1. = false, 6. = true, criteria. = ≥4.5) indicated that participants perceived a positive group climate (M= 5.16, SD. = 0.69). A trained evaluator reported that facilitator dose delivered (0. = no, 1. = yes, criteria = ≥75%) was high (99.6%), and fidelity (1. = none to 4. = all, criteria. = ≥3) was adequate at facilitator (M= 3.63, SD = 0.41) and group levels (M= 3.35, SD. = 0.49). Five cultural topics were raised by participants related to eating (n= 3) and physical activity (n= 2) behaviors and were integrated as part of the final curriculum. Discussion: Results identify areas for program improvement related to delivery of multi-theoretical and cultural tailoring elements. Findings may inform future strategies for implementing effective weight loss programs for ethnic minority families.
AB - This study demonstrates how a multi-theoretical, multilevel process evaluation was used to assess implementation of the Families Improving Together (FIT) for weight loss intervention. FIT is a randomized controlled trial evaluating a culturally tailored, motivational plus family-based program on weight loss in African American adolescents and their parents. Social Cognitive, Self Determination, Family Systems theories and cultural tailoring principles guided the conceptualization of essential elements across individual/family, facilitator, and group levels. Data collection included an observational rating tool, attendance records, and a validated psychosocial measure. Results: Attendance records (0. = absent, 1. = present, criteria. = ≥70%) indicated that 71.5% of families attended each session. The survey (1. = false, 6. = true, criteria. = ≥4.5) indicated that participants perceived a positive group climate (M= 5.16, SD. = 0.69). A trained evaluator reported that facilitator dose delivered (0. = no, 1. = yes, criteria = ≥75%) was high (99.6%), and fidelity (1. = none to 4. = all, criteria. = ≥3) was adequate at facilitator (M= 3.63, SD = 0.41) and group levels (M= 3.35, SD. = 0.49). Five cultural topics were raised by participants related to eating (n= 3) and physical activity (n= 2) behaviors and were integrated as part of the final curriculum. Discussion: Results identify areas for program improvement related to delivery of multi-theoretical and cultural tailoring elements. Findings may inform future strategies for implementing effective weight loss programs for ethnic minority families.
KW - Adolescents
KW - African American
KW - Process evaluation
KW - Weight loss
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U2 - 10.1016/j.evalprogplan.2014.12.020
DO - 10.1016/j.evalprogplan.2014.12.020
M3 - Article
C2 - 25614139
AN - SCOPUS:84921263471
SN - 0149-7189
VL - 49
SP - 106
EP - 116
JO - Evaluation and Program Planning
JF - Evaluation and Program Planning
ER -