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Examining the link between program implementation and behavior outcomes in the lifestyle education for activity
Ruth P Saunders1, Dianne Ward, Gwen M Felton
1Department of Health Education, Promotion, and Behavior; Arnold School of Public Health, University of South Carolina, c/o Room 216D, Columbia, SC 29208, USA.
Evaluation and Program Planning
|October 24, 2007
Summary
The Lifestyle Education for Activity Program (LEAP) intervention successfully increased vigorous physical activity in high school girls. Effective program implementation, monitored through process evaluation, is key to achieving positive health outcomes.
Area of Science:
- Public Health
- Behavioral Science
- Education
Background:
- Promoting physical activity in adolescents is crucial for long-term health.
- School-based interventions offer a viable platform for health promotion.
- Previous interventions have shown mixed results in engaging high school girls.
Purpose of the Study:
- To evaluate the implementation and effectiveness of the Lifestyle Education for Activity Program (LEAP).
- To assess the impact of a school-based intervention on physical activity levels in high school girls.
- To explore the relationship between intervention implementation fidelity and program outcomes.
Main Methods:
- A comprehensive, school-based intervention (LEAP) targeting personal, social, and environmental factors.
- Development and utilization of process evaluation tools and an organizational assessment tool based on LEAP essential elements.
- Comparison of intervention schools (categorized as low- and high-implementing) with control schools using statistical analyses (Wilcoxon scores test, mixed-model ANCOVA).
Main Results:
- Significant differences were found between intervention and control schools in two organizational components: presence of a physical activity team and a faculty-staff health promotion program.
- High-implementing LEAP schools showed a greater percentage of girls engaging in vigorous physical activity compared to control schools.
- Process evaluation data demonstrated a link between the level of intervention implementation and program success.
Conclusions:
- School-based lifestyle interventions can effectively promote physical activity among adolescent girls.
- Thorough process evaluation is essential for understanding intervention effectiveness and optimizing program delivery.
- Organizational support, such as dedicated teams and staff programs, may enhance intervention outcomes.
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