Related Experiment Video
Updated: May 26, 2026
05:59
Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
Published on: March 7, 2019
Process evaluation results from the HEALTHY physical education intervention.
William J Hall1, Abigail Zeveloff, Allan Steckler
1School of Nursing.chool of Social Work, University of North Carolina, Chapel Hill, NC 27599, USA. wjhall@email.unc.edu
Health Education Research
|December 14, 2011
Summary
The HEALTHY study successfully implemented a physical education (PE) intervention to prevent Type 2 diabetes, achieving high fidelity despite challenges like student misbehavior and large class sizes.
Area of Science:
- Public Health
- Pediatric Health
- Intervention Science
Background:
- Type 2 diabetes prevention in youth is a significant public health concern.
- The HEALTHY study aimed to address this through a primary prevention trial in middle schools.
- Process evaluation is crucial for understanding intervention implementation.
Purpose of the Study:
- To assess the implementation of the HEALTHY physical education (PE) intervention.
- To evaluate fidelity, dose delivered and received, and barriers to implementation.
- To determine if the intervention was delivered and received as intended.
Main Methods:
- Embedded process evaluation within the 3-year HEALTHY trial.
- Utilized class observations and interventionist interviews.
- Assessed fidelity, dose delivered, implementor participation, dose received, and barriers.
Main Results:
- High fidelity in HEALTHY PE activities and delivery of 225 min of PE per 10 school days.
- Students were active for ~33 min (61% of class time).
- High student engagement observed, but student misbehavior was a key barrier.
Conclusions:
- The HEALTHY PE intervention was largely implemented and received as intended.
- Barriers such as student misbehavior, large classes, and limited space were identified.
- Findings provide insights for optimizing similar school-based physical activity interventions.
Related Concept Videos
01:15Nursing Evaluation
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Section...
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
01:05Data Collection III
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.