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Assessing sustainability of Lifestyle Education for Activity Program (LEAP)
R P Saunders1, R R Pate, M Dowda
1Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA. rsaunders@sc.edu
Assessing the sustainability of health promotion programs is crucial for long-term health impacts. The Lifestyle Education for Activity Program (LEAP) provides a model for evaluating intervention sustainability in schools.
Area of Science:
- Public Health
- Health Promotion
- Intervention Science
Background:
- Sustained intervention effects are essential for population health.
- Few methods exist for assessing health promotion program sustainability.
- The Lifestyle Education for Activity Program (LEAP) targeted physical activity in high school girls.
Purpose of the Study:
- To describe methods for assessing the sustainability of the LEAP intervention.
- To present a model for evaluating health promotion program sustainability in other settings.
Main Methods:
- Described seven steps used to assess LEAP sustainability.
- Assessed sustainability of instructional practices and school environment changes.
- Utilized an essential element framework and multiple data sources.
- Conducted longitudinal assessment of implementation.
Main Results:
- LEAP demonstrated positive long-term effects on vigorous physical activity (PA).
- Schools with higher implementation and maintenance showed sustained PA benefits.
- The LEAP sustainability model offers a comprehensive approach.
Conclusions:
- The LEAP sustainability model provides a robust framework for evaluating health promotion interventions.
- Assessing changes in practices and environment is key to sustainability.
- Longitudinal assessment using multiple data sources enhances evaluation rigor.
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