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CATCH: food service program process evaluation in a multicenter trial

D J Raizman1, D H Montgomery, S K Osganian

  • 1New England Research Institute, Watertown, MA 02172.

Health Education Quarterly
|January 1, 1994
PubMed
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This study details the process evaluation model for the Eat Smart School Nutrition Program, a key component of the Child and Adolescent Trial for Cardiovascular Health (CATCH). It outlines strategies to assess implementation, staff characteristics, and mediating variables for better understanding study outcomes.

Area of Science:

  • Public Health
  • Nutrition Science
  • Health Services Research

Background:

  • Process evaluation is crucial for multicenter trials to interpret outcomes and monitor interventions.
  • The Child and Adolescent Trial for Cardiovascular Health (CATCH) included the Eat Smart School Nutrition Program as a food service intervention.
  • Understanding intervention processes is key to successful public health initiatives in schools.

Purpose of the Study:

  • To present the process evaluation model for the Eat Smart School Nutrition Program.
  • To describe specific strategies used to assess the program's implementation and impact.
  • To identify key factors influencing the success of school-based nutrition interventions.

Main Methods:

  • Development of a comprehensive process evaluation model.

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  • Assessment of program implementation through measures of training, support, and promotion.
  • Collection of data on food service staff characteristics.
  • Measurement of mediating variables, including secular trends and school meal participation.

    • Main Results:

    • The paper details specific measures for program implementation, staff characteristics, and mediating variables.
    • Strategies were developed to systematically assess the Eat Smart School Nutrition Program.
    • The evaluation framework allows for a thorough understanding of intervention delivery and potential influences.

    Conclusions:

    • A robust process evaluation model is essential for multicenter trials like CATCH.
    • The presented strategies provide a framework for assessing school nutrition interventions.
    • Effective process evaluation can enhance the interpretation of study outcomes and inform future program development.