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. 2018 Dec 1;33(6):458-472.
doi: 10.1093/her/cyy031.

Implementation of B'More Healthy Communities for Kids: process evaluation of a multi-level, multi-component obesity prevention intervention

C F Ruggiero  1 , L Poirier  1 , A C B Trude  1 , T Yang  2 , T Schwendler  3 , B Gunen  1 , I H Loh  1 , K Perepezko  2 , C S Nam  4 , P Sato  5 , J Gittelsohn  1
Affiliations

Implementation of B'More Healthy Communities for Kids: process evaluation of a multi-level, multi-component obesity prevention intervention

C F Ruggiero et al. Health Educ Res. .

Abstract

B'More Healthy Communities for Kids was a multi-level, multi-component obesity prevention intervention to improve access, demand and consumption of healthier foods and beverages in 28 low-income neighborhoods in Baltimore City, MD. Process evaluation assesses the implementation of an intervention and monitor progress. To the best of our knowledge, little detailed process data from multi-level obesity prevention trials have been published. Implementation of each intervention component (wholesaler, recreation center, carryout restaurant, corner store, policy and social media/text messaging) was classified as high, medium or low according to set standards. The wholesaler component achieved high implementation for reach, dose delivered and fidelity. Recreation center and carryout restaurant components achieved medium reach, dose delivered and fidelity. Corner stores achieved medium reach and dose delivered and high fidelity. The policy component achieved high reach and medium dose delivered and fidelity. Social media/text messaging achieved medium reach and high dose delivered and fidelity. Overall, study reach and dose delivered achieved a high implementation level, whereas fidelity achieved a medium level. Varying levels of implementation may have balanced the performance of an intervention component for each process evaluation construct. This detailed process evaluation of the B'More Healthy Communities for Kids allowed the assessment of implementation successes, failures and challenges of each intervention component.

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Figures

Fig. 1.
Fig. 1.
BHCK intervention components.
Fig. 2.
Fig. 2.
BHCK reach across all phases. Graph depicts average percent of the high standard for all reach process evaluation data for each intervention component. Dotted line marks the high level of implementation at 100%. Phase 4 occurred in Wave 2 only.
Fig. 3.
Fig. 3.
BHCK dose delivered across all phases. Graph depicts average percent of the high standard for all dose delivered process evaluation data for each intervention component. Dotted line marks the high level of implementation at 100%. Phase 4 occurred in Wave 2 only.
Fig. 4.
Fig. 4.
BHCK fidelity across all phases. Graph depicts average percent of the high standard for all fidelity process evaluation data for each intervention component. Dotted line marks the high level of implementation at 100%. Phase 4 occurred in Wave 2 only.
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References

    1. Ogden CL, Carroll MD, Lawman HG. et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA 2016; 315: 2292. - PMC - PubMed
    1. D'Angelo H, Suratkar S, Song H-J. et al. Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City. Public Health Nutr 2011; 14: 1632–9. - PubMed
    1. Mitchell NS, Catenacci VA, Wyatt HR. et al. Obesity: overview of an epidemic. Psychiatr Clin North Am 2011; 34:717–32. - PMC - PubMed
    1. Borradaile KE, Sherman S, Vander Veur SS. et al. Snacking in children: the role of urban corner stores. Pediatrics 2009; 124:1293. - PubMed
    1. Kiszko K, Cantor J, Abrams C. et al. Corner store purchases in a low-income urban community in NYC. J Community Health 2015; 40:1084–90. - PMC - PubMed

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