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Comparative Study
. 2021 Oct 30;13(11):3901.
doi: 10.3390/nu13113901.

Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program

Henna Muzaffar  1 , Sharon M Nickols-Richardson  2
Affiliations
Comparative Study

Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program

Henna Muzaffar et al. Nutrients. .

Abstract

To date, there is limited published literature on process evaluation of adolescent health promotion programs. In this paper, we describe the methods and results of PAWS Club process evaluation over 2 years of implementation to compare the effectiveness of delivery by peer and adult leaders. PAWS (Peer-education About Weight Steadiness) Club was a 12-week healthy lifestyle program, delivered to 6th and 7th graders by peer and adult educators, using cluster randomized controlled design. Peer educators were 8th graders in the program schools and adult educators were staff/teachers in the program schools. Trained university students filled out fidelity logs at each session led by peer and adult educators to assess program delivery. The fidelity logs included questions to collect information about the number of participants, duration of the session, percent of activities completed, and if lessons started on time, lesson objectives were clearly stated, lesson objectives were emphasized, demonstrations were visible to participants, all activities were completed, the leader was familiar with lessons, the leader maintained an appropriate pace, the leader kept participants on track, and the leader asked if participants had any questions. Adult educators had a higher mean performance for all questions compared to peer leaders. Significant differences were observed for emphasizing lesson objectives (p = 0.005), making demonstrations visible to participants (p = 0.031), being familiar with the lesson plan (p = 0.000), maintaining an appropriate pace (p = 0.000), keeping participants on track (p = 0.000), and asking if participants had any questions (p = 0.000). Significance was set at p < 0.05. Findings from the current study have implications for designing and conducting a process evaluation of complex healthy lifestyle programs with adolescents in schools. Additional training of peer educators may be needed to enhance program delivery.

Keywords: adult leaders; healthy lifestyle; peer leaders; process evaluation; program fidelity.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Fidelity log for lesson 1.
See this image and copyright information in PMC

References

    1. Griffin T.L., Clarke J.L., Lancashire E.R., Pallan M.J., Adab P., WAVES study trial investigators Process evaluation results of a cluster randomized controlled childhood obesity prevention trial: The WAVES study. BMC Public Health. 2017;17:681–693. doi: 10.1186/s12889-017-4690-0. - DOI - PMC - PubMed
    1. Simmonds M., Llewellyn A., Owen C., Woolacott N. Predicting adult obesity from childhood obesity: A systematic review and meta-analysis. Obes. Rev. 2015;17:95–107. doi: 10.1111/obr.12334. - DOI - PubMed
    1. Evans A., Ranjit N., Hoelscher D., Jovanovic C., Lopez M., McIntosh A., Ory M., Whittlesey L., McKyer L., Kirk A., et al. Impact of school-based vegetable garden and physical activity coordinated health interventions on weight status and weight-related behaviors of ethnically diverse, low-income students: Study design and baseline data of the Texas, Grow! Eat! Go! (TGEG) cluster-randomized controlled trial. BMC Public Health. 2016;16:973. doi: 10.1186/s12889-016-3453-7. - DOI - PMC - PubMed
    1. McSweeney L., Araujo-Soares V., Rapley T., Adamson A. A feasibility study with process evaluation of a preschool interven-tion to improve child and family lifestyle behaviors. BMC Public Health. 2017;17:248–262. doi: 10.1186/s12889-017-4167-1. - DOI - PMC - PubMed
    1. Mathews L.B., Moodie M.M., Simmons A.M., A Swinburn B. The process evaluation of It’s Your Move! an Australian adolescent community-based obesity prevention project. BMC Public Health. 2010;10:448. doi: 10.1186/1471-2458-10-448. - DOI - PMC - PubMed

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