Process Evaluations for a Multisite Nutrition Education Program

Abstract

Process evaluations are an often-overlooked component of evaluating health promotion interventions, but can be essential for interpreting program outcomes. The purpose of this study was to report the results of two types of process evaluations conducted for Food Fit, a nutrition education program implemented to 58 3rd through 5th grade children (67% Caucasian) in 5 YMCA after school programs. To evaluate program fidelity, a trained observer watched each lesson and recorded program adherence using a standardized checklist, outlining essential components of the intervention. Attendance was recorded by asking each child to complete a small task before and after each lesson. Results showed that program adherence was perfect in most cases and attendance rates varied, but were generally high. Attendance rates were not associated with improvement in nutrition behaviors. Implications and recommendations for future use of process evaluations are discussed.