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Health Educ Res. 2009 Oct;24(5):772-7. doi: 10.1093/her/cyp011. Epub 2009 Mar 20.

Process evaluation of a school-based weight gain prevention program: the Dutch Obesity Intervention in Teenagers (DOiT).

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Department of Public and Occupational Health, EMGO Institute, VU University Medical Center, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.


Health promotion programs benefit from an accompanying process evaluation since it can provide more insight in the strengths and weaknesses of a program. A process evaluation was conducted to assess the reach, implementation, satisfaction and maintenance of a school-based program aimed at the prevention of excessive weight gain among Dutch adolescents [Dutch Obesity Intervention in Teenagers (DOiT)]. Our process evaluation involved data collections by means of questionnaires among students, teachers, school board and site staff. The results indicated immense difficulties in the recruitment phase and therefore a low reach at school level. However, among adolescents of the schools that participated, the reach was high (84%). Furthermore, the classroom intervention was implemented successfully based on the number of lessons taught. Most teachers rated the DOiT-intervention positively; students rated the intervention 6.6 on a scale of 1-10. The majority of the teachers planned to implement the DOiT-intervention program in the future, as they perceived DOiT feasible for pre-vocational education students.

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