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Public Health Nutr. 2014 Feb;17(2):422-30. doi: 10.1017/S1368980012005186. Epub 2012 Dec 6.

State-wide dissemination of a school-based nutrition education programme: a RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) analysis.

Author information

1
1 Department of Preventive Medicine, University of Southern California, 2001 N. Soto Street Building (SSB), 3rd Floor, Room 302E, MC 9239, Los Angeles, CA 90033-9045, USA.
2
2 Center for Tobacco Control Research and Education, University of California, San Francisco, San Francisco, CA, USA.
3
3 Harder + Company Community Research, Los Angeles, CA, USA.
4
4 Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO, USA.
5
5 Dairy Council of California, Irvine, CA, USA.

Abstract

OBJECTIVE:

The current study evaluated the overall public health impact of the 'Shaping Up My Choices' (SMC) programme, a 10-week school-based nutrition education curriculum developed for third-grade students, using the RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) framework.

DESIGN:

Randomized controlled trial to evaluate the programme and secondary analysis of archival data to describe dissemination. Data were collected from programme records, teacher surveys and student pre-, post- and 3-month follow-up surveys.

SETTING:

Public elementary schools in California.

SUBJECTS:

An evaluation sample (938 students and nineteen teachers) and a dissemination sample (195 245 students and 7359 teachers).

RESULTS:

In the evaluation sample, differences between the control and intervention groups were observed for nutrition knowledge, self-efficacy, outcome expectancies, and intakes of vegetables, fruit (girls only), soda, and low-nutrient high-energy foods from pre- to post-survey. Group differences in change in knowledge, outcome expectancies and vegetable intake were sustained through the 3-month follow-up (efficacy). One hundred per cent of intervention teachers in the evaluation sample implemented all of the lessons (implementation). The dissemination sample represented 42% of third-grade students (reach) and 39% of third-grade classrooms in public elementary schools in California during 2010-2011 (adoption). Thirty-seven per cent of third-grade teachers in the dissemination sample reordered SMC materials during the subsequent school year (2011-2012; maintenance).

CONCLUSIONS:

The SMC programme demonstrates the potential for moderate to high public health impact.

PMID:
23218458
DOI:
10.1017/S1368980012005186
[Indexed for MEDLINE]

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