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J Nutr Educ Behav. 2015 Nov-Dec;47(6):560-565.e1. doi: 10.1016/j.jneb.2015.07.002. Epub 2015 Aug 19.

Rationale, Design, and Methods for Process Evaluation in the Childhood Obesity Research Demonstration Project.

Author information

1
Center on Research and Evaluation, Simmons School of Education and Human Development, Southern Methodist University, Dallas, TX.
2
Texas Obesity Research Center, University of Houston, Houston, TX.
3
USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX.
4
USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX. Electronic address: dit@bcm.edu.

Abstract

OBJECTIVE:

The cross-site process evaluation plan for the Childhood Obesity Research Demonstration (CORD) project is described here.

DESIGN:

The CORD project comprises 3 unique demonstration projects designed to integrate multi-level, multi-setting health care and public health interventions over a 4-year funding period.

SETTING:

Three different communities in California, Massachusetts, and Texas.

PARTICIPANTS:

All CORD demonstration projects targeted 2-12-year-old children whose families are eligible for benefits under Title XXI (CHIP) or Title XIX (Medicaid).

INTERVENTION(S):

The CORD projects were developed independently and consisted of evidence-based interventions that aim to prevent childhood obesity. The interventions promote healthy behaviors in children by applying strategies in 4 key settings (primary care clinics, early care and education centers, public schools, and community institutions).

MAIN OUTCOME MEASURE(S):

The CORD process evaluation outlined 3 main outcome measures: reach, dose, and fidelity, on 2 levels (researcher to provider, and provider to participant).

ANALYSIS:

The plan described here provides insight into the complex nature of process evaluation for consortia of independently designed multi-level, multi-setting intervention studies. The process evaluation results will provide contextual information about intervention implementation and delivery with which to interpret other aspects of the program.

KEYWORDS:

childhood obesity; dose; fidelity; methods; process evaluation; reach

PMID:
26298514
DOI:
10.1016/j.jneb.2015.07.002
[Indexed for MEDLINE]

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