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The Relationship Between School-Level Characteristics and Implementation Fidelity of a Coordinated School Health Childhood Obesity Prevention Intervention

Title
The Relationship Between School-Level Characteristics and Implementation Fidelity of a Coordinated School Health Childhood Obesity Prevention Intervention
Authors
Lederer, Alyssa M.King, Mindy H.Sovinski, DanielleSeo, Dong-ChulKim, Nayoung
Ewha Authors
서동철
SCOPUS Author ID
서동철scopus
Issue Date
2015
Journal Title
JOURNAL OF SCHOOL HEALTH
ISSN
0022-4391JCR Link

1746-1561JCR Link
Citation
JOURNAL OF SCHOOL HEALTH vol. 85, no. 1, pp. 8 - 16
Keywords
process evaluationimplementation fidelitychildhood obesityschoolscoordinated school health
Publisher
WILEY
Indexed
SCIE; SSCI; SCOPUS WOS
Document Type
Article
Abstract
BACKGROUNDCurtailing childhood obesity is a public health imperative. Although multicomponent school-based programs reduce obesity among children, less is known about the implementation fidelity of these interventions. This study examines process evaluation findings for the Healthy, Energetic Ready, Outstanding, Enthusiastic, Schools (HEROES) Initiative, a tri-state school-based childhood obesity prevention intervention based on the coordinated school health (CSH) model. METHODSSite visits were conducted that included key stakeholder interviews, observation, and document review. Scores were given for 8 domains, and a total implementation score was calculated. Two-way analyses of variance were conducted to examine the relationship of 4 school-level characteristics: elementary vs. middle/high schools, public vs. private schools, district vs. building level implementation, and socioeconomic status on each implementation area. RESULTSOverall, schools had high fidelity scores, although some domains were implemented more successfully than others. Three school-level characteristics were associated with 1 or more domains, with elementary schools and schools implementing at the building level consistently having higher implementation scores than their counterparts. CONCLUSIONSProcess evaluation findings provide insight into successes and challenges schools implementing the CSH approach may encounter. Although preliminary, these findings on school-level characteristics establish a new area of research related to school-based childhood obesity prevention programs' implementation fidelity.
DOI
10.1111/josh.12221
Appears in Collections:
신산업융합대학 > 융합보건학과 > Journal papers
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