PubMed ID:
19623191
Public Release Type:
Journal
Publication Year: 2009
Affiliation: Department of Planning, Policy and Design, University of California at Irvine, Irvine CA 92697, USA. Margaret.schneider@uci.edu
DOI:
https://doi.org/10.1038/ijo.2009.118
Authors:
Hall W,
Grau S,
Ford D,
Ford E,
DeBar L,
Canada A,
Burd W,
Bruecker S,
Bassin S,
Baranowski T,
Steckler A,
HEALTHY Study Group,
Steckler A,
Zeveloff A,
Volpe SL,
Thompson D,
Schneider M,
Hall WJ,
Hernandez AE,
Hindes K,
Montez G,
Pham T,
Rosen L,
Sleigh A,
Walker WA,
Robinson T,
McGinnis JM,
Hamman R,
Eckel R,
Nathan DM,
Schatz D,
Pate R,
Espeland M,
Dolan L,
Dagogo-Jack S,
Chin M,
Nader P,
Marcovina SM,
Staten M,
Hunter C,
Linder B,
Wheeler A,
Pham T,
Mazzuto SL,
Feit PK,
Huang M,
Firrell LS,
El ghormli L,
Edelstein S,
Drews KL,
Hirst K,
Zhang P,
Wang LY,
Engelgau M,
Goran M,
Resnicow K,
Yin Z,
Surapiboonchai K,
Murray T,
Mobley C,
Hernandez I,
Hernandez AE,
Hale D,
Garcia A,
Treviño R,
Venditti EM,
Vanucci J,
Songer T,
Noll R,
Meehan R,
Jakicic J,
Hindes K,
Gillis B,
Clayton S,
Carter M,
Marcus MD,
Zeveloff A,
Stringer A,
Steckler A,
Smith M,
Siega-Riz AM,
Rubin D,
McMurray RG,
Matthews R,
Kennel P,
Jessup A,
Hall W,
Giles C,
Gerstel A,
Bridgman J,
Buse J,
Blackshear T,
Anderson A,
Harrell JS,
Schneider M,
Rodriguez Y,
Opgrand N,
Krause M,
Hartstein J,
Greenfield S,
Galassetti P,
Ford D,
Bruecker S,
Bassin S,
Cooper D,
Willi S,
Volpe SL,
Virus A,
Solomon S,
Sherman S,
Rosen L,
Rosen J,
Nachmani J,
Kumanyika S,
Glick H,
Ford EG,
Faith M,
Creighton B,
Brown J,
Foster GD,
Stadler D,
Roullet JB,
Moe E,
McCormick S,
Kuehl K,
Grund HM,
Elliot D,
DeBar L,
Cusimano D,
Goldberg L,
Williams CG,
White MA,
Thompson D,
Tatum LT,
Speich C,
Rodriguez AX,
Oceguera A,
Jago R,
Dobbins MH,
Cullen KW,
Canada A,
Baranowski J,
Adams L,
Baranowski T,
Kaufman FR,
Zeveloff A,
White M,
Wheeler A,
Wald L,
Vu M,
Voss A,
Volpe S,
Venditti B,
Trinh T,
Thompson V,
Thompson D,
Sleigh A,
Simkin L,
Sherman S,
Schneider M,
Rosen L,
Phillips-Martinez A,
Phillips K,
Pham T,
Pearce P,
Morris M,
Moore AG,
Montez G,
Missaghian M,
Lin CH,
Kolmer S,
Jessup A,
Hindes K,
Hernandez A,
Hartstein J,
Harrell J,
Greene N
Studies:
Middle-School Based Primary Prevention Trial of Type 2 Diabetes
The HEALTHY study was a multi-site randomized trial designed to determine whether a 3-year school-based intervention targeting nutrition and physical activity behaviors could effectively reduce risk factors associated with type 2 diabetes in middle school children. Pilot and formative studies were conducted to inform the development of the intervention components and the process evaluation methods for the main trial. During the main trial, both qualitative and quantitative assessments monitored the fidelity of the intervention and motivated modifications to improve intervention delivery. Structured observations of physical education classes, total school food environments, classroom-based educational modules, and communications and promotional campaigns provided verification that the intervention was delivered as intended. Interviews and focus groups yielded a multidimensional assessment of how the intervention was delivered and received, as well as identifying the barriers to and facilitators of the intervention across and within participating schools. Interim summaries of process evaluation data were presented to the study group as a means of ensuring standardization and quality of the intervention across the seven participating centers. Process evaluation methods and procedures documented the fidelity with which the HEALTHY study was implemented across 21 intervention schools and identified ways in which the intervention delivery might be enhanced throughout the study.