Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program

To date, there is limited published literature on process evaluation of adolescent health promotion programs. In this paper, we describe the methods and results of PAWS Club process evaluation over 2 years of implementation to compare the effectiveness of delivery by peer and adult leaders. PAWS (Pe...

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Autores principales:	Henna Muzaffar, Sharon M. Nickols-Richardson
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	process evaluation program fidelity adult leaders peer leaders healthy lifestyle Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/b54f3e1fb04d4829bc46885d8c0e53e0
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spelling	oai:doaj.org-article:b54f3e1fb04d4829bc46885d8c0e53e02021-11-25T18:35:06ZUsing Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program10.3390/nu131139012072-6643https://doaj.org/article/b54f3e1fb04d4829bc46885d8c0e53e02021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3901https://doaj.org/toc/2072-6643To date, there is limited published literature on process evaluation of adolescent health promotion programs. In this paper, we describe the methods and results of PAWS Club process evaluation over 2 years of implementation to compare the effectiveness of delivery by peer and adult leaders. PAWS (Peer-education About Weight Steadiness) Club was a 12-week healthy lifestyle program, delivered to 6th and 7th graders by peer and adult educators, using cluster randomized controlled design. Peer educators were 8th graders in the program schools and adult educators were staff/teachers in the program schools. Trained university students filled out fidelity logs at each session led by peer and adult educators to assess program delivery. The fidelity logs included questions to collect information about the number of participants, duration of the session, percent of activities completed, and if lessons started on time, lesson objectives were clearly stated, lesson objectives were emphasized, demonstrations were visible to participants, all activities were completed, the leader was familiar with lessons, the leader maintained an appropriate pace, the leader kept participants on track, and the leader asked if participants had any questions. Adult educators had a higher mean performance for all questions compared to peer leaders. Significant differences were observed for emphasizing lesson objectives (<i>p</i> = 0.005), making demonstrations visible to participants (<i>p</i> = 0.031), being familiar with the lesson plan (<i>p</i> = 0.000), maintaining an appropriate pace (<i>p</i> = 0.000), keeping participants on track (<i>p</i> = 0.000), and asking if participants had any questions (<i>p</i> = 0.000). Significance was set at <i>p</i> < 0.05. Findings from the current study have implications for designing and conducting a process evaluation of complex healthy lifestyle programs with adolescents in schools. Additional training of peer educators may be needed to enhance program delivery.Henna MuzaffarSharon M. Nickols-RichardsonMDPI AGarticleprocess evaluationprogram fidelityadult leaderspeer leadershealthy lifestyleNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3901, p 3901 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	process evaluation program fidelity adult leaders peer leaders healthy lifestyle Nutrition. Foods and food supply TX341-641
spellingShingle	process evaluation program fidelity adult leaders peer leaders healthy lifestyle Nutrition. Foods and food supply TX341-641 Henna Muzaffar Sharon M. Nickols-Richardson Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program
description	To date, there is limited published literature on process evaluation of adolescent health promotion programs. In this paper, we describe the methods and results of PAWS Club process evaluation over 2 years of implementation to compare the effectiveness of delivery by peer and adult leaders. PAWS (Peer-education About Weight Steadiness) Club was a 12-week healthy lifestyle program, delivered to 6th and 7th graders by peer and adult educators, using cluster randomized controlled design. Peer educators were 8th graders in the program schools and adult educators were staff/teachers in the program schools. Trained university students filled out fidelity logs at each session led by peer and adult educators to assess program delivery. The fidelity logs included questions to collect information about the number of participants, duration of the session, percent of activities completed, and if lessons started on time, lesson objectives were clearly stated, lesson objectives were emphasized, demonstrations were visible to participants, all activities were completed, the leader was familiar with lessons, the leader maintained an appropriate pace, the leader kept participants on track, and the leader asked if participants had any questions. Adult educators had a higher mean performance for all questions compared to peer leaders. Significant differences were observed for emphasizing lesson objectives (<i>p</i> = 0.005), making demonstrations visible to participants (<i>p</i> = 0.031), being familiar with the lesson plan (<i>p</i> = 0.000), maintaining an appropriate pace (<i>p</i> = 0.000), keeping participants on track (<i>p</i> = 0.000), and asking if participants had any questions (<i>p</i> = 0.000). Significance was set at <i>p</i> < 0.05. Findings from the current study have implications for designing and conducting a process evaluation of complex healthy lifestyle programs with adolescents in schools. Additional training of peer educators may be needed to enhance program delivery.
format	article
author	Henna Muzaffar Sharon M. Nickols-Richardson
author_facet	Henna Muzaffar Sharon M. Nickols-Richardson
author_sort	Henna Muzaffar
title	Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program
title_short	Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program
title_full	Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program
title_fullStr	Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program
title_full_unstemmed	Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program
title_sort	using process evaluation results to compare peer and adult leader delivery of the paws (peer-education about weight steadiness) club program
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b54f3e1fb04d4829bc46885d8c0e53e0
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Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program

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