The Effects of Teacher Fidelity of Implementation of Pathways to Health on Student Outcomes

Previous research has demonstrated the importance of ensuring that programs are implemented as intended by program developers in order to achieve desired program effects. The current study examined implementation fidelity of Pathways to Health (Pathways), a newly developed obesity prevention program...

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Published in:Evaluation & the health professions Vol. 38; no. 1; pp. 21 - 41
Main Authors: Little, Melissa A., Riggs, Nathaniel R., Shin, Hee-Sung, Tate, Eleanor B., Pentz, Mary Ann
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-03-2015
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Abstract Previous research has demonstrated the importance of ensuring that programs are implemented as intended by program developers in order to achieve desired program effects. The current study examined implementation fidelity of Pathways to Health (Pathways), a newly developed obesity prevention program for fourth- through sixth-grade children. We explored the associations between self-reported and observed implementation fidelity scores and whether implementation fidelity differed across the first 2 years of program implementation. Additionally, we examined whether implementation fidelity affected program outcomes and whether teacher beliefs were associated with implementation fidelity. The program was better received, and implementation fidelity had more effects on program outcomes in fifth grade than in fourth grade. Findings suggest that implementation in school-based obesity programs may affect junk food intake and intentions to eat healthfully and exercise. School support was associated with implementation fidelity, suggesting that prevention programs may benefit from including a component that boosts school-wide support.
AbstractList Previous research has demonstrated the importance of ensuring that programs are implemented as intended by program developers in order to achieve desired program effects. The current study examined implementation fidelity of Pathways to Health (Pathways), a newly developed obesity prevention program for fourth- through sixth-grade children. We explored the associations between self-reported and observed implementation fidelity scores and whether implementation fidelity differed across the first 2 years of program implementation. Additionally, we examined whether implementation fidelity affected program outcomes and whether teacher beliefs were associated with implementation fidelity. The program was better received, and implementation fidelity had more effects on program outcomes in fifth grade than in fourth grade. Findings suggest that implementation in school-based obesity programs may affect junk food intake and intentions to eat healthfully and exercise. School support was associated with implementation fidelity, suggesting that prevention programs may benefit from including a component that boosts school-wide support.
Author Little, Melissa A.
Shin, Hee-Sung
Tate, Eleanor B.
Riggs, Nathaniel R.
Pentz, Mary Ann
AuthorAffiliation 2 Human Development & Family Studies, Colorado State University, Fort Collins, CO, USA
3 Department of Preventive Medicine, Institute for Prevention Research, University of Southern California, Los Angeles, CA, USA
1 University of Hawaii Cancer Center, Honolulu, HI, USA
AuthorAffiliation_xml – name: 2 Human Development & Family Studies, Colorado State University, Fort Collins, CO, USA
– name: 3 Department of Preventive Medicine, Institute for Prevention Research, University of Southern California, Los Angeles, CA, USA
– name: 1 University of Hawaii Cancer Center, Honolulu, HI, USA
Author_xml – sequence: 1
  givenname: Melissa A.
  surname: Little
  fullname: Little, Melissa A.
  email: mlittle@cc.hawaii.edu
– sequence: 2
  givenname: Nathaniel R.
  surname: Riggs
  fullname: Riggs, Nathaniel R.
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  givenname: Hee-Sung
  surname: Shin
  fullname: Shin, Hee-Sung
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  givenname: Mary Ann
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fidelity
school-based
obesity prevention
implementation
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Snippet Previous research has demonstrated the importance of ensuring that programs are implemented as intended by program developers in order to achieve desired...
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SubjectTerms Child
Clinical outcomes
Diet
Exercise
Faculty - standards
Female
Health Education - organization & administration
Health Education - standards
Health promotion
Humans
Intention
Male
Obesity
Pediatric Obesity - prevention & control
Prevention programs
Program Development
Program Evaluation
Schools - organization & administration
Schools - standards
Sedentary Behavior
Teacher attitudes
Weight control
Title The Effects of Teacher Fidelity of Implementation of Pathways to Health on Student Outcomes
URI https://journals.sagepub.com/doi/full/10.1177/0163278713489879
https://www.ncbi.nlm.nih.gov/pubmed/23739725
https://www.proquest.com/docview/1660119458
https://www.proquest.com/docview/1655256390
https://pubmed.ncbi.nlm.nih.gov/PMC4111782
Volume 38
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