A Process Evaluation of an Efficacious Family-Based Intervention to Promote Healthy Eating: The "Entre Familia: Reflejos de Salud" Study

Autor/inn/en	Schmied, Emily; Parada, Humberto; Horton, Lucy; Ibarra, Leticia; Ayala, Guadalupe
Titel	A Process Evaluation of an Efficacious Family-Based Intervention to Promote Healthy Eating: The "Entre Familia: Reflejos de Salud" Study
Quelle	In: Health Education & Behavior, 42 (2015) 5, S.583-592 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198115577375
Schlagwörter	Health Promotion; Eating Habits; Intervention; Family Programs; Hispanic Americans; Food; Public Health; Behavior Change; Evaluation Methods; Participant Satisfaction; Social Networks; Correlation; Outcomes of Education; Program Descriptions; Statistical Analysis; Home Visits; Structured Interviews; Regression (Statistics); Multivariate Analysis; California + Suchen Sie Ihr Suchwort? Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Ernährungsgewohnheit; Essgewohnheit; Family program; Familienprogramm; Hispanic; Hispanoamerikaner; Lebensmittel; Gesundheitswesen; Social network; Soziales Netzwerk; Korrelation; Lernleistung; Schulerfolg; Statistische Analyse; Hausbesuch; Regression; Regressionsanalyse; Multivariate Analyse; Kalifornien
Abstract	"Entre Familia: Reflejos de Salud" was a successful family-based randomized controlled trial designed to improve dietary behaviors and intake among U.S. Latino families, specifically fruit and vegetable intake. The novel intervention design merged a community health worker ("promotora") model with an entertainment-education component. This process evaluation examined intervention implementation and assessed relationships between implementation factors and dietary change. Participants included 180 mothers randomized to an intervention condition. Process evaluation measures were obtained from participant interviews and "promotora" notes and included fidelity, dose delivered (i.e., minutes of "promotora" in-person contact with families, number of "promotora" home visits), and dose received (i.e., participant use of and satisfaction with intervention materials). Outcome variables included changes in vegetable intake and the use of behavioral strategies to increase dietary fiber and decrease dietary fat intake. Participant satisfaction was high, and fidelity was achieved; 87.5% of families received the planned number of "promotora" home visits. In the multivariable model, satisfaction with intervention materials predicted more frequent use of strategies to increase dietary fiber (p = 0.01). Trends suggested that keeping families in the prescribed intervention timeline and obtaining support from other social network members through sharing of program materials may improve changes. Study findings elucidate the relationship between specific intervention processes and dietary changes. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01