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Process Evaluation of a Community‐Based Pilot Intervention for Chronic Disease Prevention in Guatemalan School‐Aged Children
Author(s) -
Letona Paola,
Gittelsohn Joel,
Chacon Violeta,
RamirezZea Manuel,
Caballero Benjamin
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.1055.22
Subject(s) - interactive kiosk , context (archaeology) , intervention (counseling) , fidelity , medicine , environmental health , health promotion , public health , general partnership , community organization , psychology , medical education , family medicine , gerontology , nursing , public relations , business , engineering , political science , computer science , geography , archaeology , finance , electrical engineering , operating system
We examined the implementation of ¡Pilas!, a community‐based intervention aimed to reduce risk factors for chronic diseases (unhealthy diet, physical inactivity, alcohol and tobacco use) in school‐age children. The intervention consisted of three components (school, food kiosk and community) that were implemented by teachers, children, food vendors, religious leaders, and government workers in two poor communities and two public schools in Guatemala City. Intervention activities included a classroom‐based program (4th–6th grade), active games during school recess, healthy recipes and marketing strategies to promote healthy foods in kiosks, and community events. Quantitative and qualitative methods (structured observations, surveys, logs) were used to examine process indicators, which included the extent of delivery (reach), proportion received by target audience (dose), fidelity of intervention protocol, and context. The school component was implemented with high reach, dose and fidelity. The kiosk component was implemented with moderate dose and fidelity, and low reach. The community component was implemented with low dose and reach. Lack of communication and organizational difficulties were identified as barriers to implementation in the kiosk and community components. These findings will be used to plan a randomized controlled trial in Guatemala City. Grant Funding Source : NHLBI ‐ HHSN 268200900028C