Pathways process evaluation results: A school-based prevention trial to promote healthful diet and physical activity in American Indian third, fourth, and fifth grade students

Allan Steckler, Becky Ethelbah, Catherine Jane Martin, Dawn Stewart, Marla Pardilla, Joel Gittelsohn, Elaine Stone, David Fenn, Mary Smyth, Maihan Vu

Research output: Contribution to journalArticle

Abstract

Background. Pathways was a large-scale, multisite, 3-year, study testing a school-based intervention designed to lower percent body fat in American Indian children. Methods. At the 21 intervention schools process evaluation data were collected for training of school personnel; implementation of the classroom and physical activity curricula; implementation of the project's food service guidelines in the school cafeterias; adult participation in the family events; and, students' perceived exposure to the Pathways interventions. Results. Students received about 93% of the classroom curriculum lessons. The minimum requirement of physical education being taught three times per week for at least 30 minutes duration was achieved by the fifth grade. The implementation of the food service behavioral guidelines increased from 51% in the third grade to 87% in the fifth grade. The family events had lower than anticipated adult participation. The participation rates were 45% during the third grade, and 41 and 63% during the fourth and fifth grades, respectively. There was a significant difference between intervention and control students' perceived exposure to Pathways type interventions. Conclusion. The Pathways interventions were successfully implemented with good reach, high extent, and fidelity.

Original languageEnglish (US)
JournalPreventive Medicine
Volume37
Issue numberSUPPL. 1
DOIs
StatePublished - Dec 2003

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North American Indians
Exercise
Students
Food Services
Diet
Curriculum
Guidelines
Physical Education and Training
Adipose Tissue

Keywords

  • American Indians
  • Diet
  • Pathways
  • Physical activity
  • Process evaluation
  • School health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pathways process evaluation results : A school-based prevention trial to promote healthful diet and physical activity in American Indian third, fourth, and fifth grade students. / Steckler, Allan; Ethelbah, Becky; Martin, Catherine Jane; Stewart, Dawn; Pardilla, Marla; Gittelsohn, Joel; Stone, Elaine; Fenn, David; Smyth, Mary; Vu, Maihan.

In: Preventive Medicine, Vol. 37, No. SUPPL. 1, 12.2003.

Research output: Contribution to journalArticle

Steckler, Allan ; Ethelbah, Becky ; Martin, Catherine Jane ; Stewart, Dawn ; Pardilla, Marla ; Gittelsohn, Joel ; Stone, Elaine ; Fenn, David ; Smyth, Mary ; Vu, Maihan. / Pathways process evaluation results : A school-based prevention trial to promote healthful diet and physical activity in American Indian third, fourth, and fifth grade students. In: Preventive Medicine. 2003 ; Vol. 37, No. SUPPL. 1.
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