TY - JOUR
T1 - Process evaluation of a store-based environmental obesity intervention on two American Indian Reservations
AU - Curran, Sarah
AU - Gittelsohn, Joel
AU - Anliker, Jean
AU - Ethelbah, Becky
AU - Blake, Kelly
AU - Sharma, Sangita
AU - Caballero, Benjamin
N1 - Funding Information:
This study was financially supported by the US Department of Agriculture. The authors would like to especially thank the White Mountain and San Carlos Apache tribes, and the Bashas supermarket. The participation of the Apache Service Station, Canyon Day Store, Cedar Creek Store, H-Market, North Fork Store, Seven Mile Store, Apache Express Store, Apache Gold Station and Noline’s was also greatly appreciated. Finally, the National Diabetes Prevention Center of Gallup, New Mexico contributed additional funding.
PY - 2005/12
Y1 - 2005/12
N2 - Obesity and other diet-related chronic diseases are widespread in American Indian communities. Inadequate access to healthy food on many reservations has led to a high-fat, high-sugar diet. The purpose of this paper is to report on the results of the process evaluation of a food store-based program to improve diet on two American Indian reservations. Process data were collected from 11 intervention stores to document the implementation of the Apache Healthy Stores (AHS) program. Process evaluation instruments recorded the stocking of promoted foods, presence of in-store communication materials, implementation of and participation in the cooking demonstrations and taste tests, and the transmission of mass-media messages. At the store level, the program was implemented with a high level of dose and reach, and a moderate to high level of fidelity. At the community level, the AHS program was implemented with a moderate degree of fidelity and dose. At the individual level, the cooking demonstrations and taste tests reached a large number of community members with a high dose. Implementing the AHS program on multiple levels (store, community, individual) was challenging, and differed between levels. Overall, improvements were seen from start to finish as program staff monitored, documented and responded to barriers to implementation. Process data will be tied to outcomes and will be useful for the planning of future store-based programs.
AB - Obesity and other diet-related chronic diseases are widespread in American Indian communities. Inadequate access to healthy food on many reservations has led to a high-fat, high-sugar diet. The purpose of this paper is to report on the results of the process evaluation of a food store-based program to improve diet on two American Indian reservations. Process data were collected from 11 intervention stores to document the implementation of the Apache Healthy Stores (AHS) program. Process evaluation instruments recorded the stocking of promoted foods, presence of in-store communication materials, implementation of and participation in the cooking demonstrations and taste tests, and the transmission of mass-media messages. At the store level, the program was implemented with a high level of dose and reach, and a moderate to high level of fidelity. At the community level, the AHS program was implemented with a moderate degree of fidelity and dose. At the individual level, the cooking demonstrations and taste tests reached a large number of community members with a high dose. Implementing the AHS program on multiple levels (store, community, individual) was challenging, and differed between levels. Overall, improvements were seen from start to finish as program staff monitored, documented and responded to barriers to implementation. Process data will be tied to outcomes and will be useful for the planning of future store-based programs.
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U2 - 10.1093/her/cyh032
DO - 10.1093/her/cyh032
M3 - Article
C2 - 15872001
AN - SCOPUS:27644599071
SN - 0268-1153
VL - 20
SP - 719
EP - 729
JO - Health education research
JF - Health education research
IS - 6
ER -