State-wide dissemination of a school-based nutrition education programme: a RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) analysis. Issue 2 (6th December 2012)

• Record Type: Journal Article
• Authors: Dunton, Genevieve Fridlund; Liao, Yue; Grana, Rachel; Lagloire, Renee; Riggs, Nathaniel; Chou, Chih-Ping; Robertson, Trina
• Is Part Of: Public health nutrition. Volume 17:Issue 2(2014)
• Page Start: 422
• Page End: 430
• Publication Date: 2012-12-06
• Subjects: Nutrition -- Periodicals; Nutrition policy -- Periodicals; Public health -- Periodicals; 613.2
• DOI: 10.1017/S1368980012005186
• Languages: English
• ISSNs: 1368-9800

Abstract

<abstract abstract-type="normal"> <title>Abstract</title> <sec id="abs1" sec-type="general"> <title>Objective</title> <p>The current study evaluated the overall public health impact of the 'Shaping Up My Choices' (SMC) programme, a 10-week school-based nutrition education curriculum developed for third-grade students, using the RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) framework.</p> </sec> <sec id="abs2" sec-type="general"> <title>Design</title> <p>Randomized controlled trial to evaluate the programme and secondary analysis of archival data to describe dissemination. Data were collected from programme records, teacher surveys and student pre-, post- and 3-month follow-up surveys.</p> </sec> <sec id="abs3" sec-type="general"> <title>Setting</title> <p>Public elementary schools in California.</p> </sec> <sec id="abs4" sec-type="subjects"> <title>Subjects</title> <p>An evaluation sample (938 students and nineteen teachers) and a dissemination sample (195 245 students and 7359 teachers).</p> </sec> <sec id="abs5" sec-type="results"> <title>Results</title> <p>In the evaluation sample, differences between the control and intervention groups were observed for nutrition knowledge, self-efficacy, outcome expectancies, and intakes of vegetables, fruit (girls only), soda, and low-nutrient high-energy foods from pre- to post-survey. Group differences in change in knowledge, outcome expectancies and vegetable intake were sustained through the 3-month follow-up (efficacy). One hundred per cent of intervention teachers in the evaluation sample implemented all of the lessons (implementation). The dissemination sample represented 42 % of third-grade students (reach) and 39 % of third-grade classrooms in public elementary schools in California during 2010–2011 (adoption). Thirty-seven per cent of third-grade teachers in the dissemination sample reordered SMC materials during the subsequent school year (2011–2012; maintenance).</p> </sec> <sec id="abs6" sec-type="conclusion"> <title>Conclusions</title> <p>The SMC programme demonstrates the potential for moderate to high public health impact.</p> </sec> </abstract>