Healthy Summer Learners: An explanatory mixed methods study and process evaluation.

Healthy Summer Learners: An explanatory mixed methods study and process evaluation.
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DOI:
10.1016/j.evalprogplan.2022.102070
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发表时间:
2022-06
影响因子:
1.6
通讯作者:
Weaver, R. Glenn
Weaver, R. Glenn
中科院分区:
法学4区
文献类型:
--
作者:
von Klinggraeff, Lauren;Dugger, Roddrick;Brazendale, Keith;Hunt, Ethan T.;Moore, Justin B.;Turner-McGrievy, Gabrielle;Vogler, Kenneth;Beets, Michael W.;Armstrong, Bridget;Weaver, R. Glenn

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健康夏季学习者(HSL)是一项针对美国东南部低收入家庭2- 4年级儿童的为期6周的新型夏季计划,旨在通过提供健康膳食和零食,每天15分钟的营养教育,3小时的体育活动机会和3.5小时的阅读指导来防止夏季BMI加速增加和学术学习损失。这项三臂试验性准实验研究采用了参与者设计内和参与者设计间的重复测量,以比较HSL与活性对照物-21世纪世纪夏季学习计划(21 C)和无治疗对照。一个混合方法的过程评估被用来评估程序的执行情况,并为未来的程序开发提供洞察力。虽然该计划受到好评,但学生出勤率低于预期,并没有达到完整的程序保真度。在采访中,家长和教师都注意到,公共汽车的时间表不一致,使一些家庭难以上学。这些过程评价结果可能有助于解释为什么在3个月或12个月随访时未发现zBMI或MAP阅读评分的主要结局具有统计学显著性的组-时间相互作用。HSL的未来迭代应该寻求延长课程时间,延长课程持续时间,并探索降低预计出勤成本的方法。
Healthy Summer Learners (HSL), a novel, 6-week summer program for 2–4th grade children from low-income families in the Southeastern United States, aimed to prevent accelerated summer BMI gain and academic learning loss by providing healthy meals and snacks, 15 min of nutrition education, 3 h of physical activity opportunities and 3.5 h of reading instruction daily. This three-armed pilot quasi-experimental study used a repeated measure within- and between-participant design to compare HSL, to an active comparator—21st Century Summer Learning Program (21 C), and no-treatment control. A mixed-methods process evaluation was employed to evaluate program implementation and provide insight for future program development. Though the program was well received, student attendance was lower than anticipated and full program fidelity was not achieved. During interviews, both parents and teachers noted that the bussing schedule was inconsistent, making attendance difficult for some families. These process evaluation findings may help explain why no statistically significant group-by-time interactions at 3- or 12-month follow up were found for the primary outcomes of zBMI or MAP reading score. Future iterations of HSL should seek to extend program hours, lengthen program duration, and explore ways to lower projected cost of attendance.
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