Process evaluation of a pre-adolescent transdisciplinary health intervention for inter-generational outcomes.

Process evaluation of a pre-adolescent transdisciplinary health intervention for inter-generational outcomes.
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DOI:
10.1371/journal.pone.0261632
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Nelson G
Nelson G
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Arthur K;Christofides N;Nelson G

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在南非五所政府开办的小学中,向537名六年级学生及其家长实施了“生活循环”倡议。跨学科干预的目的是增加对艾滋病毒和肥胖症的知识和技能。研究的目的是评估和报告执行进程。数据收集的实施成果的改编普罗克特的分类,并评估参与者的经验。定性和定量数据收集通过教育工作者日志,研究人员的意见,和学习者家长练习册。观察到不同学校环境之间的差异。过程评估显示,高学习者渗透率(97.2%),但较低的学习者和家长的曝光(分别为44.3%和55.5%)。所有教育工作者都认为,干预措施适合农村和城市学校,不同的社会经济群体,以及不同种族和文化背景的人。干预措施被认为是可持续的,并建议在学校课程中采用,如果发现有效,则予以推广。过程评价促进了对执行结果的评估,描述了其过程,并确认了可以证明干预影响和结果的可变性的基本特征。过程评价的价值及其对执行科学的益处得到了证明。
The CIrCLE of Life Initiative was implemented to 537 grade 6 learners and their parents, in five Government-run South African primary schools. The transdisciplinary intervention was intended to increase knowledge and skills on HIV and obesity. The study aim was to assess and report on the implementation process. Data was collected on an adapted Proctor’s taxonomy of implementation outcomes, and to assess participants’ experiences. Qualitative and quantitative data were collected through educator logbooks, researcher observations, and learner-parent workbooks. Differentiations between the various school contexts were observed. The process evaluation revealed high learner penetration (97.2%), but lower learner and parent exposure (44.3% and 55.5%, respectively). All educators thought that the intervention was a fit for both rural and urban schools, different socio-economic groups, and people of different ethnic and cultural backgrounds. The intervention was perceived to be sustainable, and there were recommendations for adoption into the school curriculum and scale-up if found to be effective. The process evaluation facilitated the assessment of the implementation outcomes, described its processes, and acknowledged fundamental characteristics that could justify variability in the intervention impact and outcomes. The value of process evaluations and their benefit to the science of implementation were demonstrated.
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