Process evaluation of the Yéego! Program to increase healthy eating and gardening among American Indian elementary school children.
BMC Public Health
; 24(1): 232, 2024 01 19.
Article
en En
| MEDLINE
| ID: mdl-38243203
ABSTRACT
BACKGROUND:
American Indian children are at increased risk for obesity and diabetes. School-based health promotion interventions are one approach to promoting healthy behaviors to reduce this risk, yet few studies have described their implementation and fidelity. We conducted a qualitative process evaluation of the Yéego! Healthy Eating and Gardening Program, a school-based intervention to promote healthy eating among Navajo elementary school children. The intervention included a yearlong integrated curriculum, as well as the construction and maintenance of a school-based garden.METHODS:
Our process evaluation included fidelity checklists completed by program staff and qualitative interviews with program staff and classroom teachers after the intervention was implemented. We used content analysis to identify themes.RESULTS:
We identified several themes related to evidence of delivery adherence, program satisfaction, and lessons learned about delivery. Intervention staff followed similar procedures to prepare for and deliver lessons, but timing, teaching styles, and school-level factors also impacted overall implementation fidelity. Teachers and students had positive perceptions of the program, especially lessons that were highly visual, experiential, and connected to Navajo culture and the surrounding community. Teachers and program staff identified ways to enhance the usability of the curriculum by narrowing the scope, relating content to student experiences, and aligning content with school curriculum standards.CONCLUSIONS:
The program was implemented with moderately high fidelity across contexts. We identified areas where modifications could improve engagement, acceptability, efficacy, and sustainability of the program. Our results have implications for the evaluation and dissemination of school-based health interventions to promote healthy eating among children, especially in American Indian communities.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Indio Americano o Nativo de Alaska
/
Dieta Saludable
Tipo de estudio:
Evaluation_studies
/
Prognostic_studies
/
Qualitative_research
Límite:
Child
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Humans
Idioma:
En
Revista:
BMC Public Health
/
BMC public health (Online)
Asunto de la revista:
SAUDE PUBLICA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos