Development of an innovative process evaluation approach for the families improving together (FIT) for weight loss trial in African American adolescents

Kassandra A. Alia, Dawn K. Wilson, Tyler McDaniel, Sara StGeorge, Heather Kitzman-Ulrich, Kelsey Smith, Va Shawn Heatley, Courtney Wise

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

This study demonstrates how a multi-theoretical, multilevel process evaluation was used to assess implementation of the Families Improving Together (FIT) for weight loss intervention. FIT is a randomized controlled trial evaluating a culturally tailored, motivational plus family-based program on weight loss in African American adolescents and their parents. Social Cognitive, Self Determination, Family Systems theories and cultural tailoring principles guided the conceptualization of essential elements across individual/family, facilitator, and group levels. Data collection included an observational rating tool, attendance records, and a validated psychosocial measure. Results: Attendance records (0. = absent, 1. = present, criteria. = ≥70%) indicated that 71.5% of families attended each session. The survey (1. = false, 6. = true, criteria. = ≥4.5) indicated that participants perceived a positive group climate (M= 5.16, SD. = 0.69). A trained evaluator reported that facilitator dose delivered (0. = no, 1. = yes, criteria = ≥75%) was high (99.6%), and fidelity (1. = none to 4. = all, criteria. = ≥3) was adequate at facilitator (M= 3.63, SD = 0.41) and group levels (M= 3.35, SD. = 0.49). Five cultural topics were raised by participants related to eating (n= 3) and physical activity (n= 2) behaviors and were integrated as part of the final curriculum. Discussion: Results identify areas for program improvement related to delivery of multi-theoretical and cultural tailoring elements. Findings may inform future strategies for implementing effective weight loss programs for ethnic minority families.

Original languageEnglish (US)
Pages (from-to)106-116
Number of pages11
JournalEvaluation and Program Planning
Volume49
DOIs
StatePublished - Apr 1 2015

Fingerprint

African American
African Americans
Weight Loss
adolescent
evaluation
Weight Reduction Programs
group climate
self determination
Systems Theory
Personal Autonomy
physical activity
ethnic minority
system theory
American
family
loss
trial
Innovative process
Weight loss
self-determination

Keywords

  • Adolescents
  • African American
  • Process evaluation
  • Weight loss

ASJC Scopus subject areas

  • Business and International Management
  • Social Psychology
  • Geography, Planning and Development
  • Strategy and Management
  • Public Health, Environmental and Occupational Health

Cite this

Development of an innovative process evaluation approach for the families improving together (FIT) for weight loss trial in African American adolescents. / Alia, Kassandra A.; Wilson, Dawn K.; McDaniel, Tyler; StGeorge, Sara; Kitzman-Ulrich, Heather; Smith, Kelsey; Heatley, Va Shawn; Wise, Courtney.

In: Evaluation and Program Planning, Vol. 49, 01.04.2015, p. 106-116.

Research output: Contribution to journalArticle

Alia, Kassandra A. ; Wilson, Dawn K. ; McDaniel, Tyler ; StGeorge, Sara ; Kitzman-Ulrich, Heather ; Smith, Kelsey ; Heatley, Va Shawn ; Wise, Courtney. / Development of an innovative process evaluation approach for the families improving together (FIT) for weight loss trial in African American adolescents. In: Evaluation and Program Planning. 2015 ; Vol. 49. pp. 106-116.
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