Process evaluation design and tools used in a kindergarten-based, family-involved intervention to prevent obesity in early childhood. The ToyBox-study

O. Androutsos, E. Apostolidou, V. Iotova, P. Socha, J. Birnbaum, L. Moreno, I. De Bourdeaudhuij, B. Koletzko, Yannis Manios*, Eva Grammatikaki, Christina Katsarou, Eirini Efstathopoulou, Kristin Duvinage, Sabine Ibrügger, Angelika Strauß, Birgit Herbert, Annette Payr, Greet Cardon, Marieke De Craemer, Ellen De DeckerLieven Annemans, Stefaan De Henauw, Lea Maes, Carine Vereecken, Jo Van Assche, Lore Pil, Juan Fernandez, Saskia te Velde, Theodora Mouratidou, Juan Fernandez, Maribel Mesana, Pilar De Miguel-Etayo, Esther M. González-Gil, Annhild Mosdøl, Beatriz Oves, Agneta Yngve, Susanna Kugelberg, Christel Lynch, Annhild Mosdøl, Bente B. Nilsen, Carolyn Summerbell, Helen Moore, Wayne Douthwaite, Catherine Nixon, Susanne Kreichauf, Andreas Wildgruber, Zbigniew Kulaga, Kamila Zych, Magdalena Góźdź, Beata Gurzkowska, Katarzyna Szott, Mina Lateva, Natalya Usheva, Sonya Galcheva, Vanya Marinova, Zhaneta Radkova, Nevyana Feschieva, Tim Lobstein, Andrea Aikenhead, Goof Buijs, Annemiek Dorgelo, Aviva Nethe, Jan Jansen, Otto Gmeiner, Jutta Retterath, Julia Wildeis, Axel Günthersberger, Leigh Gibson, Claus Voegele, John Reilly, Boyd Swinburn, Dianne Ward

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Summary: Process evaluation (PE) is used for the in-depth evaluation of the implementation process of health promotion programmes. The aim of the current paper was to present the PE design and tools used in the ToyBox-intervention. The PE design was based on a three-step approach, including the identification of ToyBox-specific PE elements (step 1), the development of PE tools and harmonization of procedures (step 2), and the implementation of PE using standardized protocol and tools across the intervention countries (step 3). Specifically, to evaluate the implementation of the intervention, teachers' monthly logbooks were recorded (dose delivered, fidelity, dose received); post-intervention questionnaires were completed by parents/caregivers and teachers (dose received); participation and attrition rates were recorded (recruitment, reach); and audit questionnaires and retrospective information on weather conditions were collected (physical and social environment within which the intervention was implemented). Regarding the teachers' training sessions, the researchers who performed the trainings completed evaluation forms and documented teachers' attendance after each training (dose delivered, fidelity, dose received) and teachers completed evaluation forms after each training (dose received). The PE performed in the ToyBox-intervention may contribute in the evaluation of its effectiveness, guide the revision of the intervention material and provide insights for future health promotion programmes and public health policy.

Original languageEnglish
Pages (from-to)74-80
Number of pages7
JournalObesity Reviews
Volume15
Issue numberSUPPL.3
DOIs
Publication statusPublished - 1 Jan 2014

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