Health Education Research Advance Access published online on March 20, 2009
Health Education Research, doi:10.1093/her/cyp011
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Process evaluation of a school-based weight gain prevention program: the Dutch Obesity Intervention in Teenagers (DOiT)
1 Department of Public and Occupational Health, EMGO Institute, VU University Medical Center, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
2 Department of Epidemiology and Biostatistics, EMGO Institute, VU University Medical Center, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
Correspondence to: * Correspondence to: A. S. Singh. E-mail: a.singh{at}vumc.nl
Health promotion programs benefit from an accompanying process evaluation since it can provide more insight in the strengths and weaknesses of a program. A process evaluation was conducted to assess the reach, implementation, satisfaction and maintenance of a school-based program aimed at the prevention of excessive weight gain among Dutch adolescents [Dutch Obesity Intervention in Teenagers (DOiT)]. Our process evaluation involved data collections by means of questionnaires among students, teachers, school board and site staff. The results indicated immense difficulties in the recruitment phase and therefore a low reach at school level. However, among adolescents of the schools that participated, the reach was high (84%). Furthermore, the classroom intervention was implemented successfully based on the number of lessons taught. Most teachers rated the DOiT-intervention positively; students rated the intervention 6.6 on a scale of 1–10. The majority of the teachers planned to implement the DOiT-intervention program in the future, as they perceived DOiT feasible for pre-vocational education students.
Received on August 20, 2007; accepted on February 14, 2009