ArticleThe international journal of behavioral nutrition and physical activity2009
Using process evaluation for program improvement in dose, fidelity and reach: the ACT trial experience.
Article in The international journal of behavioral nutrition and physical activity, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- What do we want to get out of this? a critical interpretive synthesis of the value of process evaluations, with a practical planning framework.BMC medical research methodology · 2022Pooled it
- School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18.The Cochrane database of systematic reviews · 2021Pooled it
- Are school-based physical activity interventions effective and equitable? A meta-analysis of cluster randomized controlled trials with accelerometer-assessed activity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019Pooled it
- Outcomes of the linking exercise for advancing daily stress (LEADS) management and resilience randomized pilot trial in African American adolescents and families.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Trial
- Using formative process evaluation to improve program implementation and accessibility of competitive group-based physical activity in the TEAM-PA trial.The international journal of behavioral nutrition and physical activity · 2024Trial
- The Results of the Families Improving Together (FIT) for Weight Loss Randomized Trial in Overweight African American Adolescents.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Trial
- Connect through PLAY: a randomized-controlled trial in afterschool programs to increase adolescents' physical activity.Journal of behavioral medicine · 2021Trial
- The Cardiac Care Bridge randomized trial in high-risk older cardiac patients: A mixed-methods process evaluation.Journal of advanced nursing · 2021Trial
- Effects of the Girls on the Move randomized trial on adiposity and aerobic performance (secondary outcomes) in low-income adolescent girls.Pediatric obesity · 2019Trial
- Trial
- A self-determination theory and motivational interviewing intervention to decrease racial/ethnic disparities in physical activity: rationale and design.BMC public health · 2016Trial
- Examining reach, dose, and fidelity of the "Girls on the Move" after-school physical activity club: a process evaluation.BMC public health · 2016Trial
- Process Evaluation of the Project SHINE Intervention for African American Families: An Integrated Positive Parenting and Peer Monitoring Approach to Health Promotion.Health promotion practice · 2016Trial
- Process evaluation of the Bristol girls dance project.BMC public health · 2016Trial
- A multilevel approach to examining time-specific effects in accelerometer-assessed physical activity.Journal of science and medicine in sport · 2015Trial
- An overview of the Families Improving Together (FIT) for weight loss randomized controlled trial in African American families.Contemporary clinical trials · 2015Trial
- Development of an innovative process evaluation approach for the Families Improving Together (FIT) for weight loss trial in African American adolescents.Evaluation and program planning · 2015Trial
- Increasing children's physical activity through a teaching-assistant led extracurricular intervention: process evaluation of the action 3:30 randomised feasibility trial.BMC public health · 2015Trial
- Implementation of an educational intervention to improve hand washing in primary schools: process evaluation within a randomised controlled trial.BMC public health · 2013Trial
- Using a systematic conceptual model for a process evaluation of a middle school obesity risk-reduction nutrition curriculum intervention: choice, control & change.Journal of nutrition education and behavior · 2013Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe purpose of this study was to demonstrate how formative program process evaluation was used to improve dose and fidelity of implementation, as well as reach of the intervention into the target population, in the "Active by Choice Today" (ACT) randomized school-based trial from years 1 to 3 of implementation.
methodsThe intervention integrated constructs from Self-Determination Theory and Social Cognitive Theory to enhance intrinsic motivation and behavioral skills for increasing long-term physical activity (PA) behavior in underserved adolescents (low income, minorities). ACT formative process data were examined at the end of each year to provide timely, corrective feedback to keep the intervention "on track".
resultsBetween years 1 and 2 and years 2 and 3, three significant changes were made to attempt to increase dose and fidelity rates in the program delivery and participant attendance (reach). These changes included expanding the staff training, reformatting the intervention manual, and developing a tracking system for contacting parents of students who were not attending the after-school programs regularly. Process outcomes suggest that these efforts resulted in notable improvements in attendance, dose, and fidelity of intervention implementation from years 1 to 2 and 2 to 3 of the ACT trial.
conclusionProcess evaluation methods, particularly implementation monitoring, are useful tools to ensure fidelity in intervention trials and for identifying key best practices for intervention delivery.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.