Evaluating the Implementation and Effectiveness of the SWITCH–MS: An Ecological, Multi-Component Adolescent Obesity Prevention Intervention
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design, Settings and Participants
2.2. SWITCH–MS Intervention Process
2.3. Implementation and Effectiveness Outcomes
2.3.1. Whole-of-School Implementation Outcomes
2.3.2. Classroom Implementation Outcomes
2.3.3. Effectiveness Healthy-Living Behavior Outcomes
2.4. Data Collection
2.5. Data Analysis
3. Results
3.1. Implementation Outcomes
3.2. Effectiveness Outcomes
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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School # | Group | Locale | Enrollment | %White | %Male | %FARM |
---|---|---|---|---|---|---|
1 | Inexperienced | Rural: Distant | 227 | 95% | 54% | 21% |
2 | Inexperienced | Rural: Distant | 97 | 99% | 46% | 22% |
3 | Inexperienced | City: Mid-size | 737 | 30% | 49% | 74% |
4 | Inexperienced | Rural: Distant | 189 | 93% | 49% | 28% |
5 * | Experienced | Town: Fringe | 30 | 92% | 45% | --- |
6 | Experienced | Rural: Distant | 270 | 89% | 54% | 34% |
7 | Experienced | Rural: Remote | 70 | 96% | 54% | 26% |
Group | Implementation of the Best Practices | Awareness | Engagement | ||
---|---|---|---|---|---|
Health | PE | Lunchroom | |||
Inexperienced (n = 3) | 1.9 ± 0.4 | 1.4 ± 0.2 | 2.2 ± 1.1 | 2.2 ± 0.2 | 1.9 ± 0.3 |
Experienced (n = 3) | 1.8 ± 0.4 | 1.4 ± 0.5 | 1.7 ± 0.6 | 2.3 ± 0.3 | 2.3 ± 0.3 |
Behavior Outcome | Predictors | B | s.e. | df | t | p | 95% CI | Variances Explained at Levels 1, 2, 3 | |
---|---|---|---|---|---|---|---|---|---|
Lower | Upper | ||||||||
“Do” at School | Intercept | 2.04 | 0.41 | 4.83 | 4.96 | <0.01 | 0.97 | 3.11 | 33.5%, 45.7%, 20.8% |
Time (T1) | −0.20 | 0.07 | 375.05 | −2.83 | <0.01 | −0.34 | −0.06 | ||
Condition (inexp.) | −0.62 | 0.35 | 4.32 | −1.79 | 0.14 | −1.55 | 0.31 | ||
Time×Condition (T1×inexp.) | 0.05 | 0.08 | 374.93 | 0.55 | 0.59 | −0.12 | 0.21 | ||
Gender (boys) | 0.23 | 0.08 | 383.42 | 3.09 | <0.01 | 0.08 | 0.38 | ||
Grade (6th G) | 0.85 | 0.13 | 379.46 | 6.34 | <0.01 | 0.59 | 1.11 | ||
Grade (7th G) | −0.10 | 0.14 | 394.64 | −0.73 | 0.46 | −0.37 | 0.17 | ||
Tracking | 0.14 | 0.85 | 4.08 | 0.17 | 0.88 | −2.20 | 2.48 | ||
“Do” out of School | Intercept | 2.99 | 0.20 | 16.25 | 15.03 | <0.01 | 2.57 | 3.41 | 45.7%, 53.6%, 0.7% |
Time (T1) | −0.37 | 0.09 | 375.08 | −4.12 | <0.01 | −0.54 | −0.19 | ||
Condition (inexp.) | −0.31 | 0.14 | 5.43 | −2.29 | 0.07 | −0.65 | 0.03 | ||
Time×Condition (T1×inexp.) | 0.13 | 0.11 | 374.98 | 1.21 | 0.23 | −0.08 | 0.34 | ||
Gender (boys) | 0.20 | 0.09 | 384.25 | 2.17 | 0.03 | 0.02 | 0.37 | ||
Grade (6th G) | 0.60 | 0.15 | 148.25 | 3.98 | <0.01 | 0.30 | 0.89 | ||
Grade (7th G) | 0.23 | 0.16 | 379.02 | 1.44 | 0.15 | −0.09 | 0.55 | ||
Tracking | 0.94 | 0.30 | 4.31 | 3.09 | 0.03 | 0.12 | 1.76 | ||
“View” Behavior | Intercept | 3.14 | 0.16 | 9.89 | 19.48 | <0.01 | 2.78 | 3.50 | 46.5%, 52.4%, 1.1% |
Time (T1) | 0.16 | 0.07 | 374.98 | 2.25 | 0.03 | 0.02 | 0.30 | ||
Condition (inexp.) | −0.01 | 0.11 | 3.74 | −0.08 | 0.94 | −0.33 | 0.31 | ||
Time×Condition (T1×inexp.) | −0.11 | 0.08 | 374.88 | −1.35 | 0.18 | −0.28 | 0.05 | ||
Gender (boys) | 0.21 | 0.07 | 384.16 | 2.98 | <0.01 | 0.07 | 0.35 | ||
Grade (6th G) | −0.46 | 0.12 | 139.81 | −3.90 | <0.01 | −0.69 | −0.23 | ||
Grade (7th G) | −0.22 | 0.13 | 379.96 | −1.73 | 0.08 | −0.47 | 0.03 | ||
Tracking | −0.60 | 0.25 | 2.96 | −2.35 | 0.10 | −1.42 | 0.22 | ||
“Chew” Behavior | Intercept | 2.86 | 0.23 | 6.75 | 12.33 | <0.01 | 2.31 | 3.42 | 31.7%, 61.9%, 6.5% |
Time (T1) | −0.05 | 0.06 | 375.30 | −0.90 | 0.37 | −0.17 | 0.06 | ||
Condition (inexp.) | −0.16 | 0.18 | 4.61 | −0.90 | 0.41 | −0.65 | 0.32 | ||
Time×Condition (T1×inexp.) | 0.01 | 0.07 | 375.15 | 0.11 | 0.91 | −0.13 | 0.14 | ||
Gender (boys) | −0.10 | 0.07 | 390.33 | −1.44 | 0.15 | −0.24 | 0.04 | ||
Grade (6th G) | 0.64 | 0.12 | 333.44 | 5.17 | <0.01 | 0.40 | 0.89 | ||
Grade (7th G) | 0.26 | 0.13 | 405.07 | 2.02 | 0.04 | 0.01 | 0.51 | ||
Tracking | 0.65 | 0.44 | 4.09 | 1.48 | 0.21 | −0.56 | 1.87 |
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Chen, S.; Rosenkranz, R.R.; McLoughlin, G.M.; Vazou, S.; Lanningham-Foster, L.; Gentile, D.A.; Dzewaltowski, D.A. Evaluating the Implementation and Effectiveness of the SWITCH–MS: An Ecological, Multi-Component Adolescent Obesity Prevention Intervention. Int. J. Environ. Res. Public Health 2020, 17, 5401. https://doi.org/10.3390/ijerph17155401
Chen S, Rosenkranz RR, McLoughlin GM, Vazou S, Lanningham-Foster L, Gentile DA, Dzewaltowski DA. Evaluating the Implementation and Effectiveness of the SWITCH–MS: An Ecological, Multi-Component Adolescent Obesity Prevention Intervention. International Journal of Environmental Research and Public Health. 2020; 17(15):5401. https://doi.org/10.3390/ijerph17155401
Chicago/Turabian StyleChen, Senlin, Richard R. Rosenkranz, Gabriella M. McLoughlin, Spyridoula Vazou, Lorraine Lanningham-Foster, Douglas A. Gentile, and David A. Dzewaltowski. 2020. "Evaluating the Implementation and Effectiveness of the SWITCH–MS: An Ecological, Multi-Component Adolescent Obesity Prevention Intervention" International Journal of Environmental Research and Public Health 17, no. 15: 5401. https://doi.org/10.3390/ijerph17155401
APA StyleChen, S., Rosenkranz, R. R., McLoughlin, G. M., Vazou, S., Lanningham-Foster, L., Gentile, D. A., & Dzewaltowski, D. A. (2020). Evaluating the Implementation and Effectiveness of the SWITCH–MS: An Ecological, Multi-Component Adolescent Obesity Prevention Intervention. International Journal of Environmental Research and Public Health, 17(15), 5401. https://doi.org/10.3390/ijerph17155401