Process evaluation of the ‘Singapore Physical Activity and Nutrition Study’ |
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| Institution: | 1. School of Public Health, Curtin University, GPO Box U1987, Perth, Western Australia, 6845, Australia;2. Collaboration for Evidence, Research and Impact in Public Health (CERIPH), School of Public Health, Curtin University, GPO Box U1987, Perth, Western Australia, 6845, Australia;1. Department of Agricultural Education and Communication at the University of Florida, 213 Rolfs Hall, PO Box 110540, 32611, Gainesville, FL, United States;2. University of Florida. 218 Rolfs Hall, PO Box 110540, 32611 Gainesville, FL, United States;3. University of Florida. 3028B McCarty Hall D, University of Florida, Gainesville, FL 32611, United States;4. University of Florida. 113C Bryant Hall, PO Box 112060, Gainesville, FL 32611, United States;1. Claremont Graduate University, United States;2. California State University, Los Angeles, United States;1. Duke Global Health Institute, Duke University, Durham, NC, USA;2. Gilling School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA;3. Kilimanjaro Clinical Research Institute, Moshi, Tanzania;4. Kilimanjaro Christian Medical Centre, Moshi, Tanzania;5. Kilimanjaro Christian Medical University College, Moshi, Tanzania;6. London School of Hygiene and Tropical Medicine, London, UK;7. Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA;1. University of Houston-Victoria, 22400 Grand Cir Blvd., Suite 206, Katy, TX, 77449, United States;2. University of Houston-Downtown, One Main Street, Ste 1059-N, Houston, TX, 77002, United States;3. Cypress-Fairbanks ISD, Cy Fair Annex, 22602 NW Fwy, Cypress, TX, 77429, United States |
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| Abstract: | IntroductionThe Singapore Physical Activity and Nutrition Study (SPANS) aimed to improve the physical activity (PA) and nutrition behaviours of Singaporean women aged 50 years and over. The SPANS program consisted of PA classes, nutrition workshops, telephone dietary counselling, health booklets, a health calendar and program ambassadors. This study aimed to assess and understand the implementation of the program strategies and gain insight into process evaluation components to inform future programs.MethodsThe evaluation was guided by a process evaluation framework and collected data via questionnaires (n = 209), program ambassador documentation and exit interviews with program completers (n = 13) and non-completers (n = 12).ResultsIn total, 295 participants completed the program (response rate = 84 %). Participants reported high levels of satisfaction with the overall program (99.5 %) and program activities (96.7 %), and also rated program ambassadors highly. Participation rates were highest for telephone dietary counselling sessions. The main reason for not attending program activities was having a ‘busy schedule’ (n = 158). Participants cited a need for improved recreational centre facilities and increased flexibility around program delivery.ConclusionsThe process evaluation showed that the program strategies were implemented as planned and were deemed suitable for supporting behaviour change among Singaporean women aged 50 years and over. The program reached and involved the majority of participants throughout the six months. The combination of practical educational resources and supportive program ambassadors were key strategies that facilitated positive PA and dietary behaviours. However, there needs to be some flexibility in the delivery of programs. The findings of this research may inform other programs in the region. |
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| Keywords: | Behaviour change Community-based program Physical activity Non-communicable diseases Nutrition Program evaluation |
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