Process Evaluation Worksheet
The program, Be Sweet Without the Sugar, aims to prevent both the development of adolescent obesity and type 2 diabetes through social media in order to reduce sugar sweetened beverage consumption among teens. Nutrition education is not mandatory in the state of NJ, and through this program high school students will learn the importance of nutrition by understanding the risks associated with SSB consumption. The ideally implemented Be Sweet Without the Sugar program will consist of three essential components: social marketing for nutrition education, incentives to promote engagement in the program, and environmental support by swapping out SSB for water or other low-sugar options in vending machines on the school grounds. Research shows that school-based interventions that provide adolescents education on health consequences combined with improving the environment, such as removing vending machines or providing healthy alternatives, are effective in reducing the consumption of SSB among adolescents.
Sample Schedule of Topics
Each topic will be presented through social media posts, videos and photos. Students will attend an assembly in the first and last week of the program to complete a nutrition education survey for research purposes. Throughout the weeks, students will see social media posts addressing varying topics. These short videos will capture the importance of the topic while only lasting a minute at most. This will keep the students engaged and provide nutrition education through a series of short video posts. Students will be encouraged to follow the accounts and engage in the activities throughout the weeks to enter a biweekly raffle with varying prizes.
|January 1-15||Understanding the 5 food groups. General nutrition education. Promote water. Students will be provided with the social media sites to follow and engage in for the duration of the program. Social media will provide daily videos and photos providing education, activities and ways to enter the raffle biweekly.||How all foods can fit into a healthy lifestyle. Distinguish between the different food groups.||MyPlate activities. Incentive to join the program, all students participating will receive a reusable water bottle to promote water drinking throughout the day, instead of SSB beverages from the vending machine. Late partipments after this week are welcome, but no incentive. Nutrition knowledge survey to determine baseline – for research purposes.|
|January 16-31||How to read a nutrition facts label. Where is the added sugar on the label? How much total added sugar should be consumed a day? Promote water.||Understand how to read a nutrition label. Can quickly find where calories, fat, fiber, added sugar and protein are on the label. Able to define low and high amounts of nutrients per serving.||Activity of bingo where a student must complete their bingo board during the week for a chance to win the raffle prize ($10 amazon gift card).|
|February 1-15||Effects of added sugar and disease. Understand the role SSB has on health and lasting negative long term effects. Promote water.||Understand how much added sugar is in sweetened beverages. How too much sugar can contribute to chronic diseases. Risk of SSB. Ways to decrease consumption.||Guess the beverage activity. Vials filled with sugar – students must guess which beverage contains that much sugar. Those who get all questions correct will be entered to win raffle (6 case of unsweetened beverages)|
|February 16-28||Hydration and the importance of water in the body.||Water is vital to our functioning. How much of our bodies are made up of water.||Hydration challenge. Must refill their water bottles (received in week 1) at least 3 times throughout the day. Take a picture each time for a chance to win a raffle. Incentive activity – winner receives a swell water bottle.|
|March 1-15||Program wrap up. Review of all concepts learned.||Students are able to vocalize the importance of water in the body, how much added sugar they should aim for a day and the negative effects of SSB on the body.||Students complete the nutrition education survey – same as completed in week 1 of program. Incentive to complete in the survey is a raffle ticket to win a $50 amazon gift card.|
Social Component: Social media will be an important way to portray nutrition education material to high school students. This program will encourage students to participate in the social media contests and understand the benefits of water in the body. Social media platforms such as Facebook, Instagram and TikTok will show students that drinking water can be both fun while promoting positive behavior change. Students will follow these social media accounts and be provided with daily tips and tricks to a healthy lifestyle. These posts will include general nutrition information such as how to read a nutrition facts label and MyPlate information. Posts will also include specific information on the effects of sugary beverages and the lasting negative health implications. Students will recognize the importance of water on the body and ways to decrease their risk of chronic disease through the incorporation of a healy lifestyle.
Incentive Component: Certain challenges will be displayed through the social media sites, such as a hydration challenge, to encourage students to participate with the incentive of winning a raffle at the end of each week. Students must engage on the social media sites to show involvement in the program for a chance to win. Prizes will include reusable water bottles, monetary gift cards, apparel, and cookbooks. Through the incentive component of this program, more student participation is expected.
Financial / Environmental Component: The facility will earn approximately $90 (per 400) by swapping soda for a mix of water and unsweetened tea. Schools that implement our program will be asked to submit data on sales of water and SSB in vending machines and the cafeteria. We will also monitor usage of water stations in schools. Data will be reviewed 4 months before the program, 4 months during the program, and 4 months after the program. This data will be used to determine if our program is increasing the consumption/sale of water in the school and decreasing consumption/sales of SBB.
|Target of Question||Process- Evaluation Question||Method of Assessment for Question||Resources Required|
||Morning meetings will address the program and encourage students to participate.||Morning meeting announcements will need appropriate technology and wifi. Space for staff to complete training programs.|
||How many students have smartphones where they are able to access the social media accounts during the day? Make sure students are respectful to teachers and only on social media when appropriate.||Social Media outlets. Availability of skilled staff.|
||How many active followers the account has. Amount of likes and shares increases over the weeks. Students have the available time during the day to participate in the incentives provided.||Social media accounts. Wifi throughout the school building. Activity tables are placed in common areas of the school.|
||Amount of likes, follows and shares on social media accounts. Post survey to compare to pre survey of baseline knowledge||Admin account access to all sites. Pre survey. Space in a common area for students to gather to participate in incentive activities.|
||Pre-survey to determine baseline knowledge. Weekly checks of vending machines to ensure correct fill.||Pre survey. Computer, pencils, paper. Classroom space for employee training.|
||Self-reported checklist and observation with checklist.||Post survey.Computer, pencils, paper.|
The questions that are most relevant for this evaluation plan include dose delivered, dose received, reach, and fidelity. Dose delivered is the total number of intended units of each intervention provided by the program (Saunders, Evans & Joshi, 2015). A question that will be used to determine the effectiveness of the dose delivered will be: Did the vending machines swap out the SSB for unsweetened beverages and water? This is the most relevant dose delivered question as this is the backbone for this program. Without the substitution of SSB with unsweetened beverages, students will not be provided with healthier, less sugary, alternatives. The program supervisor will monitor and adjust the program implementation to ensure that this intervention is met. Dose received is essential to quantify how the intervention was received. By referring to the question: To what extent did the students participate on the social media platforms and engage with other students? This question is addressing the extent to which participants are actively engaged with, interact with, and are receptive to the program (Saunders, Evans & Joshi, 2015). Reach is the extent to which participants’ activity engage in the program and are receptive to the material provided. The question: “Was the social media engagement delivered to at least 85% of the high school students?” will show how engaged the target audience was in the program and to ensure that the program is making an impact in the community by reaching a certain percentage of the students. Lastly, fidelity shows the extent to which the intervention was implemented as planned. The question, “Did the social media accounts gain the students’ attention and encourage them to participate in the incentive programs?” will ensure that the program is running as intended. Evlution will be essential in regards to the implementation of the program and monitoring for success.
Saunders, R.P., Evans, M. H., & Joshi, P. (2005). Developing a Process-Evaluation Plan for Assessing Health Promotion Program Implementation: A How-To Guide. Health Promotion Practice, 6(2), 134-147.