Examining the link between program implementation and behavior outcomes in the lifestyle education for activity program (LEAP)
Abstract
Lifestyle Education for Activity Program (LEAP) was a comprehensive, school-based intervention designed to promote physical activity in high school girls. The intervention focused on changes in instructional practices and the school environment to affect personal, social, and environmental factors related to physical activity. Multiple process evaluation tools and an organizational assessment tool were developed to monitor program implementation from a framework called the LEAP essential elements, which characterized complete and acceptable intervention delivery; secular trends were also monitored. Using process data, LEAP intervention schools were categorized into low- and high-implementing groups and compared with control schools on nine essential elements assessed at the organizational level. The Wilcoxon scores test revealed that low- and high-implementing intervention, and control schools differed significantly on two of nine administrator-reported organizational-level components: having a physical activity team and having a faculty-staff health promotion program. A mixed-model analysis of covariance indicated that, compared to control schools, a greater percentage of girls in high-implementing schools reported engaging in vigorous physical activity. Process evaluation can be used to understand the relationship between level of implementation and successful program outcome.
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Among studies reporting other continuous implementation outcomes (e.g., quantity of physical activity lessons), findings were mixed.
“Among studies reporting other continuous implementation outcomes (e.g., quantity of physical activity lessons), findings were mixed [43, 44, 46, 48, 49, 59, 64, 66].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [66]
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- Authors
- Saunders, R. P., Ward, D., Felton, G. M., Dowda, M., & Pate, R. R.
- Affiliations
- University of South Carolina (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Saunders, Ruth P.
- Venue
- Evaluation and Program Planning
- Publisher
- Elsevier BV
- Published
- 2006-11
- Volume
- 29
- Issue
- 4
- Pages
- 352-364
- ISSN
- 0149-7189 (ISSN-L)
- OpenAlex
- W2026231518
- Cited by
- 112
- References
- 40
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 2 · 2022: 12 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 4 · 2017: 8 · 2016: 9 · 2015: 9 · 2014: 7 · 2013: 10 · 2012: 15
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Evaluation and Program Planning (publishedVersion)
- PubMed (publishedVersion)
- Scholar Commons (University of South Carolina) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- school-based physical activity intervention, high school girls, program implementation, process evaluation, implementation fidelity, organizational factors, high-intensity exercise, secular trends, intervention delivery
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