Krachtvoer: process evaluation of a Dutch programme for lower vocational schools to promote healthful diet

Martens, M.

doi:10.1093/her/cyl082

Cited by 58School Health and Nursing EducationHealth Policy Implementation ScienceNutrition, Health and Food Behavior

Krachtvoer: process evaluation of a Dutch programme for lower vocational schools to promote healthful diet

Open access

Martens, M.·2006·Health Education Research

DOI 10.1093/her/cyl082

Open this paper in CoChat — free account Open PDF

Abstract

The aim of this study was to examine the fidelity and completeness of the implementation of a school-based healthful diet promotion programme called 'Krachtvoer' (we use the Dutch title of the programme throughout this article. A possible translation is Power Food, but this does not reflect the play on words in the Dutch title), aimed at lower vocational training students aged 12-14 years. The teachers' and students' opinions of the programme were also assessed, as well as the association between these opinions and the level of implementation. Data were collected through structured teachers' monitoring reports, in-class observations and in-depth interviews with teachers. Further data were drawn from a student questionnaire included in a concurrent cluster-randomized baseline post-test experimental study evaluating the effects of the programme. The present study indicates that the teachers implemented the programme largely according to plan, that the teachers appreciated most parts of the programme and that the students who were exposed to the programme were more appreciative of their nutrition education lessons than students who followed the usual curriculum. However, programme elements that teachers did not like were often not implemented. We conclude that the Krachtvoer programme is a promising tool to encourage students in lower vocational training to adopt diets that are more healthful. The present study revealed the stronger and weaker parts of the programme and can thus guide programme improvement.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1093/her/cyl082

Cites

18 of 18 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-report is the most common means of evaluating the responsiveness of all participants to an intervention.
“Self-report is the most common means of evaluating the responsiveness of all participants to an intervention [30-34,37].”
From A conceptual framework for implementation fidelity (2007) · cites this paper as [34]
The Method (pp. 4–5) describes student questionnaires, teacher monitoring reports and teacher interviews that gathered participants’ views of the programme. It also describes classroom observations and a triangulated evaluation. This supports self-report as one means used in this study, but not the broader claim that it is the most common means of evaluating all participants’ responsiveness to interventions. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Krachtvoer has been systematically developed and adapted over time based on available theoretical and empirical knowledge and results from effect and process evaluation studies of Krachtvoer and has a phased approach.
“Krachtvoer has been systematically developed and adapted over time based on available theoretical and empirical knowledge and results from effect and process evaluation studies of Krachtvoer and has a phased approach [26, 27, 28].”
From Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents (2025) · cites this paper as [28]
The intervention section (pp. 2, 4) says Krachtvoer was developed using intervention mapping, theoretical knowledge and preliminary studies, and describes its three phases. The Discussion (p. 9) says the effect and process evaluations can guide future revisions; it does not establish that the programme had already been adapted over time based on those evaluations. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Program characteristics were identified that facilitated the implementation process, demonstrating the impact of the implementation studies conducted on earlier versions of Krachtvoer.
“In particular, program characteristics were identified that facilitated the implementation process, demonstrating the impact of the implementation studies conducted on earlier versions of Krachtvoer [27, 28].”
From Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents (2025) · cites this paper as [28]
The General opinions of the programme section (p. 6) identifies features teachers valued, including its practical approach, free materials and varied activities; the Discussion (p. 8) links students’ preferences to how fully teachers implemented lessons. The intervention section (p. 2) says earlier focus groups informed design choices intended to promote implementation, but the paper does not demonstrate that studies of earlier Krachtvoer versions caused the facilitating characteristics observed here. (LLM, conf=0.82)
Experimental — accuracy not yet measured
In a study of a school-based health promotion intervention, teachers reported that they did not implement certain components of the intervention if they felt the students were not responding and were not interested.
“In a study of a school-based health promotion intervention, the teachers reported that they did not implement certain components of the intervention if they felt the students were not responding and were not interested [34].”
From A conceptual framework for implementation fidelity (2007) · cites this paper as [34]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Handbook of Self-Regulation
(2000) · Elsevier eBooks · doi:10.1016/b978-0-12-109890-2.x5027-6 · Cited by 4,439 · see citing works
Untitled work
(1999) · Cited by 1,648 · see citing works
Diet and Health: What Should We Eat?
Willett, W. C. (1994) · Science · doi:10.1126/science.8160011 · Cited by 1,008 · see citing works
The Self-Regulation of Health and Illness Behaviour
(2012) · Routledge eBooks · doi:10.4324/9780203553220 · Cited by 780 · see citing works
How do children’s eating patterns and food choices change over time? Results from a cohort study
Lytle, L. A., Seifert, S., Greenstein, J., & McGovern, P. (2000) · American Journal of Health Promotion · doi:10.4278/0890-1171-14.4.222 · Cited by 480 · see citing works
Diffusion of a School-Based Substance Abuse Prevention Program: Predictors of Program Implementation
Rohrbach, L. A., Graham, J. A., & Hansen, W. B. (1993) · Preventive Medicine · doi:10.1006/pmed.1993.1020 · Cited by 431 · see citing works
Intervention mapping : designing theory- and evidence-based health promotion programs
Kok, G. J., & Parcel, G. S. (2000) · Cited by 396 · see citing works
Breakfast and cognition: an integrative summary
Pollitt, E., & Mathews, R. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/67.4.804s · Cited by 295 · see citing works
Gender, socioeconomic status and family status as determinants of food behaviour
Roos, E., Lahelma, E. T., Virtanen, M. J., Prättälä, R., & Pietinen, P. (1998) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00032-x · Cited by 261 · see citing works
Does Breakfast Make a Difference in School?
Pollitt, E. (1995) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(95)00306-1 · Cited by 228 · see citing works
Psychosocial Factors Associated with Fruit and Vegetable Consumption
Krebs‐Smith, S. M., Heimendinger, J., Patterson, B. H., Subar, A. F., Kessler, R. C., & Pivonka, E. (1995) · American Journal of Health Promotion · doi:10.4278/0890-1171-10.2.98 · Cited by 206 · see citing works
Comparison of College Students’ Current Eating Habits and Recollections of Their Childhood Food Practices
Branen, L., & Fletcher, J. W. (1999) · Journal of Nutrition Education · doi:10.1016/s0022-3182(99)70483-8 · Cited by 137 · see citing works
Factors influencing children's food choice
Hursti, U. K. (1999) · Annals of Medicine · doi:10.1080/07853890.1999.11904396 · Cited by 129 · see citing works
Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12– 14-year-old Dutch students
Martens, M. K., van Assema, P., & Brug, J. (2005) · Public Health Nutrition · doi:10.1079/phn2005828 · Cited by 125 · see citing works
Using Process Data To Explain Outcomes
McGraw, S. A., Sellers, D. E., Johnson, C., Stone, E. J., Bachman, K. J., Bebchuk, J. D., Luepker, R. V., & Edmundson, E. W. (1996) · Evaluation Review · doi:10.1177/0193841x9602000304 · Cited by 76 · see citing works
Antecedents to adoption of classroom-based AIDS education in secondary schools
Paulussen, T. G., Kok, G., & Schaalma, H. P. (1994) · Health Education Research · doi:10.1093/her/9.4.485 · Cited by 62 · see citing works
Increasing Teacher Receptivity toward Use of Tobacco Prevention Education Programs
Gingiss, P. L., Gottlieb, N. H., & Brink, S. G. (1994) · Journal of Drug Education · doi:10.2190/2uxc-na52-cal0-g9rj · Cited by 39 · see citing works
Krachtvoer: the development, implementation and evaluation of an educational programme for 12-14-year-old students to promote healthy eating
Martens, M. (2005) · doi:10.26481/dis.20051216mm · Cited by 9 · see citing works
Self-citation

Flagged first, then by citations

Research works printed but not linked: 4

[5]5. Munoz KA, Krebs-Smith SM, Ballard-Barbasch R et al. Food intake of US children and adolescents compared with recommendations. Pediatr 1997; 100 : 323-9.
[6]6. Matthews R. Importance of breakfast to cognitive performance and health. Perspect Appl Nutr 1996; 3 : 204-12.
[10]10. Mynard M, Gunnel D, Emmet P et al. Fruit, vegetable and antioxidants in childhood and risk of adult cancer. J Epidemiol Community Health 2003; 57 : 218-25.
[22]22. Martens M, Wind M, Van Assema P et al. De (on) mogelijkheden van voedingsvoorlichting aan twaalftot veertienjarige jongeren [Opportunities and pitfalls of nutrition education for adolescents aged 12-14]. Ned Tijdschr Die ¨tisten 2002; 57 : 71-7.

Sorted by citations

A conceptual framework for implementation fidelity
Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007) · Implementation Science · doi:10.1186/1748-5908-2-40 · Cited by 2,559 · see citing works
“For example, studies examining factors associated with substance abuse prevention and health promotion programmes in schools found that teachers' beliefs concerning the intervention itself, for example whether they liked it or not, and the training and support they themselves had received, were all associated with the…”
Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and ‘grey’ literature
Van Cauwenberghe, E., Maes, L., Spittaels, H., van Lenthe, F. J., Brug, J., Oppert, J.-M., & De Bourdeaudhuij, I. (2010) · British Journal of Nutrition · doi:10.1017/s0007114509993370 · Cited by 441 · see citing works
“Educational interventions (n 6) Gratton (2007)((84)) 198 United Kingdom 2 weeks 1 week FV þ RT, SS þ Haerens (2007)((58)) 304 þ Belgium 3 months þ 1 time Fat þ RT, T þ Hassapidou (1997)((68)) 126 United Kingdom 7 months 10 weeks FV E þ Klepp (1993)((64)) 447 Norway 5 and 12 months þ 4 months – þ RT, T þ Martens (2008,…”
Background
Fidelity and moderating factors in complex interventions: a case study of a continuum of care program for frail elderly people in health and social care
Hasson, H., Blomberg, S., & Dunér, A. (2012) · Implementation Science · doi:10.1186/1748-5908-7-23 · Cited by 194 · see citing works
“Prior studies have shown that intervention components that are not in line with recipients’ wishes are most often not delivered [38].”
Background
Dutch Obesity Intervention in Teenagers: Effectiveness of a School-Based Program on Body Composition and Behavior
Singh, A. S., Chin A Paw, M. J. M., Brug, J., & van Mechelen, W. (2009) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2009.2 · Cited by 188 · see citing works
“3) Control group 294 (150) 261 (142) 272 (126) 278 (146) Active commuting to school, min/d Intervention group 39 (31) 45 (29) 1 (−4 to 6) 47 (35) 5 (−0.”
Design of the Dutch Obesity Intervention in Teenagers (NRG-DOiT): systematic development, implementation and evaluation of a school-based intervention aimed at the prevention of excessive weight gain in adolescents
Singh, A. S., Paw, M. J. C. A., Kremers, S., Visscher, T. L. S., Brug, J., & van Mechelen, W. (2006) · BMC Public Health · doi:10.1186/1471-2458-6-304 · Cited by 107 · see citing works
“We identified relevant theoretical methods by literature review, investigation of existing programs [57], and in-depth interviews with teachers.”
Engagement Matters: Lessons from Assessing Classroom Implementation of Steps to Respect: A Bullying Prevention Program Over a One-year Period
Low, S. K., Ryzin, M. J. V., Brown, E. C., Smith, B. H., & Haggerty, K. P. (2013) · Prevention Science · doi:10.1007/s11121-012-0359-1 · Cited by 96 · see citing works
“Because engagement in all classroom curricula (including prevention programming) requires cognitive, affective and behavioral resources, such liabilities may diminish both engagement and participation, and negatively impact quality of delivery (Martens et al. 2006).”
Background
Measuring implementation fidelity of school-based obesity prevention programmes: a systematic review
Schaap, R., Bessems, K. M. H. H., Otten, R. H. J., Kremers, S., & van Nassau, F. (2018) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-018-0709-x · Cited by 90 · see citing works
Searching for rigour in the reporting of mixed methods population health research: a methodological review
Brown, K. M., Elliott, S. J., Leatherdale, S. T., & Robertson‐Wilson, J. (2015) · Health Education Research · doi:10.1093/her/cyv046 · Cited by 88 · see citing works
“[45] used implementation journals, in which teachers were asked to track time, activities, materials, their reflections, as well as students’ reactions to the programme.”
Method
Psychosocial determinants of fruit and vegetable consumption among students in a New Zealand university. Results of focus group interviews
Hartman, H., Wadsworth, D., Penny, S., van Assema, P., & Page, R. (2013) · Appetite · doi:10.1016/j.appet.2013.02.005 · Cited by 85 · see citing works
The KiVa antibullying curriculum and outcome: Does fidelity matter?
Haataja, A., Voeten, M., Boulton, A. J., Ahtola, A., Poskiparta, E., & Salmivalli, C. (2014) · Journal of School Psychology · doi:10.1016/j.jsp.2014.07.001 · Cited by 82 · see citing works
HealthKick: a nutrition and physical activity intervention for primary schools in low-income settings
Draper, C. E., de Villiers, A., Lambert, E. V., Fourie, J. M., Hill, J., Dalais, L., Abrahams, Z., & Steyn, N. P. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-398 · Cited by 69 · see citing works
“Mapping protocol in the development of school-based interventions [28-30].”
Krachtvoer: effect evaluation of a Dutch healthful diet promotion curriculum for lower vocational schools
Martens, M. K., van Assema, P., Paulussen, T. G., van Breukelen, G., & Brug, J. (2007) · Public Health Nutrition · doi:10.1017/s1368980007000298 · Cited by 54 · see citing works
Self-citation
Linking implementation process to intervention outcomes in a middle school obesity prevention curriculum, 'Choice, Control and Change'
Gray, H. L., Contento, I. R., & Koch, P. A. (2015) · Health Education Research · doi:10.1093/her/cyv005 · Cited by 47 · see citing works
Using a Systematic Conceptual Model for a Process Evaluation of a Middle School Obesity Risk-Reduction Nutrition Curriculum Intervention: Choice, Control & Change
Lee, H., Contento, I. R., & Koch, P. A. (2013) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2012.07.002 · Cited by 42 · see citing works
Fidelity monitoring in complex interventions: a case study of the WISE intervention
Swindle, T., Selig, J. P., Rutledge, J. M., Whiteside-Mansell, L., & Curran, G. M. (2018) · Archives of Public Health · doi:10.1186/s13690-018-0292-2 · Cited by 40 · see citing works
Dietary Intake and Nutrition-Related Knowledge in a Sample of Lebanese Adolescents of Contrasting Socioeconomic Status
Nabhani-Zeidan, M., Naja, F., & Nasreddine, L. (2011) · Food and Nutrition Bulletin · doi:10.1177/156482651103200201 · Cited by 34 · see citing works
“However, studies on European children reported no association between SES and healthy food habits [50, 51], and the results of studies on European adolescents are inconsistent [11, 20, 46, 52].”
Background
Process evaluation of a school-based weight gain prevention program: the Dutch Obesity Intervention in Teenagers (DOiT)
Singh, A. S., Chinapaw, M. J. M., Brug, J., & van Mechelen, W. (2009) · Health Education Research · doi:10.1093/her/cyp011 · Cited by 34 · see citing works
“Time constraints are a commonly expressed problem in the school setting in general and certainly also related to health promotion projects as indicated by other comparable studies in this field [12, 13].”
Result
Barriers and Facilitators for Teachers' Implementation of the Curricular Component of the Boost Intervention Targeting Adolescents' Fruit and Vegetable Intake
Jørgensen, T. S., Krølner, R. F., Aarestrup, A. K., Tjørnhøj‐Thomsen, T., Due, P., & Rasmussen, M. (2014) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2014.06.003 · Cited by 32 · see citing works
Appreciation and implementation of the Krachtvoer healthy diet promotion programme for 12- to 14- year-old students of prevocational schools
Bessems, K. M. H. H., van Assema, P., Martens, M. K., Paulussen, T. G., Raaijmakers, L. G. M., & de Vries, N. K. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-909 · Cited by 31 · see citing works
“We wanted to find out if the qualitative findings of the first process evaluation, which indicated that programme appreciation among teachers might be related to the completeness of implementation [14], could be confirmed.”
InfluentialSelf-citation
A process view on implementing an antibullying curriculum: How teachers differ and what explains the variation.
Haataja, A., Ahtola, A., Poskiparta, E., & Salmivalli, C. (2015) · School Psychology Quarterly · doi:10.1037/spq0000121 · Cited by 30 · see citing works
Healthier food choices as a result of the revised healthy diet programme Krachtvoer for students of prevocational schools
Bessems, K. M. H. H., van Assema, P., Martens, M. K., Paulussen, T. G., Raaijmakers, L. G. M., de Rooij, M., & de Vries, N. K. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-60 · Cited by 30 · see citing works
“Although the process evaluation of the first version of the programme yielded positive results in terms of programme appreciation and implementation, programme improvements were still recommended [16].”
BackgroundMethodResultSelf-citation
Process evaluation of FATaintPHAT, a computer-tailored intervention to prevent excessive weight gain among Dutch adolescents
Ezendam, N. P. M., Noordegraaf, V. S. A., Kroeze, W., Brug, J., & Oenema, A. (2013) · Health Promotion International · doi:10.1093/heapro/das021 · Cited by 25 · see citing works
Implementation of strategies to increase adolescents’ access to fruit and vegetables at school: process evaluation findings from the Boost study
Aarestrup, A. K., Jørgensen, T. S., Jørgensen, S. E., Hoelscher, D. M., Due, P., & Krølner, R. (2015) · BMC Public Health · doi:10.1186/s12889-015-1399-9 · Cited by 23 · see citing works
“In line with other studies [12,24,26,44-46], we found that schools with stable high levels of dose delivered were characterised by having larger proportions of pupils and teachers appreciating the Boost project.”
BackgroundResult
Co-Creation Approach with Action-Oriented Research Methods to Strengthen “Krachtvoer”; A School-Based Programme to Enhance Healthy Nutrition in Adolescents
Driessen-Willems, M. D., Bartelink, N. H. M., Bessems, K. M. H. H., Kremers, S. P. J., Kintzen, C., & van Assema, P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18157866 · Cited by 20 · see citing works
Testing an Integrated Model of Program Implementation: the Food, Health & Choices School-Based Childhood Obesity Prevention Intervention Process Evaluation
Burgermaster, M., Gray, H. L., Tipton, E., Contento, I. R., & Koch, P. A. (2016) · Prevention Science · doi:10.1007/s11121-016-0736-2 · Cited by 19 · see citing works
“School-based process evaluations have also measured student recall (e.g., Schneider et al. 2009) and use of materials (e.g., Christian et al. 2012; Martens et al. 2006; Schmied et al. 2015).”
Influential
Examining the relationship between completeness of teachers’ implementation of the Krachtvoer healthy diet programme and changes in students’ dietary intakes
Bessems, K. M. H. H., van Assema, P., Crutzen, R., Paulussen, T. G., & de Vries, N. K. (2012) · Public Health Nutrition · doi:10.1017/s1368980012003618 · Cited by 17 · see citing works
“The programme builds on the three phases of selfmanagement theory((13)), successively aiming at raising awareness of personal dietary intakes, proposing solutions in order to meet the Dutch dietary guidelines and setting personal goals for dietary improvement((10,14)).”
Background
Innovatively Supporting Teachers’ Implementation of School-Based Sex Education: Developing A Web-Based Coaching Intervention From Problem to Solution
Schutte, L., van den Borne, M., Kok, G., Meijer, S., & Mevissen, F. E. F. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5058 · Cited by 17 · see citing works
“Several studies revealed that there is an implementation problem among teachers but teachers themselves do not perceive this suboptimal implementation behavior as a problem [4,5,48,16,49].”
Evaluation of an adoption strategy for a healthy diet programme for lower vocational schools
Bessems, K. M. H. H., van Assema, P., Paulussen, T. G., & de Vries, N. K. (2010) · Health Education Research · doi:10.1093/her/cyq075 · Cited by 14 · see citing works
Intervention fidelity in the definitive cluster randomised controlled trial of the Healthy Lifestyles Programme (HeLP) trial: findings from the process evaluation
Lloyd, J., Dean, S. G., Creanor, S., Abraham, C., Hillsdon, M. M., Ryan, E. C., & Wyatt, K. M. (2017) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-017-0616-6 · Cited by 14 · see citing works
“whether they liked it and/or thought it was worthwhile or not) and the training and support they themselves received, were all associated with their level of adherence to the intervention [43, 44].”
Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Implementation Science Communications · doi:10.1186/s43058-024-00548-1 · Cited by 11 · see citing works
Building community capacity to stimulate physical activity and dietary behavior in Dutch secondary schools: Evaluation of the FLASH intervention using the REAIM framework
van Dongen, B. M., de Vries, I. M., Ridder, M. A. M., de Boer, M. R., Steenhuis, I. H., & Renders, C. M. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.926465 · Cited by 9 · see citing works
Facilitators and barriers when implementing a new clinical visit for fathers at Stockholm County child health centres: A qualitative study of nurse-managers at top-performing centres
Place, V., & Wells, M. B. (2020) · Applied Nursing Research · doi:10.1016/j.apnr.2020.151242 · Cited by 6 · see citing works
Promoting Teachers’ Implementation Adherence and Quality of the Good Behavior Game Using Behavioral Skills Training
Klaft, J., & Codding, R. S. (2021) · Journal of Educational and Psychological Consultation · doi:10.1080/10474412.2021.1939704 · Cited by 6 · see citing works
The dissemination of healthy diet programme; Krachtvoer for Dutch prevocational schools
Bessems, K. M. H. H. (2011) · doi:10.26481/dis.20111124kb · Cited by 6 · see citing works
Developing a mixed methods framework for process evaluations of complex interventions: the case of the National Exercise Referral Scheme Policy Trial in Wales
Moore, G. F. (2010) · ORCA Online Research @Cardiff (Cardiff University) · Cited by 5 · see citing works
Implementation of Combined Lifestyle Interventions for Children with Overweight or Obesity: Experiences of Healthcare Professionals in Multiple Communities
Saat, J. J. E. H., Naumann, E., Fransen, G. A. J., Voss, L., van der Velden, K., & Assendelft, W. J. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032156 · Cited by 4 · see citing works
Using Process Evaluation Results to Compare Peer and Adult Leader Delivery of the PAWS (Peer-Education about Weight Steadiness) Club Program
Muzaffar, H., & Nickols‐Richardson, S. M. (2021) · Nutrients · doi:10.3390/nu13113901 · Cited by 2 · see citing works
Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents
Driessen‐Willems, M. D., Bartelink, N. H. M., Bessems, K. M. H. H., Kremers, S. K., & van Assema, P. (2025) · Journal of School Health · doi:10.1111/josh.70009 · Cited by 1 · see citing works
“In particular, program characteristics were identified that facilitated the implementation process, demonstrating the impact of the implementation studies conducted on earlier versions of Krachtvoer [27, 28].”
Evaluatie van een online actieplanprogramma over fruit, ontbijt en tussendoortjes voor leerlingen van het VMBO
Bessems, K. M. H. H., van Assema, P., & Raaijmakers, L. G. M. (2013) · TSG - Tijdschrift voor gezondheidswetenschappen · doi:10.1007/s12508-013-0071-y · Cited by 1 · see citing works
“Van twaalf docenten waren waarderingscijfers (1-10) beschikbaar uit docentenlogboeken over de les waarin zij het actieplanprogramma implementeerden.”
Background
Process evaluation of the Yéego! Program to increase healthy eating and gardening among American Indian elementary school children
Wilcox, H., Bishop, S. K., Francis, B., Lombard, K. A., Beresford, S. A. A., & Ornelas, I. J. (2024) · BMC Public Health · doi:10.1186/s12889-024-17689-6 · Cited by 1 · see citing works
“Another study in the Netherlands found that students’ preferences influenced teachers’ implementation of intervention elements [33].”
Background
Changing the behaviour of children living in Dutch disadvantaged neighbourhoods to improve breakfast quality: Comparing the efficacy of three school-based strategies
Zeinstra, G. G., Vingerhoeds, M. H., Vrijhof, M., van Mourik, S., Houtzager, R. N., & van Kleef, E. (2019) · Appetite · doi:10.1016/j.appet.2019.02.011 · Cited by 2 · see citing works
Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: A systematic reviewPreprint
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2023) · Research Square · doi:10.21203/rs.3.rs-2166755/v1 · Cited by 1 · see citing works
Influencing adolescents' beverage choices: An experimental study on the role of autonomy support and the availability of healthier optionsPreprint
van Nee, R. L., van Kleef, E., & van Trijp, J. C. M. (2026) · SSRN Electronic Journal · doi:10.2139/ssrn.6437859 · Cited by 1 · see citing works
Gezondheidsvoorlichting en beïnvloeding van voedingsgedrag
van Assema, P., Brug, J., & Lechner, L. (2013) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-0510-0_47
Implementation of a Complex Improvement Program in Aged Care
Hasson, H., & Topo, P. (2014) · International perspectives on aging · doi:10.1007/978-3-319-06650-9_14
Factors Influencing the Implementation of 30 Minutes Structured Physical Activity in an After School Program
Hastmann, T. J., Bopp, M., Fallon, E. A., & Dzewaltowski, D. A. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000322751.69786.4c
Dietary Assessment and Effectiveness of Dietary Education Based on Randomized Controlled Trial
Watanabe, M., Yamaoka, K., & Tango, T. (2011) · Kodo Keiryogaku (The Japanese Journal of Behaviormetrics) · doi:10.2333/jbhmk.38.107
Effectiveness of probiotic Bifidobacterium animalis DN-173010 in the management of constipation-predominant irritable bowel syndrome in black South African women
Blaauw, R. (2014)
Creating a Healthy School together
van Dongen, B. M. (2023) · doi:10.5463/thesis.148
Additional file 6 of Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Figshare · doi:10.6084/m9.figshare.26679914
Additional file 4 of Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Figshare · doi:10.6084/m9.figshare.26679908
Additional file 3 of Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Figshare · doi:10.6084/m9.figshare.26679905
Additional file 7 of Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Figshare · doi:10.6084/m9.figshare.26679917
Additional file 5 of Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Figshare · doi:10.6084/m9.figshare.26679911
Additional file 1 of Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Figshare · doi:10.6084/m9.figshare.26679899
Additional file 2 of Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Figshare · doi:10.6084/m9.figshare.26679902
Additional file 8 of Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review
Butscher, F., Ellinger, J., Singer, M., & Mall, C. (2024) · Figshare · doi:10.6084/m9.figshare.26679920
Influencing adolescents' beverage choices: An experimental study on the role of autonomy support and the availability of healthier options
van Nee, R. L., van Kleef, E., & van Trijp, J. C. M. (2026) · Appetite · doi:10.1016/j.appet.2026.108618

The dissemination of healthy diet programme; Krachtvoer for Dutch prevocational schools
Bessems, K. M. H. H. (2011) · doi:10.26481/dis.20111124kb · Cited by 6 · see citing works
Appreciation and implementation of the Krachtvoer healthy diet promotion programme for 12- to 14- year-old students of prevocational schools
Bessems, K. M. H. H., van Assema, P., Martens, M. K., Paulussen, T. G., Raaijmakers, L. G. M., & de Vries, N. K. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-909 · Cited by 31 · see citing works
Self-citation
Examining the relationship between completeness of teachers’ implementation of the Krachtvoer healthy diet programme and changes in students’ dietary intakes
Bessems, K. M. H. H., van Assema, P., Crutzen, R., Paulussen, T. G., & de Vries, N. K. (2012) · Public Health Nutrition · doi:10.1017/s1368980012003618 · Cited by 17 · see citing works
Krachtvoer: effect evaluation of a Dutch healthful diet promotion curriculum for lower vocational schools
Martens, M. K., van Assema, P., Paulussen, T. G., van Breukelen, G., & Brug, J. (2007) · Public Health Nutrition · doi:10.1017/s1368980007000298 · Cited by 54 · see citing works
Self-citation
RESEARCH ARTICLE Open Access
Bessems, K. M. H. H., van Assema, P., Martens, M. K., Paulussen, T. G., Raaijmakers, L. G., & de Vries, N. K. (2013)
Self-citation

Authors: Martens, M.
Affiliations: Maastricht University (NL)
Corresponding author: Martens, M.
Venue: Health Education Research
Publisher: Oxford University Press (OUP)
Published: 2006-05-15
Volume: 21
Issue: 5
Pages: 695-704
ISSN: 0268-1153 (ISSN-L)
1465-3648
DOI: 10.1093/her/cyl082
OpenAlex: W2153888161
Cited by: 58
References: 18
Citations by year: 2026: 2 · 2025: 1 · 2024: 10 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 5 · 2012: 4
FWCI: 6.02
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Health Education Research (publishedVersion)
PubMed (publishedVersion)
Research Publications (Maastricht University) (publishedVersion, other-oa)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
TNO Repository (submittedVersion)
Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Research Publications (Maastricht University) (submittedVersion, other-oa)
Topics: Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: nutrition education, teacher perceptions, student perceptions, adolescents, school health promotion, program improvement
MeSH terms: Adolescent, Child, Curriculum, Faculty, Feeding Behavior, Female, Health Education, Health Promotion, Humans, Male, Netherlands, Schools, Students, Teaching Materials, Program Evaluation

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Krachtvoer: process evaluation of a Dutch programme for lower vocational schools to promote healthful diet

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Self-check

Cites

Cited by

Related

Record

About these checks