Developing a Process-Evaluation Plan for Assessing Health Promotion Program Implementation: A How-To Guide

Saunders, Ruth P.; Evans, Martin H.; Joshi, Praphul

doi:10.1177/1524839904273387

Cited by 1,031Health Policy Implementation ScienceEvaluation and Performance AssessmentPublic Health Policies and Education

Developing a Process-Evaluation Plan for Assessing Health Promotion Program Implementation: A How-To Guide

Saunders, Ruth P., Evans, Martin H., Joshi, Praphul·2005·Health Promotion Practice

DOI 10.1177/1524839904273387

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Abstract

Process evaluation is used to monitor and document program implementation and can aid in understanding the relationship between specific program elements and program outcomes. The scope and implementation of process evaluation has grown in complexity as its importance and utility have become more widely recognized. Several practical frameworks and models are available to practitioners to guide the development of a comprehensive evaluation plan, including process evaluation for collaborative community initiatives. However, frameworks for developing a comprehensive process-evaluation plan for targeted programs are less common. Building from previous frameworks, the authors present a comprehensive and systematic approach for developing a process-evaluation plan to assess the implementation of a targeted health promotion intervention. Suggested elements for process-evaluation plans include fidelity, dose (delivered and received), reach, recruitment, and context. The purpose of this article is to describe and illustrate the steps involved in developing a processevaluation plan for any healthpromotion program.

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The process evaluation was performed before the analysis of effectiveness to avoid bias in the interpretation of results.
“The current process evaluation was performed before the analysis of the effectiveness to avoid bias in the interpretation of results. 2”
From Acceptance and Commitment Therapy is feasible for people with acquired brain injury: A process evaluation of the BrainACT treatment. (2024) · cites this paper as [2]

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Dusenbury, L. (2003) · Health Education Research · doi:10.1093/her/18.2.237 · Cited by 1,671 · see citing works
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Resnicow, K., Davis, M. T., Smith, M. J., Lazarus-Yaroch, A., Baranowski, T., Baranowski, J. C., Doyle, C., & Wang, D. T. (1998) · Health Education Research · doi:10.1093/her/13.2.239 · Cited by 130 · see citing works
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Measuring Implementation of School Programs and Policies to Promote Healthy Eating and Physical Activity among Youth
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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
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Bouffard, J. A., Taxman, F. S., & Silverman, R. D. (2003) · Evaluation and Program Planning · doi:10.1016/s0149-7189(03)00010-7 · Cited by 61 · see citing works
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Viadro, C. I., Earp, J. A., & Altpeter, M. (1997) · Evaluation and Program Planning · doi:10.1016/s0149-7189(97)00001-3 · Cited by 25 · see citing works
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Measures of fidelity of delivery of, and engagement with, complex, face‐to‐face health behaviour change interventions: A systematic review of measure quality
Walton, H., Spector, A. E., Tombor, I., & Michie, S. (2017) · British Journal of Health Psychology · doi:10.1111/bjhp.12260 · Cited by 244 · see citing works
Behaviour Centred Design: towards an applied science of behaviour change
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Schwarz, U. V. T., Nielsen, K. M., Edwards, K., Hasson, H., Ipsen, C., Savage, C., Abildgaard, J. S., Richter, A., Lornudd, C., Mazzocato, P., et al. (2020) · European Journal of Work and Organizational Psychology · doi:10.1080/1359432x.2020.1803960 · Cited by 167 · see citing works
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Maguire, A., Clarkson, J. E., Douglas, G. V., Ryan, V., Homer, T., Marshman, Z., McColl, E., Wilson, N., Vale, L., Robertson, M., et al. (2020) · Health Technology Assessment · doi:10.3310/hta24010 · Cited by 55 · see citing works
Process evaluation of a Toolbox-training program for construction foremen in Denmark
Jeschke, K. C., Kines, P., Rasmussen, L., Andersen, L. P., Dyreborg, J., Ajslev, J. Z. N., Kabel, A., Jensen, E. V., & Andersen, L. L. (2017) · Safety Science · doi:10.1016/j.ssci.2017.01.010 · Cited by 59 · see citing works
Can Text Messages Reach the Parts Other Process Measures Cannot Reach: An Evaluation of a Behavior Change Intervention Delivered by Mobile Phone?
Irvine, L. A., Falconer, D. W., Jones, C., Ricketts, I. W., Williams, B., & Crombie, I. K. (2012) · PLoS ONE · doi:10.1371/journal.pone.0052621 · Cited by 58 · see citing works
Research Needed to Strengthen Science and Programs for the Control of Iron Deficiency and Its Consequences in Young Children
Stoltzfus, R. J. (2008) · Journal of Nutrition · doi:10.3945/jn.108.094888 · Cited by 57 · see citing works
Changes in adolescents' intake of sugar-sweetened beverages and sedentary behaviour: Results at 8 month mid-way assessment of the HEIA study - a comprehensive, multi-component school-based randomized trial
Bjelland, M., Bergh, I. H., Grydeland, M., Klepp, K., Andersen, L. F., Anderssen, S. A., Ommundsen, Y., & Lien, N. (2011) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-8-63 · Cited by 58 · see citing works
Process evaluation results from the HEALTHY physical education intervention
Hall, W. J., Zeveloff, A., Steckler, A., Schneider, M. L., Thompson, D. I., Pham, T., Volpe, S. L., Hindes, K., Sleigh, A. E., McMurray, R. G., et al. (2011) · Health Education Research · doi:10.1093/her/cyr107 · Cited by 57 · see citing works
A Systematic Review of Evaluated Suicide Prevention Programs Targeting Indigenous Youth
Harlow, A. F., Bohanna, I., & CLOUGH, A. R. (2014) · Crisis · doi:10.1027/0227-5910/a000265 · Cited by 56 · see citing works
Design of a 20-month comprehensive, multicomponent school-based randomised trial to promote healthy weight development among 11-13 year olds: The HEalth In Adolescents study
Lien, N., Bjelland, M., Bergh, I. H., Grydeland, M., Anderssen, S. A., Ommundsen, Y., Andersen, L. F., Henriksen, H. B., Randby, J. S., & Klepp, K. (2010) · Scandinavian Journal of Public Health · doi:10.1177/1403494810379894 · Cited by 57 · see citing works
Fidelity review: a scoping review of the methods used to evaluate treatment fidelity in behavioural change interventions
O’Shea, O., McCormick, R., Bradley, J. M., & O'Neill, B. M. (2016) · Physical Therapy Reviews · doi:10.1080/10833196.2016.1261237 · Cited by 56 · see citing works
Dose–response research in digital health interventions: Concepts, considerations, and challenges.
McVay, M. A., Bennett, G. G., Steinberg, D., & Voils, C. I. (2019) · Health Psychology · doi:10.1037/hea0000805 · Cited by 55 · see citing works
The implementation and sustainability of a combined lifestyle intervention in primary care: mixed method process evaluation
Berendsen, B., Kremers, S., Savelberg, H. H. C. M., Schaper, N. C., & Hendriks, M. R. (2015) · BMC Family Practice · doi:10.1186/s12875-015-0254-5 · Cited by 55 · see citing works
‘Stand still …, and move on’ , an early neurologically-focused follow-up for cardiac arrest survivors and their caregivers: a process evaluation
Moulaert, V. R. M., van Haastregt, J. C. M., Wade, D. T., Heugten, C. M. V., & Verbunt, J. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-34 · Cited by 54 · see citing works
Instruments for Health Surveys in Children and Adolescents
(2018) · Springer series on epidemiology and public health · doi:10.1007/978-3-319-98857-3 · Cited by 54 · see citing works
Assessment of implementation fidelity in diabetes self-management education programs: a systematic review.
Schinckus, L., van den Broucke, S., & Housiaux, M. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.04.002 · Cited by 51 · see citing works
Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial
Määttä, S., Lehto, R., Nislin, M. A., Ray, C., Erkkola, M., Sajaniemi, N. K., & Roos, E. (2015) · BMC Public Health · doi:10.1186/s12889-015-1744-z · Cited by 53 · see citing works
Intervention fidelity in a school-based diet and physical activity intervention in the UK: Active for Life Year 5
Campbell, R. M., Rawlins, E., Wells, S. L., Kipping, R., Chittleborough, C., Peters, T. J., Lawlor, D. A., & Jago, R. (2015) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-015-0300-7 · Cited by 52 · see citing works
Aquatic therapy for children with Duchenne muscular dystrophy: a pilot feasibility randomised controlled trial and mixed-methods process evaluation
Hind, D., Parkin, J., Whitworth, V., Rex, S., Young, T. A., Hampson, L. V., Sheehan, J., Maguire, C., Cantrill, H., Scott, E., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21270 · Cited by 53 · see citing works
An overview of the Families Improving Together (FIT) for weight loss randomized controlled trial in African American families
Wilson, D. K., Kitzman, H. E., Resnicow, K., Horn, M. L. V., George, S. M. S., Siceloff, E. R., Alia, K. A., McDaniel, T. C., Heatley, V., Huffman, L. E., et al. (2015) · Contemporary Clinical Trials · doi:10.1016/j.cct.2015.03.009 · Cited by 51 · see citing works
Assessing and Evaluating Multidisciplinary Translational Teams
Wooten, K. C., Rose, R. M., Ostir, G. V., Calhoun, W. J., Ameredes, B. T., & Brasier, A. R. (2013) · Evaluation & the Health Professions · doi:10.1177/0163278713504433 · Cited by 52 · see citing works
Implementation of a co-designed physical activity program for older adults: positive impact when delivered at scale
McKay, H. A., Nettlefold, L., Bauman, A. E., Hoy, C. L., Gray, S. M., Lau, E. Y., & Sims‐Gould, J. (2018) · BMC Public Health · doi:10.1186/s12889-018-6210-2 · Cited by 50 · see citing works
Evaluating human-centred design for public health: a case study on developing a healthcare app with refugee communities
Bartlett, R., Boyle, J. A., Smith, J. S., Khan, N. N., Robinson, T., & Ramaswamy, R. (2021) · Research Involvement and Engagement · doi:10.1186/s40900-021-00273-2 · Cited by 51 · see citing works
Process evaluation design in a cluster randomised controlled childhood obesity prevention trial: the WAVES study
Griffin, T. L., Pallan, M. J., Clarke, J. L., Lancashire, E. R., Lyon, A., Parry, J. M., & Adab, P. (2014) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-014-0112-1 · Cited by 50 · see citing works
Why did an effective Dutch complex psycho-social intervention for people with dementia not work in the German healthcare context? Lessons learnt from a process evaluation alongside a multicentre RCT
Voigt-Radloff, S., Graff, M. J. L., Leonhart, R., Hüll, M., Rikkert, M. O., & Vernooij-Dassen, M. J. F. J. (2011) · BMJ Open · doi:10.1136/bmjopen-2011-000094 · Cited by 50 · see citing works
Effect and Process Evaluation of a Cluster Randomized Control Trial on Water Intake and Beverage Consumption in Preschoolers from Six European Countries: The ToyBox-Study
Pinket, A.-S., Lippevelde, W. V., Bourdeaudhuij, I. D., Deforche, B. I., Cardon, G., Androutsos, O., Koletzko, B. V., Moreno, L. A., Socha, P., Iotova, V., et al. (2016) · PLoS ONE · doi:10.1371/journal.pone.0152928 · Cited by 50 · see citing works
Unravelling complex primary-care programs to maintain independent living in older people: a systematic overview
Smit, L. C., Schuurmans, M. J., Blom, J. W., Fabbricotti, I. N., Jansen, A. P. D., Kempen, G. I. J. M., Koopmans, R. T. C. M., Looman, W., Melis, R. J. F., Metzelthin, S., et al. (2017) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2017.12.013 · Cited by 49 · see citing works
Economic Evaluation of a Problem Solving Intervention to Prevent Recurrent Sickness Absence in Workers with Common Mental Disorders
Arends, I., Bültmann, U., van Rhenen, W., Groen, H., & van der Klink, J. J. L. (2013) · PLoS ONE · doi:10.1371/journal.pone.0071937 · Cited by 49 · see citing works
Processes, barriers and facilitators to implementation of a participatory ergonomics program among eldercare workers
Rasmussen, C. D. N., Lindberg, N. K., Ravn, M. H., Jørgensen, M. B., Søgaard, K., & Holtermann, A. (2016) · Applied Ergonomics · doi:10.1016/j.apergo.2016.08.009 · Cited by 53 · see citing works
Dietary Interventions for Healthy Pregnant Women: A Systematic Review of Tools to Promote a Healthy Antenatal Dietary Intake
Beulen, Y. H., Super, S., de Vries, J. H. M., Koelen, M. A., Feskens, E. J. M., & Wagemakers, A. (2020) · Nutrients · doi:10.3390/nu12071981 · Cited by 49 · see citing works
Strengthening causal inference from randomised controlled trials of complex interventions
Leroy, J. L., Frongillo, E. A., Kase, B. E., Alonso, S., Chen, M., Dohoo, I. R., Huybregts, L., Kadiyala, S., & Saville, N. M. (2022) · BMJ Global Health · doi:10.1136/bmjgh-2022-008597 · Cited by 51 · see citing works
Implementation and Maintenance of a Community-Based Older Adult Physical Activity Program
Petrescu-Prahova, M. G., Belza, B. L., Kohn, M., & Miyawaki, C. E. (2015) · The Gerontologist · doi:10.1093/geront/gnv024 · Cited by 48 · see citing works
Grip on challenging behavior: process evaluation of the implementation of a care program
Zwijsen, S. A., Smalbrugge, M., Eefsting, J. A., Gerritsen, D. L., Hertogh, C. M. P. M., & Pot, A. M. (2014) · Trials · doi:10.1186/1745-6215-15-302 · Cited by 48 · see citing works
Nurse-led home visitation programme to improve health-related quality of life and reduce disability among potentially frail community-dwelling older people in general practice: a theory-based process evaluation
Stijnen, M., Jansen, M. W. J., Duimel-Peeters, I. G. P., & Vrijhoef, H. J. (2014) · BMC Family Practice · doi:10.1186/s12875-014-0173-x · Cited by 48 · see citing works
The Applications of Implementation Science in Water, Sanitation, and Hygiene (WASH) Research and Practice
Haque, S. S., & Freeman, M. C. (2021) · Environmental Health Perspectives · doi:10.1289/ehp7762 · Cited by 48 · see citing works
Development and implementation of the Baltimore healthy carry-outs feasibility trial: process evaluation results
Lee, S. H., Goedkoop, S., Yong, R., Batorsky, B., Hoffman, V., Jeffries, J. K., Hamouda, M., & Gittelsohn, J. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-638 · Cited by 47 · see citing works
Mid-way and post-intervention effects on potential determinants of physical activity and sedentary behavior, results of the HEIA study - a multi-component school-based randomized trial
Bergh, I. H., Bjelland, M., Grydeland, M., Lien, N., Andersen, L. F., Klepp, K., Anderssen, S. A., & Ommundsen, Y. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-63 · Cited by 46 · see citing works
Process evaluation of physical activity counselling with and without the use of mobile technology: A mixed methods study
Verwey, R., van der Weegen, S., Spreeuwenberg, M. D., Tange, H. J., van der Weijden, T., & de Witte, L. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2015.10.008 · Cited by 44 · see citing works
Steps to Ensure a Successful Implementation of Occupational Health and Safety Interventions at an Organizational Level
Sánchez, I. M. H., Pérez, J., & Rubio, J. M. L. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.02135 · Cited by 47 · see citing works
Strengthening stakeholder buy-in and engagement for successful exploration and installation: A case study of the development of an area-wide, evidence-based prevention and early intervention strategy
Hickey, G., McGilloway, S., O'Brien, M., Leckey, Y., Devlin, M., & Donnelly, M. (2018) · Children and Youth Services Review · doi:10.1016/j.childyouth.2018.06.008 · Cited by 47 · see citing works
Process evaluation methods, implementation fidelity results and relationship to physical activity and healthy eating in the Faith, Activity, and Nutrition (FAN) study
Saunders, R. P., Wilcox, S., Baruth, M., & Dowda, M. C. (2013) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2013.11.003 · Cited by 46 · see citing works
Self-citation
The 'Healthy Dads, Healthy Kids' community effectiveness trial: study protocol of a community-based healthy lifestyle program for fathers and their children
Morgan, P. J., Lubans, D. R., Plotnikoff, R. C., Callister, R., Burrows, T. L., Fletcher, R. J., Okely, A. D., Young, M. D., Miller, A., Clay, V., et al. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-876 · Cited by 46 · see citing works
The development and implementation of a theory-informed, integrated mother-child intervention in rural Uganda
Singla, D. R., & Kumbakumba, E. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2015.10.069 · Cited by 46 · see citing works
Food-Based Science, Technology, Engineering, Arts, and Mathematics (STEAM) Learning Activities May Reduce Decline in Preschoolers’ Skin Carotenoid Status
Bayles, J., Peterson, A. D., Pitts, S. J., Bian, H., Goodell, L. S., Burkholder, S., Hegde, A. V., & Stage, V. C. (2020) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2020.10.017 · Cited by 46 · see citing works
Process evaluation of a reablement training program for homecare staff to encourage independence in community-dwelling older adults
Rooijackers, T. H., Zijlstra, G. A. R., van Rossum, E., Vogel, R., Veenstra, M. Y., Kempen, G. I. J. M., & Metzelthin, S. (2021) · BMC Geriatrics · doi:10.1186/s12877-020-01936-7 · Cited by 47 · see citing works
Design of the iPlay Study
Collard, D. C. M., Chinapaw, M. J. M., van Mechelen, W., & Verhagen, E. A. L. M. (2009) · Sports Medicine · doi:10.2165/11317880-000000000-00000 · Cited by 45 · see citing works
Knowledge brokering between researchers and policymakers in Fiji to develop policies to reduce obesity: a process evaluation
Waqa, G., Mavoa, H., Snowdon, W., Moodie, M., Schultz, J. T., McCabe, M. P., Kremer, P. J., & Swinburn, B. A. (2013) · Implementation Science · doi:10.1186/1748-5908-8-74 · Cited by 45 · see citing works

Designing the Process Evaluation for the Collaborative Planning of a Local Turning Point Partnership
Tolma, E. L., Cheney, M. K., Troup, P., & Hann, N. E. (2008) · Health Promotion Practice · doi:10.1177/1524839907311574 · Cited by 14 · see citing works
Process Evaluation in Health Communication Media Campaigns: A Systematic Review
Getachew-Smith, H., King, A. J., Marshall, C., & Scherr, C. L. (2021) · American Journal of Health Promotion · doi:10.1177/08901171211052279 · Cited by 11 · see citing works
A Framework for Evaluating Health Promotion Programs
(2015)
Making Sense of Process Evaluation
Lauwerier, E., der Veken, K. V., & Willems, S. J. T. (2022) · Routledge eBooks · doi:10.4324/9781003000204-6 · Cited by 1 · see citing works
Beyond process and outcome evaluation: a comprehensive approach for evaluating health promotion programmes.
Potvin, L., Haddad, S. H., & Kl, F. (2001) · PubMed · Cited by 71 · see citing works

Authors: Saunders, R. P., Evans, M. H., & Joshi, P.
Affiliations: University of South Carolina (US)
South Carolina Department of Health and Environmental Control (US)
ORCID: Saunders, Ruth P.
Joshi, Praphul
Venue: Health Promotion Practice
Publisher: SAGE Publications
Published: 2005-04
Volume: 6
Issue: 2
Pages: 134-147
ISSN: 1524-8399 (ISSN-L)
1552-6372
DOI: 10.1177/1524839904273387
OpenAlex: W2156843619
Cited by: 1,031
References: 24
Citations by year: 2026: 40 · 2025: 55 · 2024: 61 · 2023: 57 · 2022: 70 · 2021: 107 · 2020: 77 · 2019: 65 · 2018: 64 · 2017: 81 · 2016: 54 · 2015: 72 · 2014: 63 · 2013: 48 · 2012: 37
FWCI: 12.59
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Health Promotion Practice (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
Keywords: process evaluation, health promotion programs, program implementation, evaluation planning, fidelity, dosage, REACH regulation, recruitment (clinical trials), context, targeted interventions, evaluation framework
MeSH terms: Adolescent, Health Plan Implementation, Health Promotion, Humans, Planning Techniques, School Health Services, United States, Process Assessment, Health Care, Community Health Planning

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Developing a Process-Evaluation Plan for Assessing Health Promotion Program Implementation: A How-To Guide

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