title: Process Evaluation of the Project SHINE Intervention for African American Families: An Integrated Positive Parenting and Peer Monitoring Approach to Health Promotion.
abstract: This study describes the process evaluation of Project SHINE, a randomized family-based health promotion intervention that integrated parenting and peer monitoring for improving sedentary behavior, physical activity, and diet in African American families. Adolescent-parent dyads (n = 89) were randomized to a 6-week behavioral, positive parenting, and peer monitoring skills intervention or a general health education comparison condition. Process evaluation included observational ratings of fidelity, attendance records, psychosocial measures, and qualitative interviews. Results indicated that the intervention was delivered with high fidelity based on facilitator adherence (>98% of content delivered) and competent use of theoretically based behavior change and positive parenting skills (100% of ratings >3 on a 1-4 scale). Although only 43% of peers attended the "bring a friend" session, overall attendance was high (4.39 ± 1.51 sessions) as was the retention rate (88%). Parents in the intervention condition reported significant improvements in communication related to adolescents' engagement in health behaviors both on their own and with peers. These findings were supported by qualitative themes related to improvements in family communication and connectedness. This study provides an innovative example of how future family-based health promotion trials can expand their process evaluation approaches by assessing theoretically relevant positive parenting variables as part of ongoing monitoring.
authors.affiliation: University of Miami Miller School of Medicine, Miami, FL, USA s.stgeorge@med.miami.edu.
authors.forename: Sara M
authors.initials: SM
authors.lastname: St George
authors.affiliation: University of South Carolina, Columbia, SC, USA.
authors.forename: Dawn K
authors.initials: DK
authors.lastname: Wilson
authors.affiliation: University of South Carolina, Columbia, SC, USA.
authors.forename: Tyler
authors.initials: T
authors.lastname: McDaniel
authors.affiliation: University of South Carolina, Columbia, SC, USA.
authors.forename: Kassandra A
authors.initials: KA
authors.lastname: Alia
mesh_terms: D001741:Black or African American; D003142:Communication; D054521:Cultural Competency; D004032:Diet; D015444:Exercise; D005192:Family Health / Q000208:ethnology*; D005260:Female; D006040:Goals; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008019:Life Style; D008297:Male; D010287:Parent-Child Relations; D016487:Parenting; D010290:Parents / Q000193:education*; D057185:Sedentary Behavior; D000068356:Self-Control; D012944:Social Support
keywords: African Americans; diet; fidelity; peer monitoring; physical activity; positive parenting skills; process evaluation; sedentary behavior