Poster Presentation
Thursday, July 12, 2007
9:30 AM - 10:15 AM
Thursday, July 12, 2007
3:15 PM - 4:00 PM
The effectiveness evaluation of PACE for youth among overweight students of middle high school by CIPP evaluation model
Chi-Chen Chiang, MS, RN1, Yiing-Mei Liou, PhD, RN2, Jia-Shan Wu, MS, RN3, and Yi-Hsun Lin, MS, RN2. (1) Department of Nursing, Mackay Medicine, Nursing and Management College, Taipei, Taiwan, (2) Institute of Community Health Nursing, National Yang-Ming University, Taipei, Taiwan, (3) Department of Medical Development, Buddhist Tzu Chi General Hospital,Taipei Branch, Taipei, Taiwan
| Learning Objective #1: understand the essential factors of program development of physical activity and healthy diet in PACE+ for youth |
| Learning Objective #2: know the effect of PACE+ for youth in junior high school students |
Background: Obesity in teenagers is an indicator of adult obesity, and has a deep influence physically and mentally. It has also become an important social economic burden. However, the effectiveness of previous projects to reduce teenage obesity was limited. Patient-centered/Physician-based Assessment & Counseling for Exercise plus Nutrition ( PACE+) program, based on transtheoretical model and used physical activity, diet and behavior modification as strategies, showed great effect upon healthy diet and active life promotion in many studies. This study was done to develop PACE+ for youth in junior high school students.
Purpose: To evaluate PACE+ for youth among overweight junior high school students and develop PACE+ for youth with the Chinese culture adaptation.
Method: This study was an evaluation research. Overweight junior high students in Taipei were recruited as subjects. The experimental group had 36 students. The control group had 30 students. The CIPP (Context, Input, Process, and Product) evaluation model was applied to analyze and evaluate PACE+ for youth and to give concrete suggestions for further applications.
Result: The context evaluation showed the lack of individualization and poor effectiveness in previous programs for students. The input evaluation revealed the limited cognitive abilities of students, and recommended the PACE+ for youth to be more concrete, suitable, and press close to existence content. In process evaluation, the group dynamic, the cooperation of parents, and adjustment for individual needs were emphasized. In product evaluation, PACE+ for youth showed great improvements in physical activity and nutrition with high-fiber diets. The perception of benefits in physical activity was also significantly increased when analyzed by the growth effect using the Generalized Estimating Equation.
Conclusions: PACE+ for youth could fit individual needs and improve the health behavior of teenagers. After deliberative evaluation and reflection, investigators developed a more appropriate program for overweight and obese teenagers.