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Effects of a structural intervention and implementation on physical activity among youth in residential children's homes

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  • Dominick, Gregory M.
  • Saunders, Ruth P.
  • Dowda, Marsha
  • Kenison, Kelli
  • Evans, Alexandra E.

Abstract

This study reports the effects of a structural intervention, ENRICH (Environmental Interventions in Children's Homes) which targeted the physical and social environment within residential children's homes (RCHs) to increase physical activity (PA) among residents (n=799). Participating RCHs (n=29) were randomized to Early (n=17) or Delayed (n=12) groups from 2004 to 2006 and 2006 to 2008, respectively. Children's PA was measured at three time periods (2004, 2006, 2008). Intent-to-treat analysis revealed no intervention impact on PA. Subsequent analyses used process evaluation data to group organizations into high and low PA-promoting RCHs to compare PA level, controlling for assignment to condition. Organizations with high PA-promoting environments were found to have more active youth. Utility of a comprehensive implementation monitoring plan and the need for formative assessment of organizational capacity is discussed.

Suggested Citation

  • Dominick, Gregory M. & Saunders, Ruth P. & Dowda, Marsha & Kenison, Kelli & Evans, Alexandra E., 2014. "Effects of a structural intervention and implementation on physical activity among youth in residential children's homes," Evaluation and Program Planning, Elsevier, vol. 46(C), pages 72-79.
    • Handle: RePEc:eee:epplan:v:46:y:2014:i:c:p:72-79
    DOI: 10.1016/j.evalprogplan.2014.05.011
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    References listed on IDEAS

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    1. McLean, Lavinia & Penco, Rebecca, 2020. "Physical activity: Exploring the barriers and facilitators for the engagement of young people in residential care in Ireland," Children and Youth Services Review, Elsevier, vol. 119(C).
    2. Dominick, Gregory M. & Saunders, Ruth P. & Friedman, Daniela B. & Hussey, James R. & Watkins, Ken W., 2015. "Factors associated with provision of instrumental social support for physical activity in a foster parent population," Children and Youth Services Review, Elsevier, vol. 52(C), pages 1-7.
    3. Bruce, Lauren & Pizzirani, Bengianni & Green (nee Cox), Rachael & Quarmby, Thomas & O'Donnell, Renée & Strickland, David & Skouteris, Helen, 2019. "Physical activity engagement among young people living in the care system: A narrative review of the literature," Children and Youth Services Review, Elsevier, vol. 103(C), pages 218-225.

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