WorldCat Identities

Alia, Kassandra A.

Works: 2 works in 2 publications in 1 language and 3 library holdings
Classifications: R1, 360
Publication Timeline
Most widely held works by Kassandra A Alia
The Results of the "Positive Action for Today's Health" (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities by Dawn K Wilson( )

1 edition published in 2014 in English and held by 2 WorldCat member libraries worldwide

Development of an innovative process evaluation approach for the Families Improving Together (FIT) for weight loss trial in African American adolescents( )

1 edition published in 2015 in English and held by 1 WorldCat member library worldwide

Highlights: We present a multilevel, theory driven process evaluation of a weight loss program for African American families. Make-up sessions and flexible program components may help overcome barriers to attendance experienced by low income, ethnic minority populations. Implementing behavioral and motivational program elements may require regular coaching for program facilitators. Fidelity at the group level is distinct from fidelity at the facilitator level. We provide a model for evaluating implementation of cultural program elements and insights may be used to develop culturally relevant intervention strategies. Abstract: This study demonstrates how a multi-theoretical, multilevel process evaluation was used to assess implementation of the Families Improving Together (FIT) for weight loss intervention. FIT is a randomized controlled trial evaluating a culturally tailored, motivational plus family-based program on weight loss in African American adolescents and their parents. Social Cognitive, Self Determination, Family Systems theories and cultural tailoring principles guided the conceptualization of essential elements across individual/family, facilitator, and group levels. Data collection included an observational rating tool, attendance records, and a validated psychosocial measure. Results: Attendance records (0 = absent, 1 = present, criteria = e"0%) indicated that 71.5% of families attended each session. The survey (1 = false, 6 = true, criteria = e".5) indicated that participants perceived a positive group climate (M = 5.16, SD = 0.69). A trained evaluator reported that facilitator dose delivered (0 = no, 1 = yes, criteria = e"5%) was high (99.6%), and fidelity (1 = none to 4 = all, criteria = e") was adequate at facilitator (M = 3.63, SD = 0.41) and group levels (M = 3.35, SD = 0.49). Five cultural topics were raised by participants related to eating (n = 3) and physical activity (n = 2) behaviors and were integrated as part of the final curriculum. Discussion: Results identify areas for program improvement related to delivery of multi-theoretical and cultural tailoring elements. Findings may inform future strategies for implementing effective weight loss programs for ethnic minority families
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