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- W2730906874 abstract "Test the efficacy of disseminating the iCook 4-H program with youth-adult dyads a following two-year multistate research study for childhood obesity prevention. Control (n=63)/treatment (n=75), intervention pre- post-design. An experiential learning curriculum with eight bi-weekly sessions and at-home activities was implemented in community settings, primarily by Extension educators (n=12), with minimal researcher assistance. Participants were youth (mean age=9.9±0.6 yr) and their primary meal preparers (mean age=39.4±7.8 yr). Program outcome and fidelity of implementation measures were developed specifically for the curriculum. The youth instrument was 33 items, including scales for cooking skills (α=0.80), eating (α=0.72), playing (α=0.69) and setting goals (α=0.76) together. The adult instrument was 22 items, one scale (α= 0.69), cooking, eating, and playing together. Fidelity measures included meeting objectives, leader effectiveness, and participant engagement and were conducted systematically on 28 of 96 total sessions (29%) by trained evaluators (n=18). Paired and independent sample t-tests were used to determine within and between group differences (P≤0.05). Fidelity descriptive statistics were computed. Treatment increased youth cooking skills (P=0.001) within group and setting goals together within (P=0.01) and between (P=0.03) groups. No changes were found for eating or playing together. Treatment adults reported within (P=0.01) and between (P=0.02) group increases. For fidelity, evaluators rated 91% of objectives met, leaders 97% effective, and youth and adults engaged 88% and 91% of the time, respectively. Based on outcome and fidelity measures, a successful translation to community settings was made. iCook 4-H is an evidence-based program, tested in multiple settings, for prevention of childhood obesity." @default.
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- W2730906874 date "2017-07-01" @default.
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- W2730906874 title "Efficacy of the iCook 4-H Dissemination Using Outcome and Fidelity of Implementation Measures" @default.
- W2730906874 doi "https://doi.org/10.1016/j.jneb.2017.05.299" @default.
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