{"doi":"10.17615/d5eb-5k75","title":"Making healthy eating and physical activity policy practice: process evaluation of a group randomized controlled intervention in afterschool programs","abstract":"This study describes the link between level of implementation and outcomes from an intervention to increase afterschool programs’ (ASPs) achievement of healthy eating and physical activity (HE-PA) Standards. Ten intervention ASPs implemented the Strategies-To-Enhance-Practice (STEPs), a multi-component, adaptive intervention framework identifying factors essential to meeting HE-PA Standards, while 10 control ASPs continued routine practice. All programs, intervention and control, were assigned a STEPs for HE-PA index score based on implementation. Mixed-effects linear regressions showed high implementation ASPs had the greatest percentage of boys and girls achieving 30 min of moderate-to-vigorous physical activity (47.3 and 29.3%), followed by low implementation ASPs (41.3 and 25.0%), and control ASPs (34.8 and 18.5%). For healthy eating, high/low implementation programs served fruits and vegetables an equivalent number of days, but more days than control programs (74.0 and 79.1% of days versus 14.2%). A similar pattern emerged for the percent of days sugar-sweetened foods and beverages were served, with high and low implementation programs serving sugar-sweetened foods (8.0 and 8.4% of days versus 52.2%), and beverages (8.7 and 2.9% of days versus 34.7%) equivalently, but less often than control programs. Differences in characteristics and implementation of STEPs for HE-PA between high/low implementers were also identified.","journal":"UNC Libraries","year":2020,"id":139592,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9563,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":390124,"name":"Darcy A. Freedman","orcid":"0000-0002-0521-9621","position":1,"is_corresponding":false},{"id":603122,"name":"R. R. Pate","orcid":null,"position":2,"is_corresponding":false},{"id":603123,"name":"M. W. Beets","orcid":null,"position":3,"is_corresponding":false},{"id":390126,"name":"Jennifer Huberty","orcid":"0000-0002-0276-4640","position":4,"is_corresponding":false},{"id":42144,"name":"Gabrielle Turner‐McGrievy","orcid":"0000-0002-1683-5729","position":5,"is_corresponding":false},{"id":342079,"name":"Dianne S. Ward","orcid":"0000-0001-6389-0168","position":6,"is_corresponding":false},{"id":390125,"name":"Justin B. Moore","orcid":"0000-0003-4059-0538","position":7,"is_corresponding":false},{"id":603124,"name":"B. Hutto","orcid":null,"position":8,"is_corresponding":false},{"id":603125,"name":"A. Beighle","orcid":null,"position":9,"is_corresponding":false},{"id":15515,"name":"R. Glenn Weaver","orcid":"0000-0001-5889-974X","position":10,"is_corresponding":false},{"id":603121,"name":"R. P. Saunders","orcid":null,"position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-18T23:17:10.185988Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}