Table 2

Intervention Process Evaluation Form for Assessing Fidelity for the PA and Behavioral Skills/Group Time components

Program Component

Essential element categor y and Sample item

# of Items

Format


Physical Activity

1) Clarity of Rules/Expectations Explain rules and daily activities to students

1) 3

Likert Scale: 1-4

2) Choices

Students get to vote on physical activity games

2) 3

(1 = none, 2 = some, 3 = most, 4 = all)

3) Optimal Challenges

Leaders encourage participation, fairness and de-emphasizes competition

3) 8

4) Relatedness/Belonging

Leaders create a positive, interactive environment

4) 6

5) Physical Activity

Students are participating in moderate to vigorous cooperative PA activities

5) 5

Behavioral Skills/SSP/Group Time

1) Clarity of Rules/Expectations

Explains rules to students

1) 3

Likert Scale: 1-4

2) Optimal Challenges

Leaders encourage participation and individual making progress (based on goals)

2) 7

(1 = none, 2 = some, 3 = most, 4 = all)

3) Relatedness/Belonging

Leaders create a positive, interactive environment

3) 7


Note: SSP = Strategic Self-Presentation

Wilson et al. International Journal of Behavioral Nutrition and Physical Activity 2009 6:79   doi:10.1186/1479-5868-6-79

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