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Table 2 Examples of high and low implementation scores

From: Process evaluation results of a cluster randomised controlled childhood obesity prevention trial: the WAVES study

  Example of what would see a school achieve ‘Low’ scores Example of what would see a school achieve ‘High’ scores
  PA CW VV PA CW VV
Fidelity/adherence Sessions delivered ad-hoc, session duration shorter than recommended Core nutritional information not covered, session duration less than 60 mins, pre-workshop lessons not delivered Session duration shorter than recommended, key activity or session content missed out. Teachers failing to deliver classroom challenges Sessions delivered consistently, duration as intended Workshop delivered over 90 min and included practical activities for children to participate in.
Lessons delivered before the workshop
All VV activities delivered as planned and challenges delivered
Reach/dose/exposure, Sessions delivered when not all children present (e.g. before registration), sessions delivered ad-hoc and not daily Sessions not delivered to all children, parents not invited to attend Classroom challenges delivered when not all children present Sessions delivered at a consistent time slot each day when all children are present in the classroom Sessions delivered when all children present. Parents invited and encouraged to attend All to nearly all children in class in attendance
Recruitment Children not encouraged to join in Parents not invited to sessions. Children not encouraged to join in at the workshops Children not encouraged to join in activities at Villa or in classroom challenges Children encouraged to join in by peers and activity leader Parents invited to sessions and teachers positively recruiting in the week’s preceding. VV staff encouraging children to take part in the activities. Teachers encouraging participation and promoting homework activities
Quality Leader putting DVD / music on and then returning to own work (e.g. marking). Poor interaction between class and the activities. Teacher unenthusiastic delivery, rushing through or skipping slides, low interaction with class, poor set up and disinterest in practical session Session leaders unenthusiastic delivery, rushing through, low interaction with class, poor set up of practical session Leader explaining the activities clearly and positively, supporting children to make quality movements, overall exemplary delivery. Leader joining in where appropriate. Teacher enthusiastic delivery, high level of interaction with children and parents Session leader enthusiastic about session content, high level of interaction with children
Participant responsiveness. Children unenthusiastic and disinterested in the activities, some not joining in and choosing to do something else Children and parents unenthusiastic about the activities, not getting involved in the practical elements of the workshop Children and parents unenthusiastic and disinterested in the activities. Children’s response to the PA positive, enthusiastic to join in, appear to be enjoying themselves Children’s and parents’ response to, and interest in the activities positive, enthusiastic to join in Children’s response to, and interest in the activities positive, enthusiastic to join in
  1. PA Physical Activity, CW Cooking Workshops, VV Villa Vitality