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NOLA’s KIDS IN MOTION
Jasmine Alexis
José A. Colón
Christian Morfaw
SBPS 6340: Monitoring and Evaluation of Health Programs
Dr. Megan Weemer
July 2, 2023

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I. PROGRAM DESCRIPTION
Name of the program/intervention
NOLA’s Kids in Motion
The location where the program/intervention is implemented
The program will be implemented in New Orleans, Louisiana.
Brief description of the program/intervention and target population
NOLA’s Kids in motion is a four-month intervention designed to teach children ages 6-11 and their parents about nutrition,
physical activity, and stress coping skills. Participants in the intervention will participate in a series of games twice a week for 45
minutes each time. Also, the participants will engage in weekly 90-minute Dance Dance exergames.
The target population are children 6-11 years old reported with body mass index (BMI) greater than or equal to the 95th
percentile and their parents. The children are students at elementary schools in the Jefferson Parish district. The four elementary
schools participating in the intervention are Ella C. Pittman, A.C. Alexander, Geraldine Boudreaux, and Greenlawn Terrace.

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II. THEORIES OF CHANGE
Balloon Game
Teaches the food groups
and my plate components.
Foods Under the Microscope
Reinforces the information provided
in the Balloon game. It teaches
about the calorie density of foods.
ACTIVITIES
Bursting Bubbles Games
Teaches students about coping
strategies, eustress, and distress.
Dance Dance Revolution Gameplay
Aims at increasing children’s
opportunities for physical activity.
Children must engage at least in
90 minutes of the game weekly.
COGNITIVE
OUTCOMES
Increase parental
awareness identifying
strategies to help children
cope with stress.
Children increase positive
attitude toward
participating in physical
activities.
Increase children's
understanding about food
groups and the pyramid.
Increase children’s
knowledge of the
calorie density of foods.
BEHAVIORAL
OUTCOMES
Increase children's
selection and consumption
of healthier foods.
Increase children's
selection and consumption
of healthier foods.
Increase parents understanding
about positive parenting dedicating
weekly time to share with children.
Children are gaining perspectives
about engaging in physical activity.
Parents increase their abilities to
effectively use community resources.
Parents employing positive parenting
behaviors.
PROBLEM STATEMENT: Louisiana has one of the highest rates of childhood obesity in the country. In
Louisiana, 24% of youth ages 10-17 have obesity, ranking third in the nation. Moreover, the incidence of
overweight among school-aged children aged 6-to-11 in New Orleans increased from 4.2% to 15.3% in the last
twenty years.
HEALTH OUTCOMES
Reduce children
obesity rate and body
mass index (BMI) in
children.
Reduce New
Orleans’s obesity
prevalence rate.
Increased quality of
life for children.
Parents Nutrition/Physical Activity
Educational Sessions:
Educated on the implications of
obesity in children, and the
importance of healthy eating and
physical activity in preventing
childhood obesity.
Increase the parents’ knowledge on
the causes and health risks of
childhood obesity.
Increase parents’ knowledge about
healthier food choice and different
physical activities.
Make physical activity part of your
family’s daily routine (i.e., playing
active games together, taking walks)
Parents will purchase more lower-fat,
lower-calorie meals, and snacks for
the household.

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III. Theory of Change Narrative (300 words)
EACH PERSON IS RESPONSIBLE FOR LINKING ACTIVITIES TO AN OUTCOMES
Games have been shown to be an effective strategy to increase children’s knowledge and choice of healthy dietary options and
reduce childhood obesity rates (Mack et al., 2020). In this program, students will participate in the balloon games and foods under the
microscope games twice a week during which they will increase their knowledge of the food groups, the food pyramid, and the calorie
density of foods. Due to this increase in knowledge, students will increase their selection and consumption of healthier foods, and this
will lead to lower body mass indices and lower obesity rates in these students.
(JOSÉ)Dance-Dance Revolution and Bursting Bubbles game
The Centers for Disease Control and Prevention (CDC) encourages parents to spend approximately 60 minutes per day
engaging in formal or informal physical activity with their children (Centers for Disease Control and Prevention, 2021). Dance-Dance
Revolution is increasing children's physical activity opportunities by 90 minutes per week. Consequently, as children engage in
physical activity through interactive and enjoyable activities, such as swimming or leaping on a trampoline, they will develop a
favorable disposition toward exploring a variety of physical activities. Children will develop favorable attitudes toward engaging in
various physical activities as a result of their exposure to a variety of interactions involving physical activity. Given the positive
outlook fostered by the process, they will experience an increase in the rate of obesity risk reduction while also experiencing an

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improvement in their quality of life. Not only does Dance-Dance Revolution teach children to increase their physical activity levels,
but it also emphasizes the importance of parental role modeling at home. For instance, upon comprehending their crucial role,
parents will gain a deeper understanding of the positive parental benefits and health outcomes for their children. Therefore, parents
will internalize that engaging in a variety of physical activities with their children and taking advantage of the health benefits that
games engender at the affective and behavioral levels will result in positive parenting behaviors. This practice leads to consistent,
secure parenting over the long term, which reduces the risk of childhood obesity and enhances the quality of life for children.
The World Health Organization (WHO) established in 2018 that preventing childhood obesity has positive effects on
children's overall health as they mature into adults. The authors concluded that optimal weight children are more susceptible to
developing positive self-esteem, a lower likelihood of being harassed, and higher academic performance than overweight children
(Lobstein et al., 2017). Bursting Bubbles games anticipate the provision of stress, distress, and eustress coping mechanisms. The
parents of children who participated in the previous game will demonstrate increased parental awareness of identifying strategies to
assist their children in coping with various forms of stress-induced bullying due to being overweight. As parents acquire a greater
understanding of these techniques, they will adopt positive parenting behaviors. In turn, they will consistently demonstrate safe
parenting techniques, which will contribute to a reduction in the risk of childhood obesity and, ultimately, an improvement in the
quality of life for children.

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Studies have shown that family-centered obesity prevention has been effective in reducing body mass index (BMI) and
improving healthy habits in children (Brewer et al., 2018). Parents play an important part in healthy lifestyles becoming set early in
life. The parents will participate in educational sessions where will learn about the implications of obesity in children and the
importance of healthy eating and physical activity in preventing childhood obesity. By participating in these educational sessions,
there will be an increase in the parents’ knowledge on the causes and consequences of childhood obesity and their knowledge about
healthier food choices and different physical activities. As a result, parents will purchase more lower-fat, lower-calorie meals, and
snacks for the entire household, and they will make physical activity a part of their daily routine and take their family to places (ex:
parks) where they can have unstructured play (i.e.). The addition of healthier food choices and a more active lifestyle will lead to a
reduction in children obesity prevalence rate and children’ body mass index (BMI).

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IV. PROCESS EVALUATION PLAN
Focus Area Evaluation question Process indicators Calculation (specify the
numerator and denominator)
Reach
(include indicators for
recruitment,
refusal, attrition)**
JASMINE
-To what extent are parents with 6–11-
year-old children are signing up for the
program?
-To what extent are parents with 6-11-
year-old children are refusing to
participate?
-To what extent are parents with 6-11-
year-old children are dropping out the
program?
1. Proportion of parents with 6–11-year-olds
who were contacted.
2. Proportion of parents with 6-11-year-olds
who enrolled in the program.
3. Proportion of eligible parents of 6–11-year-
olds who refuse to participate in the program.
4. Proportion of parents with 6-11-year-olds
stopped participating in the program.
1. Number of parents with 6–11-year-olds
who were contacted/total # of parents with
6-11 years old.
2. # of parents and their 6-11-year-olds who
enrolled in the program/# of parents and
their 6–11-year-old contacted.
3. # of parents and their 6-11-year-olds who
refused to participate in program/# of
parents and their 6-11-year-old who were
contacted.
4. Total # of participants that didn’t complete
the program/Total # of participants
enrolled in program.
Questionnaires (given
prior to the start of the
study, during the
intervention and at the
end of the
intervention)
Dose delivered
(consider the quantity and the
quality of the activities,
services provided)
CHRISTIAN
To what extent were the intended game
and education sessions actually delivered?
1. Proportion of balloon game sessions that
occurred.
2. Proportion of foods under the microscope
game sessions that occurred.
3. Proportion of bursting bubbles game sessions
that occurred.
4. Proportion of parent education sessions
taught
1. # of balloon game sessions that occurred/
# of balloon game sessions planned for the
children.
2. # of foods under the microscope game
sessions that occurred/ # of foods under
the microscope game sessions planned for
the children.
3. # of bursting bubbles game sessions that
occurred/ # of busting bubbles game
sessions planned for the children.
4. # of parent education sessions taught/ # of
parent education sessions planned.
A logbook of sessions
for the # of sessions
that occurred and the
program proposal for
the # of planned
sessions
Dose received
(Exposure or responsiveness)
JOSE
To what extent has the percentage of
children aged 6 to 11 and their parents
participated in all the activities as per the
protocol?
1. The proportion of parents who attended all of
the educational sessions .
2. The proportion of children aged 6-11 years old
actively participate in educational and physical
activities.
3. The proportion of qualified parents actively
participating in nutritional and physical activity
educational sessions.
4. The proportion of qualified parents who are
actively engaged in family projects to enhance
health outcomes of their children and skill
building.
1. Number of parents present during the
educational sessions/total number # of
participants expected.
2. Number of children aged 6-11 actively
involved in nutritional, physical, and
coping activities/number of children aged
6-11 who attended the activities.
3. Number of parents actively participating
in nutritional and physical activities
educational sessions/ /number of parents
who attended the educational sessions.
Sign in Sheet to track
the number of
individuals
participated in the
participating in the
activities.
**Note that “participation or attendance” are not indicators for Reach

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References
Brewer, J., Gentile, N., Kaufman, T.K., Klein, D.M., Lynch B.A., Maxson, J., Merten, S., Narr, C., Price, M., Rajjo, T.,
Swenson, L., Weaver, A.L., & Ziebarth, S. (2018). The effectiveness of a family-centered childhood obesity
intervention at the YMCA: A pilot study. Journal of Community Medicine & Health Education, 08(01).
https://doi.org/10.4172/2161-0711.1000591
Lakshman, R., Elks, C. E., & Ong, K. K. (2012). Childhood obesity. Circulation, 126(14), 1770-1779.
Lobstein, Baur, & Uauy . (2017). Obesity reviews 5. In International Obesity Task Force (IOTF).
Mack, I., Reiband, N., Etges, C., Eichhorn, S., Schaeffeler, N., Zurstiege, G., Gawrilow, C., Weimer, K., Peeraully, R.,
Teufel, M.,
Blumenstock, G., Giel, K. E., Junne, F., & Zipfel, S. (2020). The kid’s obesity prevention program: cluster
randomized controlled trial to evaluate a serious game for the prevention and treatment of childhood obesity.
Journal of Medical Internet Research, 22(4), e15725. https://doi.org/10.2196/15725
Robert Wood Johnson Foundation. (2022, September 27). State Data. State of Childhood Obesity.
https://stateofchildhoodobesity.org/state-data/?state=la
The Center for Disease Control and Prevention. (2022, August). Making Physical Activity a Part of a Child’s Life |
Physical Activity | CDC. Retrieved July 2, 2023, from https://www.cdc.gov/physicalactivity/basics/adding-
pa/activities-children.html

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World Health Organization Taking Action on Childhood Obesity. (2018). In World Obesity Federation, World Health
Organization. Taking action on childhood obesity. Retrieved July 1, 2023, from
https://apps.who.int/iris/bitstream/handle/10665/274792/WHO-NMH-PND-ECHO-18.1-eng.pdf