Process Evaluation Methods of a Peer-Delivered Health Promotion Program for African American Women

The Eat Well, Live Well (EWLW) Nutrition Program was a community-based, dietary change program delivered by peer educators to low-income African American women. To ensure that the program was delivered as intended, a process evaluation was conducted to determine the extent to which the content was accurate and comprehensive. The methodology included developing checklists for each of the intervention sessions, audiotaping randomly selected sessions, and independently rating the audiotapes. Overall comprehensiveness of the content delivered by the peer educators was 91.42%. Cohen’s kappa () for each data collection interval ranged from 0.95 to 0.97. Overall accuracy of information delivered was 88.52%. A process evaluation as described for the EWLW program is essential for peer-led health promotion programs and necessary to ensure program integrity. Practice implications are discussed.