| Summary: | Introduction: The Singapore Physical Activity and Nutrition Study (SPANS) aimed to
improve the physical activity (PA) and nutrition behaviours of Singaporean women aged 50
years and over. The SPANS program consisted of PA classes, nutrition workshops, telephone
dietary counselling, health booklets, a health calendar and program ambassadors. This study
aimed to assess and understand the implementation of the program strategies and gain insight
into process evaluation components to inform future programs.
Methods: The evaluation was guided by a process evaluation framework and collected data via
questionnaires (n = 209), program ambassador documentation and exit interviews with
program completers (n = 13) and non-completers (n = 12).
Results: In total, 295 participants completed the program (response rate = 84%). Participants
reported high levels of satisfaction with the overall program (99.5%) and program activities
(96.7%), and rated program ambassadors highly. Participation rates were highest for telephone
dietary counselling sessions. The main reason for not attending program activities was having
a ‘busy schedule’ (n = 158). Participants cited a need for improved recreational centre facilities
and increased flexibility around program delivery.
Conclusions: The process evaluation showed that the program strategies were implemented as
planned and were deemed suitable for supporting behaviour change among Singaporean women
aged 50 years and over. The program reached and involved the majority of participants throughout the six-month program. The combination of practical education resources and
supportive program ambassadors were key strategies that facilitated positive PA and dietary
behaviours. However, there needs to be some flexibility in the delivery of programs. The
findings of this research may inform other programs in the region.
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