Table 3.

Description of Intervention Process Evaluation Form for Assessing Dose (or completeness of delivery) for the PA and Behavioral Skills/Group Time components

Program Component	Essential elements	# of Items	Format
Dose for Snack/Welcome	Greeted arriving students Snack served Ground rules displayed Staff arrive on time Staff perform assigned duties Adult leader gave overview of week (Monday only) Adult leader gave daily overview	7	Yes/No
Dose of Physical Activity	Overview and introduction to entire activity session PA choices listed everyday Warm-up at beginning of PA session Activity introduced Cool-down	5	Yes/No
Dose of Behavioral Skills/SSP/Group Time	Overview of session or activity Topic/Skill explained Demonstration of skill Student involvement (brainstorm, role play, etc) Summary/closure	5	Yes/No