The objective of this study was to evaluate the factors that enhanced or impeded implementation fidelity and educational delivery (extent to deliver as designed and duration of topic delivery) by educators of Eat Healthy (EH), Your Kids are Watching., A Parent's Guide to Raising a Healthy Eater. Both quantitative and qualitative data were collected and used to evaluate implementation fidelity and the educational delivery of EH. Educators (n=20) delivered 1-6 lessons to 107 SNAP-Ed eligible parents in four Michigan Counties using a combination of home visits and phone calls. The educators' Attention, Relevance, Confidence and Satisfaction (ARCS) factor scores from training and their demographic characteristics, as well as, parent engagement and reactions to key messages of EH were also assessed to check for associations with implementation fidelity and educational delivery. Data were analyzed using a mixed method approach and findings triangulated. ARCS factor scores from the training did not relate to educational delivery. Both age of educators and parent engagement predicted the extent to deliver EH topics as designed, a finding substantiated with the qualitative data. Quantitative and qualitative findings consistently supported parent engagement as the strongest facilitator and distractions by children and technology issues as the most common barriers to educational delivery and implementation fidelity. This study was unique in adding to the paucity of literature on process evaluation in nutrition education.
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