# Evaluation of the 10&10,000 Change Challenge Program

## TL;DR

This study evaluates a health program's impact on participants' confidence and health outcomes, finding that graduates improved their health and confidence more than dropouts.

## Contribution

The study introduces a novel approach to assessing health program effectiveness by analyzing both pre-post changes and comparing graduates and dropouts.

## Key findings

- Program graduates lost an average of six pounds and reported improved health and confidence.
- Health and confidence levels were significantly lower among program dropouts compared to graduates.
- Confidence-enhancing materials should be distributed during the pre-assessment phase.

## Abstract

Background: Chronic disease is the leading cause of death in the United States but can be prevented with lifestyle behaviors, such as physical activity and healthy dietary habits. Experts have developed health programs to promote these behaviors, but they have not led to long-term effects or focused on meeting guidelines and recommendations. Objectives: To determine the effectiveness of a health program in improving participants’ confidence levels, health outcomes, and health behaviors. Methods: Within-subjects analysis was conducted to determine pre-post changes in weight, health, and confidence in achieving step count and fruit and vegetable consumption goals. A between-subjects analysis was conducted to compare program graduates and program dropouts to determine the influence of weight classification, weight, health, and confidence on program completion. Results: After completing the program, program graduates lost an average of six pounds and reported increases in health and confidence in achieving step count and fruit and vegetable goals. Health and confidence levels were significantly lower among program dropouts compared to program graduates. Conclusions: The program had a positive effect on confidence levels and health outcomes among program graduates. Materials to enhance confidence should be considered for distribution during the pre-assessment phase of this program.