Date of Award


Document Type

Campus Access Dissertation


Health Promotion, Education and Behavior

First Advisor

Ruth P Saunders


This study was multiple case study of four of the RCHs that were part of the original intervention group in the ENRICH project. The time frame is the seven year period from the initiation of the ENRICH project's baseline data collection in June 2004 through March of 2011. This includes the three year intervention period, a fourth year during which limited support was provided by ENRICH staff, and the three years following the end of the project funding. Study data includes secondary data collected during the ENRICH project and primary data collected during one or two day site visits at each RCH. Specifically I wanted to learn how each of the four organizations implemented the ENRICH project, the role and impact of key internal and external stakeholders and how this changed over time both during the intervention and after the end of the project.

The data provide a rich description of how each of these very different organizations adapted the intervention to each RCH's unique organizational and community context. All four organizations implemented and sustained through 2011 three of the five ENRICH Framework Components for both nutrition and PA: policies, availability and characteristics, and social environment. Numerous internal and external stakeholders including staff, residents, organizational leaders, parents, the funder, project staff, and community organizations both influenced and were influenced by the project. Diverse residential care programs have the ability, through the support of public health programs, to becoming increasingly health promoting, particularly related to nutrition and physical activity. These programs and other similar programs may be enhanced through the periodic assessments of stakeholders, whose roles may evolve over time, and development of strategies for engaging and possibly negating the impact of those who are or could potentially negatively impact the program.