Chronic kidney disease (CKD) is a pervasive public health concern, affecting over 26 million Americans. Prevention and delayed progression of the disease is possible with early detection and treatment. School-based prevention programs are a viable option to facilitate detection and prevention of chronic diseases in at-risk youths. MIKE Program is a CKD education and prevention program that has been implemented in several schools in the Pacific Northwest. The present study aims to evaluate the effectiveness of MIKE Program in an alternative high school setting. Three groups of participants exposed to different dosages of MIKE Program (i.e., high dose, low dose, and no dose) were evaluated on measures of kidney knowledge and health self-efficacy. Results indicated that there were no significant differences for knowledge or self-efficacy between the three groups. After the high- and low-dose groups were collapsed, only one significant difference was found on a subscale of the knowledge measure. This study demonstrated that creating and evaluating positive change can be difficult, especially in an alternative school setting. Changes to program design and implementation may be necessary to effect real change in MIKE Program participants who attend a non-traditional school where there are multiple factors that affect program fidelity.
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