scholarly journals Examining the implementation of the Healthy Kids Community Challenge

Author(s):  
Marian Kelly ◽  
Rachel Laxer ◽  
Daniel Harrington

Introduction: The Healthy Kids Community Challenge (HKCC) was a community-based, multi-stakeholder obesity prevention program aimed at children and youth in Ontario, which was funded and coordinated by the Ministry of Health and Long-term Care from 2015-2018. This project contributed to the process evaluation of the HKCC, which is being carried out by Public Health Ontario. The objective of my research was to identify and understand the barriers and facilitators to implementation of the HKCC, from the perspective of members of the Local Steering Committees (LSCs), who were directly involved in implementation. Methods: 10 questions from the 2018 LSC Survey were coded and thematically analyzed, using NVivo 11.0 software, according to the themes presented within Durlak and Dupre’s Ecological Framework for Effective Implementation. Themes were summarized according to barriers, challenges, factors associated with implementation, strategies communities used to engage partners and reach vulnerable populations, as well as positive experiences. The findings were presented in a report which featured a rich, qualitative account, accompanied by direct quotations and code frequency charts. Results: A number of perceived barriers to implementation were identified, including program structure (i.e., tight timelines, short duration), low SES (i.e., barriers related to lack of time, transportation and access to childcare, as well as difficulty accessing HKCC information) and geography and transportation (i.e., to access programming). Some important perceived facilitators of implementation included: funding, partnerships, HKCC messaging, and an inclusive, accessible approach to planning events. Participants expressed interest in sustaining programs and partnerships beyond the HKCC funding period, although the loss of provincial funding was identified as a challenge. Participants also noted potential for sustainability, particularly related to increased cross-sectoral collaboration and increased capacity for community-based health promotion. Implications: The results could be used to improve implementation of future community-based, multi-stakeholder health promotion programs. They might also offer insight into how to tailor the implementation process of large-scale community-based health promotion programs to local contexts.

2009 ◽  
Vol 2 (1) ◽  
pp. e14-e15 ◽  
Author(s):  
Jana J. Peterson ◽  
Charles Drum ◽  
Gloria L. Krahn ◽  
Susan Wingenfeld ◽  
Tom W. Seekins

1996 ◽  
Vol 11 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Susan M. Blake ◽  
Carl J. Caspersen ◽  
John Finnegan ◽  
Richard A. Crow ◽  
Maurice B. Mittlemark ◽  
...  

Purpose. To assess organizational and employee participation during three community-wide worksite exercise competitions in two communities. Design. A one-group, posttest-only design was used. Lack of controls, exercise baseline, and the short-term nature of the interventions were limitations. Setting. The Minnesota Heart Health Program conducted annual exercise campaigns between 1982 and 1989 within three intervention communities to reduce behavioral risk for cardiovascular disease. The Shape Up Challenge was a worksite exercise competition designed, in conjunction with other campaign activities, to increase levels of physical activity. Subjects. A total of 119 participating companies in two Minnesota communities, and 17,626 employees within these worksites, composed the subjects in this study. Intervention. Eligible worksites were invited to participate in a month-long competition during which employees recorded minutes spent daily in aerobic activities. Incentives were established to promote intragroup cooperation and intergroup competition. Companies competed for awards that were based on average minutes of exercise per employee versus per participant. Measures. Numbers of companies recruited and participating, campaign activities, minutes of exercise, and costs were recorded on implementation logs. Companies completed surveys describing business type, number and sex of employees, existing health promotion programs, and perceived benefits of participation. Results. Of the 365 companies invited to participate, 33 % participated (range 15 % to 50%). Participating companies were more likely than nonparticipating companies to offer other health promotion programs and perceived greater benefits from participation. Women and smaller companies had significantly greater participation rates than men and larger companies. Average employee participation rates ranged from as high as 84% in smaller organizations to as low as 16% as organization size increased. Conclusions. Community-based worksite exercise competitions appear to be a viable strategy for promoting employee exercise, particularly in smaller companies. Group-based contingencies applied in natural work units may facilitate employee participation. Further research is needed to assess the relative efficacy of this approach, compare alternative incentives, and identify strategies to enhance exercise maintenance after the intervention has ceased.


Medical Care ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Amanda L. Brewster ◽  
Traci L. Wilson ◽  
Leslie A. Curry ◽  
Suzanne R. Kunkel

2019 ◽  
Vol 35 (5) ◽  
pp. 1230-1240 ◽  
Author(s):  
John L Oliffe ◽  
Emma Rossnagel ◽  
Joan L Bottorff ◽  
Suzanne K Chambers ◽  
Cristina Caperchione ◽  
...  

Abstract Long-standing commentaries about men’s reticence for accessing clinical medical services, along with the more recent recognition of men’s health inequities, has driven work in community-based men’s health promotion. Indeed, the 2000s have seen rapid growth in community-based programs targeting men, and across this expanse of innovative work, experiential and empirical insights afford some important lessons learnt, and caveats to guide existing and future efforts. The current article offers eight lessons learnt regarding the design, content, recruitment, delivery, evaluation and scaling of community-based men’s health promotion programs. Design lessons include the need to address social determinants of health and men’s health inequities, build activity-based programming, garner men’s permission and affirmation to shift masculine norms, and integrate content to advance men’s health literacy. Also detailed are lessons learnt about men-friendly spaces, recruitment and retention strategies, the need to incrementally execute program evaluations, and the limits for program sustainability and scaling. Drawing from diverse community-based programs to illustrate the lessons learnt, caveats are also detailed to contextualize and caution some aspects of the lessons that are shared. The express aim of discussing lessons learnt and their caveats, reflected in the purpose of the current article, is to guide existing and future work in the ever growing field of community-based men’s health promotion.


2013 ◽  
Vol 8 (1) ◽  
pp. 45-53 ◽  
Author(s):  
John L. Oliffe ◽  
Christina S. E. Han

The mental health of men is an important issue with significant direct and indirect costs emerging from work-related depression and suicide. Although the merits of men’s community-based and workplace mental health promotion initiatives have been endorsed, few programs are mandated or formally evaluated and reported on. Conspicuously absent also are gender analyses detailing connections between masculinities and men’s work-related depression and suicide on which to build men-centered mental health promotion programs. This article provides an overview of four interconnected issues, (a) masculinities and men’s health, (b) men and work, (c) men’s work-related depression and suicide, and (d) men’s mental health promotion, in the context of men’s diverse relationships to work (including job insecurity and unemployment). Based on the review, recommendations are made for advancing the well-being of men who are in as well as of those out of work.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 224-224
Author(s):  
Bram de Boer ◽  
Matheus van Achterberg ◽  
Jan Hamers ◽  
Hilde Verbeek ◽  
Amal Fakha

Abstract Many transitional care innovations (TCI) are implemented to improve long-term care services for older persons during the transition between various care settings. Nevertheless, multiple contextual factors (barriers; facilitators) influence the implementation of TCI at different levels such as but not limited to the organizational environment, outer setting, or innovation’s characteristics. By conducting a modified Delphi study involving 29 international experts from 10 countries, eleven influencing factors were prioritized and agreed upon (with ≥ 85% consensus level) as the most important for implementing TCI. These top factors were linked mostly to the organizational setting (e.g. resources, financing) or the implementation process (e.g. engaging key stakeholders). Moreover, the feasibility to address the majority of these factors with implementation strategies was rated as difficult. Our work concludes a compilation of major factors to be aware of and aim to tackle when preparing to implement a new TCI in any long-term care setting.


2018 ◽  
Vol 39 (6) ◽  
pp. 588-600 ◽  
Author(s):  
Agathe Lorthios-Guilledroit ◽  
Manon Parisien ◽  
Kareen Nour ◽  
Baptiste Fournier ◽  
Danielle Guay ◽  
...  

This exploratory study examines the reach of Jog Your Mind, a multifactorial community-based program promoting cognitive vitality among seniors with no known cognitive impairment. The aim was to determine whether the program successfully reached its target population and to compare the characteristics of participants (sociodemographic, health, lifestyle, attitudes, and cognitive profile) with the general population of seniors. Twenty-three community organizations recruited 294 community-dwelling seniors willing to participate in the program. Descriptive analyses revealed that the participants were mostly Canadian-born educated women living alone. Participants’ health profile and lifestyle behaviors were fairly similar to those of seniors in Québec and Canada. A large proportion of the participants were concerned about their memory. These results suggest that the program did not attract many hard-to-reach members of the population and reached seniors who may have had some cognitive challenges. Cues to action for improving the reach of cognitive health promotion programs are discussed.


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