scholarly journals Implementation of KEIGAAF in Primary Schools: A Mutual Adaptation Physical Activity and Nutrition Intervention

2020 ◽  
Vol 17 (3) ◽  
pp. 751 ◽  
Author(s):  
Sacha R.B. Verjans-Janssen ◽  
Sanne M.P.L. Gerards ◽  
Anke H. Verhees ◽  
Stef P.J. Kremers ◽  
Steven B. Vos ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Primary Schools ◽  
School Health ◽  
Contextual Factors ◽  
Nutrition Intervention ◽  
School Health Promotion ◽  
Top Down ◽  
Bottom Up ◽  
Mutual Adaptation

School health promotion is advocated. Implementation studies on school health promotion are less often conducted as effectiveness studies and are mainly conducted conventionally by assessing fidelity of “one size fits all” interventions. However, interventions that allow for local adaptation are more appropriate and require a different evaluation approach. We evaluated a mutual adaptation physical activity and nutrition intervention implemented in eight primary schools located in low socioeconomic neighborhoods in the Netherlands, namely the KEIGAAF intervention. A qualitative, multiple-case study design was used to evaluate implementation and contextual factors affecting implementation. We used several qualitative data collection tools and applied inductive content analysis for coding the transcribed data. Codes were linked to the domains of the Consolidated Framework for Implementation Research. NVivo was used to support data analysis. The implementation process varied greatly across schools. This was due to the high level of bottom-up design of the intervention and differing contextual factors influencing implementation, such as differing starting situations. The mutual adaptation between top-down and bottom-up influences was a key element of the intervention. Feedback loops and the health promotion advisors played a crucial role by navigating between top-down and bottom-up. Implementing a mutual adaptation intervention is time-consuming but feasible.

scholarly journals Process evaluation of the Healthy Primary School of the Future: the key learning points

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
N. H. M. Bartelink ◽  
P. van Assema ◽  
M. W. J. Jansen ◽  
H. H. C. M. Savelberg ◽  
G. F. Moore ◽  
...  
Keyword(s):  
Health Promotion ◽  
Primary School ◽  
Process Evaluation ◽  
School System ◽  
School Health ◽  
Team Cohesion ◽  
School Health Promotion ◽  
Top Down ◽  
Bottom Up ◽  
Health Promoting

Abstract Background While schools have potential to contribute to children’s health and healthy behaviour, embedding health promotion within complex school systems is challenging. The ‘Healthy Primary School of the Future’ (HPSF) is an initiative that aims to integrate health and well-being into school systems. Central to HPSF are two top-down changes that are hypothesized as being positively disruptive to the Dutch school system: daily free healthy lunches and structured physical activity sessions. These changes are expected to create momentum for bottom-up processes leading to additional health-promoting changes. Using a programme theory, this paper explores the processes through which HPSF and the school context adapt to one another. The aim is to generate and share knowledge and experiences on how to implement changes in the complex school system to integrate school health promotion. Methods The current study involved a mixed methods process evaluation with a contextual action-oriented research approach. The processes of change were investigated in four Dutch primary schools during the development year (2014–2015) and the first two years of implementation (2015–2017) of HPSF. The schools (each with 15–26 teachers and 233–389 children) were in low socio-economic status areas. Measurements included interviews, questionnaires, observations, and analysis of minutes of meetings. Results Top-down advice, combined with bottom-up involvement and external practical support were key facilitators in embedding HPSF within the schools’ contexts. Sufficient coordination and communication at the school level, team cohesion, and feedback loops enhanced implementation of the changes. Implementation of the healthy lunch appeared to be disruptive and create momentum for additional health-promoting changes. Conclusions Initiating highly visible positive disruptions to improve school health can act as a catalyst for wider school health promotion efforts. Conditions to create a positive disruption are enough time, and sufficient bottom-up involvement, external support, team cohesion and coordination. The focus should be on each specific school, as each school has their own starting point and process of change. Trial registration The study was retrospectively registered in the ClinicalTrials.gov database on 14 June 2016 (NCT02800616).

Physical activity, BMI and oral health behaviour among adolescents: Finnish School Health Promotion Study

2018 ◽  
Vol 29 (2) ◽  
pp. 296-302 ◽  
Author(s):  
Jorma I Virtanen ◽  
Tuija Muikku ◽  
Toni Similä ◽  
Ayse B Cinar ◽  
Vesa Pohjola
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Oral Health ◽  
Health Behaviour ◽  
School Health ◽  
School Health Promotion ◽  
Oral Health Behaviour

scholarly journals Health in the school: perceptions of being adolescent

2020 ◽  
Vol 73 (3) ◽  
Author(s):  
Ligia Cordeiro Matos Faial ◽  
Rose Mary Costa Rosa Andrade Silva ◽  
Eliane Ramos Pereira ◽  
Cidllan Silveira Gomes Faial
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Health Education ◽  
School Environment ◽  
School Health ◽  
Behavioral Strategies ◽  
School Health Promotion ◽  
Adolescent Students ◽  
Descriptive Research ◽  
Healthy Habits

ABSTRACT Objectives: to understand adolescents’ perceptions on school health. Methods: qualitative and descriptive research grounded on Maurice Merleau-Ponty’s phenomenology, which was developed with 90 adolescent students from a federal school of the state of Rio de Janeiro. Data were produced by gathering answers to the following question: what is your perception on school health? Those who chose to write their answer to the guiding question deposited the manuscripts in polls. Results: school health is linked to hygienist practices and to the hegemonic assistentialist model. Nevertheless, we assigned senses and meanings to the practice of physical activity and health education by integrating and expanding behavioral strategies and healthy habits. Final Considerations: a healthy school environment implies the protagonism of adolescents in school health promotion actions.

Socio-ecological school environments and children’s health and wellbeing outcomes

2015 ◽  
Vol 115 (3/4) ◽  
pp. 420-434 ◽  
Author(s):  
Yetunde O. John-Akinola ◽  
Saoirse Nic Gabhainn
Keyword(s):  
Health Promotion ◽  
School Environment ◽  
Primary Schools ◽  
School Health ◽  
School Policy ◽  
Ecological Environment ◽  
School Health Promotion ◽  
Content Type ◽  
Health And Wellbeing ◽  
Health Promoting

Purpose – Attention to improving the school environment is a common activity in school health promotion. The role of the school environment in supporting improved health and wellbeing has a theoretical base, but has rarely been directly investigated empirically. The purpose of this paper is to investigate the associations between school socio-ecological environment and health and wellbeing outcomes. Design/methodology/approach – Questionnaire data were collected from 231 pupils in nine primary schools: urban and rural; single and mixed gender; disadvantaged and non-disadvantaged; and health promoting schools (HPS) and non-HPS. Questionnaire items included perceptions of the school socio- ecological environment (school perception, class relationships, teacher relationships, school policy and parental participation) and health and wellbeing outcomes. Findings – Reported school perception (OR 1.21, 95 per cent CI 1.12-1.30), class relationships (OR 1.13, 95 per cent CI 1.06-1.21), relationship with teacher (OR 1.20, 95 per cent CI 1.11-1.29), perception of school policy (OR 1.25, 95 per cent CI 1.13-1.37) and parents’ participation in school life (OR 1.32, 95 per cent CI 1.15-1.51) were all significantly associated with health and wellbeing outcomes for all groups of pupils. Very few differences emerged between different school types on the measures of either school socio-ecological environment or measures of health and wellbeing. Originality/value – The socio-ecological environment is clearly related to general health and wellbeing outcomes, which underlines its relevance to school health promotion. The lack of discernable differences between HPS and non-HPS demonstrate the lack of clarity in definitions of the health promoting status of schools.

scholarly journals Physical Activity of Adolescents with and without Disabilities from a Complete Enumeration Study (n = 128,803): School Health Promotion Study 2017

2019 ◽  
Vol 16 (17) ◽  
pp. 3156
Author(s):  
Kwok Ng ◽  
Päivi Sainio ◽  
Cindy Sit
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
School Health ◽  
Cognitive Disabilities ◽  
Effect Sizes ◽  
School Type ◽  
School Health Promotion ◽  
Complete Enumeration ◽  
Males And Females ◽  
The Difference

Evidence suggests that adolescent males take part in more moderate-to-vigorous physical activity (MVPA) than females, and that adolescents with disabilities participate in even less. Public health data are typically based on the international physical activity (PA) recommendations of at least 60 minutes of MVPA daily. However, it appears that data are lost because a person who reports MVPA 0–6 days a week is grouped together and is considered as ‘inactive’. Therefore, the purposes of this study were to report differences among adolescents with and without disabilities who were ‘active’ and ‘inactive’ and to explore differences by sex. A complete enumeration study (2017 School Health Promotion Survey; n = 128,803) of Finnish adolescents aged between 14–19 years old was conducted. The single item self-report MVPA was used with items from the Washington Group on Disability Statistics. Data were grouped into physiological and cognitive disabilities and were split into active and inactive adolescents based on the PA recommendations; subsequently, binary logistic regression analyses were performed. Data from the inactive participants were analyzed with multivariate analysis of covariance and effect sizes were reported. Approximately 10% of males and 17% of females reported disabilities. There were fewer adolescents with disabilities who took part in daily PA (OR = 0.90, CI = 0.85–0.94), especially among those with cognitive disabilities (OR = 0.86, CI = 0.82–0.91). There were more active male than female adolescents (OR = 1.48, CI = 1.43–1.52). Of the inactive adolescents, females reported similar MVPA to males, with and without disabilities after controlling for age, school type, and family financial situation. Inactive adolescents with walking difficulties reported the least amount of MVPA (males; mean = 2.24, CI = 2.03–2.44, females; mean = 2.18, CI = 1.99–2.37). The difference in means with adolescents without disabilities according to Cohen’s d effect size was medium for males (0.56) and females (0.58). The effect sizes from all other groups of disabilities were small. The difference in PA between males and females has diminished among the inactive groups, yet there is still a need to improve the gap between males and females, especially for those who meet the PA recommendations. More strategies are needed to improve MVPA among adolescents with disabilities, especially those with cognitive disabilities.

scholarly journals Focus points for school health promotion improvements in Dutch primary schools

2006 ◽  
Vol 22 (1) ◽  
pp. 58-69 ◽  
Author(s):  
M. T. W. Leurs ◽  
K. Bessems ◽  
H. P. Schaalma ◽  
H. de Vries
Keyword(s):  
Health Promotion ◽  
Primary Schools ◽  
School Health ◽  
School Health Promotion

scholarly journals Health in the school: perceptions of being adolescent

2019 ◽  
Vol 72 (4) ◽  
pp. 964-972
Author(s):  
Ligia Cordeiro Matos Faial ◽  
Rose Mary Costa Rosa Andrade Silva ◽  
Eliane Ramos Pereira ◽  
Cidllan Silveira Gomes Faial
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Health Education ◽  
School Environment ◽  
School Health ◽  
Behavioral Strategies ◽  
School Health Promotion ◽  
Adolescent Students ◽  
Descriptive Research ◽  
Healthy Habits

ABSTRACT Objective: To understand adolescents’ perceptions on school health. Method: Qualitative and descriptive research grounded on Maurice Merleau-Ponty’s phenomenology, which was developed with 90 adolescent students from a federal school of the state of Rio de Janeiro. Data were produced by gathering answers to the following question: what is your perception on school health? Those who chose to write their answer to the guiding question deposited the manuscripts in polls. Results: School health is linked to hygienist practices and to the hegemonic assistentialist model. Nevertheless, we assigned senses and meanings to the practice of physical activity and health education by integrating and expanding behavioral strategies and healthy habits. Final considerations: a healthy school environment implies the protagonism of adolescents in school health promotion actions.

scholarly journals Children as messengers of health knowledge? Impact of health promotion and water infrastructure in schools on facial cleanliness and trachoma in the community

2021 ◽  
Vol 15 (2) ◽  
pp. e0009119
Author(s):  
Xinyi Chen ◽  
Beatriz Munoz ◽  
Harran Mkocha ◽  
Meraf A. Wolle ◽  
Sheila K. West
Keyword(s):  
Health Promotion ◽  
Primary School ◽  
Random Sample ◽  
Primary Schools ◽  
School Health ◽  
Health Messages ◽  
Water Infrastructure ◽  
School Health Promotion ◽  
Educational Materials ◽  
The Impact

Background Health promotion is essential to the SAFE strategy for trachoma elimination. Schools are a valuable venue for health promotion. However, there is little literature about the impact of health education and water infrastructure in schools on facial cleanliness and trachoma in the community. Our study aimed to describe the current state of school health promotion in Kongwa, Tanzania, and to examine the transferability of health messages from schools to the community at large. Methodology/Findings A cross-sectional survey was carried out in all 92 villages in Kongwa district, which included 85 primary schools. Data were collected on health messages and water infrastructure in the schools. A random sample of 3084 children aged 0–5 were examined for facial cleanliness in all villages. In 50 villages, a random sample of 50 children aged 1–9 per village were examined for follicular trachoma (TF). Thirty-seven (44.6%) schools had educational materials on face-washing. Fifty (60.2%) schools had a washing station. The presence of a health teacher was correlated with having posters on face washing in classrooms. The presence of face-washing materials was correlated with the availability of washing stations. Neither teachers mentioning face-washing in health curricula nor educational materials in classrooms were associated with clean faces or trachoma in the community. Having a washing station in the school was associated with lower community rates of trachoma. Conclusions Primary school health messages and materials on trachoma were not associated with clean faces or lower rates of trachoma in the community. The target audience for primary school health promotion is likely the students themselves, without immediate rippling effects in the community. A long-term perspective should be considered during the implementation of health promotion in schools. The goal of school health promotion should be training the next generation of parents and community health leaders in combatting trachoma.

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