scholarly journals From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa

2013 ◽  
Vol 103 (12) ◽  
pp. 895 ◽  
Author(s):  
Maylene Shung-King
Keyword(s):  
South Africa ◽  
Health Policy ◽  
Primary Healthcare ◽  
School Health ◽  
School Health Policy

scholarly journals A systematic review of school health policy measurement tools: implementation determinants and outcomes

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Gabriella M. McLoughlin ◽  
Peg Allen ◽  
Callie Walsh-Bailey ◽  
Ross C. Brownson
Keyword(s):  
Health Policy ◽  
Policy Implementation ◽  
School Health ◽  
School Policy ◽  
Implementation Processes ◽  
Implementation Outcomes ◽  
Policy Measurement ◽  
Measurement Tools ◽  
School Health Policy ◽  
Health Policy Implementation

Abstract Background Governments in some countries or states/provinces mandate school-based policies intended to improve the health and well-being of primary and secondary students and in some cases the health of school staff. Examples include mandating a minimum time spent per week in programmed physical activity, mandating provision of healthy foods and limiting fat content of school meals, and banning tobacco products or use on school campuses. Although school health researchers have studied whether schools, districts, or states/provinces are meeting requirements, it is unclear to what extent implementation processes and determinants are assessed. The purposes of the present systematic review of quantitative measures of school policy implementation were to (1) identify quantitative school health policy measurement tools developed to measure implementation at the school, district, or state/provincial levels; (2) describe the policy implementation outcomes and determinants assessed and identify the trends in measurement; and (3) assess pragmatic and psychometric properties of identified implementation measures to understand their quality and suitability for broader application. Methods Peer-reviewed journal articles published 1995–2020 were included if they (1) had multiple-item quantitative measures of school policy implementation and (2) addressed overall wellness, tobacco, physical activity, nutrition, obesity prevention, or mental health/bullying/social-emotional learning. The final sample comprised 86 measurement tools from 67 peer-review articles. We extracted study characteristics, such as psychometric and pragmatic measure properties, from included articles based on three frameworks: (1) Implementation Outcomes Framework, (2) Consolidated Framework for Implementation Research, and (3) Policy Implementation Determinants Framework. Results Most implementation tools were developed to measure overall wellness policies which combined multiple policy topics (n = 35, 40%) and were in survey form (n = 75, 87%). Fidelity was the most frequently prevalent implementation outcome (n = 70, 81%), followed by adoption (n = 32, 81%). The implementation determinants most assessed were readiness for implementation, including resources (n = 43, 50%), leadership (n = 42, 49%), and policy communication (n = 41, 48%). Overall, measures were low-cost and had easy readability. However, lengthy tools and lack of reported validity/reliability data indicate low transferability. Conclusions Implementation science can contribute to more complete and rigorous assessment of school health policy implementation processes, which can improve implementation strategies and ultimately the intended health benefits. Several high-quality measures of implementation determinants and implementation outcomes can be applied to school health policy implementation assessment. Dissemination and implementation science researchers can also benefit from measurement experiences of school health researchers.

scholarly journals Politics, Pedagogy and Practice in School Health Policy

2011 ◽  
Vol 9 (3) ◽  
pp. 307-314 ◽  
Author(s):  
Carolyn Vander Schee ◽  
Michael Gard
Keyword(s):  
Health Policy ◽  
School Health ◽  
School Health Policy

scholarly journals Policy Forum: School Health Policy in North Carolina

2008 ◽  
Vol 69 (6) ◽  
pp. 460-460
Author(s):  
Thomas C. Ricketts ◽  
Christine Nielsen
Keyword(s):  
North Carolina ◽  
Health Policy ◽  
School Health ◽  
School Health Policy ◽  
Policy Forum

scholarly journals School Health Policy in North Carolina

2008 ◽  
Vol 69 (6) ◽  
pp. 461-466
Author(s):  
Paula Hudson Collins ◽  
Howard N. Lee
Keyword(s):  
North Carolina ◽  
Health Policy ◽  
School Health ◽  
School Health Policy

scholarly journals A systematic review of school health policy measurement tools: Implementation determinants and outcomes

2021 ◽  
Author(s):  
Gabriella M McLoughlin ◽  
Peg Allen ◽  
Callie Walsh-Bailey ◽  
Ross C. Brownson
Keyword(s):  
Physical Activity ◽  
Health Policy ◽  
Policy Implementation ◽  
School Health ◽  
School Policy ◽  
Implementation Processes ◽  
Implementation Outcomes ◽  
Measurement Tools ◽  
School Health Policy ◽  
Health Policy Implementation

Abstract Background Governments in some countries or states/provinces mandate school-based policies intended to improve the health and well-being of primary and secondary students, and in some cases the health of school staff. Examples include mandating a minimum time spent per week in programmed physical activity, mandating provision of healthy foods and limiting fat content of school meals, and banning tobacco products or use on school campuses. Although school health researchers have studied whether schools, districts, or states/provinces are meeting requirements, it is unclear to what extent implementation processes and determinants are assessed. The purposes of the present systematic review of quantitative measures of school policy implementation are to identify quantitative measures of implementation determinants and Proctor model implementation outcomes and assess pragmatic and psychometric properties of such measures. Methods Peer-reviewed journal articles published 1995–2020 were included if they: 1) had multiple-item quantitative measures of school policy implementation; and 2) addressed overall wellness, tobacco, physical activity, nutrition, obesity prevention, and mental health/bullying/social-emotional learning. The final sample comprised 86 measurement tools from 67 peer-review articles. We extracted study characteristics, such as psychometric and pragmatic measure properties, from included articles based on three frameworks: Implementation Outcomes Framework, 2) Consolidated Framework for Implementation Research, and 3) Policy Implementation Determinants Framework. Results Most implementation tools were developed to measure overall wellness policies which combined multiple policy topics (n = 35, 40%) and were in survey form (n = 75, 87%). Fidelity was the most frequently prevalent implementation outcome (n = 70, 81%), followed by adoption (n = 32, 81%). The implementation determinants most assessed were readiness for implementation, including resources (n = 43, 50%), leadership (n = 42, 49%), and policy communication (n = 41, 48%). Overall, measures were low-cost and had easy readability. However, lengthy tools and lack of reported validity/reliability data indicate low transferability. Conclusions Implementation science can contribute to more complete and rigorous assessment of school health policy implementation processes, which can improve implementation strategies and ultimately the intended health benefits. Several high-quality measures of implementation determinants and implementation outcomes can be applied to school health policy implementation assessment. D&I researchers can also benefit from measurement experiences of school health researchers.

Development of a School Health Policy Implementation Survey: A Delphi Study

2021 ◽  
pp. 105984052110575
Author(s):  
Heide R. Cygan ◽  
Rachael D. Dombrowski ◽  
E. Whitney G. Moore ◽  
Jamie Tully ◽  
Kimberly Kin ◽  
...  
Keyword(s):  
Health Policy ◽  
Policy Implementation ◽  
Delphi Study ◽  
School Health ◽  
Measurement Tool ◽  
School Practices ◽  
School Health Policy ◽  
Survey Responses ◽  
Environmental Audits ◽  
Health Policy Implementation

Data on school health policy implementation are limited due to the absence of a validated measurement tool. The purpose of this study was to create and pilot a school health policy implementation survey. A modified, four-round Delphi process was used to achieve consensus on content and format of the survey. The final 76-item survey was piloted in 655 schools with a return rate of 57.1% (n  =  378). Seven schools participated in environmental audits. Based on the audits, survey responses represented an accurate description of school practices for 84.2% (n  =  64) of questions. The remaining 15.8% (n  =  12) of survey items were eliminated or revised. This measurement tool begins to fill the research gap between the evaluation of written school health policy and implementation. Further, this tool may be used by school nurses in alignment with the Framework for 21st Century School Nursing Practice.

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