Evaluating the implementation of the SWITCH® school wellness intervention and capacity-building process through multiple methods.
Background: School wellness programming is important for promoting healthy lifestyles and academic achievement in youth; however, research is needed on methods that can help schools implement and sustain such programs on their own. The purpose of this study was to investigate factors within and outs...
| Publicado en: | International Journal of Behavioral Nutrition & Physical Activity Vol. 17; no. 1; pp. 1 - 19 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
12/11/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147544581&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147544581 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14795868 1CR7 jtl: International Journal of Behavioral Nutrition & Physical Activity issn: 14795868 maglogo: N pubinfo: dt: 12/11/2020 vid: 17 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 147544581 147544581 147544581 10.1186/s12966-020-01070-y 147544581 ppf: 1 ppct: 18 formats: tig: atl: Evaluating the implementation of the SWITCH® school wellness intervention and capacity-building process through multiple methods. aug: au: McLoughlin, Gabriella M. Candal, Priscila Vazou, Spyridoula Lee, Joey A. Dzewaltowski, David A. Rosenkranz, Richard R. Lanningham-Foster, Lorraine Gentile, Douglas A. Liechty, Laura Chen, Senlin Welk, Gregory J. affil: Implementation Science Center for Cancer Control and Prevention Research Center, Brown School, Washington University in St. Louis, One Brookings Drive, 63130, St. Louis, MO, USA sug: subj: Schools, Elementary Wellness In Infancy and Childhood Program Implementation Evaluation School Health Human Descriptive Statistics Learning Environment Child Health Behavior Education Surveys Interviews Pretest-Posttest Design Scales Paired T-Tests One-Way Analysis of Variance Physical Education and Training Thematic Analysis School Policies Implementation Science Qualitative Studies Quantitative Studies Lunch Students, Elementary Organizational Efficiency Child: 6-12 years ab: Background: School wellness programming is important for promoting healthy lifestyles and academic achievement in youth; however, research is needed on methods that can help schools implement and sustain such programs on their own. The purpose of this study was to investigate factors within and outside the school environment that influenced school capacity for implementation and potential sustainability of wellness programming. Methods: As part of the School Wellness Integration Targeting Child Health (SWITCH®) intervention, elementary school wellness teams (N = 30) were guided through a capacity-building process focused on promoting the adoption of healthy lifestyle behaviors in students. Data on implementation were collected through three standardized surveys and interviews (pre-mid-post) and a post-implementation interview. Indicators of organizational capacity were assessed using the School Wellness Readiness Assessment (SWRA). Paired t-tests were run to assess changes in implementation (classroom, physical education, and lunchroom settings), capacity, and stakeholder engagement over time. One-way analysis of variance (ANOVA) tests were run to examine how implementation of best practices (low, moderate, high) explained differences in capacity gains. Qualitative data were analyzed through inductive and deductive analysis, following the Consolidated Framework for Implementation Research (CFIR). Results: Paired t-tests showed non-significant increases in school and setting-specific capacity and implementation of SWITCH best practices over time, in addition to a consistent level of engagement from key stakeholders. ANOVA results revealed non-significant associations between implementation group and gains in school capacity (F [2, 24] = 1.63; p =.21), class capacity (F [2, 24]=0.20 p =.82), lunchroom capacity (F [2, 24]=0.29; p =.78), and physical education (F [2, 24]=1.45; p =.25). Qualitative data demonstrated that factors within the outer setting (i.e., engaging community partners) facilitated programming. Inner-setting factors (i.e., relationships with administration and staff) influenced implementation. Implementation process themes (e.g., planning, adaptation of resources to meet school capacity/needs, and engaging students as leaders) were cited as key facilitators. Schools discussed factors affecting sustainability, such as school culture and knowledge of school wellness policy. Conclusions: The results from this implementation study document the importance of allowing schools to adapt programming to meet their local needs, and highlight the strengths of measuring multiple implementation outcomes. Increased support is needed for schools regarding the formation and improvement of wellness policies as a means to enhance sustainability over time. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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