Qual Res Psychol. This methodology was perceived to be sufficient for the level of analysis needed for the evaluations. Stand More and Avoid Sitting and/or Being Stationary. Competing priorities and an already congested curriculum, meant that head teachers struggled to prioritise healthy lifestyle teaching and programmes generally. This study explored school staff perceptions of factors that hinder and enable successful implementation and sustainability of healthy lifestyle interventions in primary schools. Staff recommended that pupils and parents learn about healthy lifestyle together, with after school clubs, events, school activities and homework including both parents and children. Sufficient staff capacity, resources and adequate facilities for cooking, gardening and physical activities, were considered critical for effective implementation of healthy lifestyle programmes. There was therefore there some resistance to wanting to adopt these programmes initially. Copyright 2023 American Academy of Pediatrics. Article https://doi.org/10.1186/s12889-019-7550-2, DOI: https://doi.org/10.1186/s12889-019-7550-2. Participants in the lifestyle change program learn to make healthy food choices, be more physically active, and find ways to cope with problems and stress. Evans CEL, Christian MS, Cleghorn CL, Greenwood DC, Cade JE. Some of the factors influencing implementation identified in our study were not included as important constructs in any of the implementation models reviewed (timing of implementation, head teachers prioritising a few key healthy lifestyle programmes, pupils leading on aspects of programme delivery), or not included in all of the implementation models reviewed (parent involvement and time constraints). Setting community norms that promote healthy, active living can help all children in achieving a healthy weight. There was also a perceived barrier to engaging pupils (and parents), in after school clubs, when for example they needed to attend religious studies or prayer time after school. Here are strategies to help you protect your heart. Use only nonfood items as rewards. Staff perceptions of value of programme, commitment and buy-in also emerged as important factors in our study, and aligned with previous literature [26, 30, 31, 33]. These were the teaching staff of the year groups involved in the evaluations. A meta-analysis of cluster randomized controlled trials with accelerometer-assessed activity. Obesity. Health promoting schools build health into all aspects of life in school and community based on the consideration that health is essential for learning and development. These phases include the following: (1) dissemination, how well information about a programmes existence and value is supplied to communities; (2) adoption, whether a local organisation or group decides to try out the programme; (3) implementation, how well the programme is conducted during a trial period, and (4) sustainability, whether the programme is maintained over time [26]. statement and Improving School Health Schools play a critical role in supporting children and adolescents in eating healthy and getting regular physical activity. The Department of Health recommends that all children aged 6 months - 5 . All participants within both evaluations provided written informed consent to be interviewed and digitally recorded. 2013;46:81. Schools can recognize birthdays in creative ways that do not involve food. Still, doctors predict that the absence of the powerful chemotherapies may hurt patients most. Ethics approval was obtained through the Leeds Beckett University (formerly Leeds Metropolitan University) Health and Social Sciences Faculty Ethics Committee. The most critical factor perceived to hinder effective implementation in our study was limited time for delivery (particularly programme components not incorporated into the curriculum). 2003;15:6384. Staff generally received guidance on programme delivery from the programme coordinator. Worldviews Evid-Based Nurs. Previous research has suggested that children should be involved from the early stages when developing an intervention in order to make attractive interventions to pupils [41]. Health education is integral to the mission of schools, providing students with the knowledge and skills they need to become successful learners and healthy adults. Students that are teased about their weight are less likely to participate in physical activity and sports at school and are more likely to skip class. Assess student needs related to physical activity, nutrition, and obesity, and provide counseling and other services to meet those needs. Improving School Health | Healthy Schools | CDC 11 Ways to Instill Healthy Lifestyle Habits in Your Children Eating Healthier at School - Centers for Disease Control and Prevention Adv Sch Ment Health Promot. Independently, each of the five healthy lifestyle factors significantly . Heart disease prevention: Strategies to keep your heart healthy - Mayo Finalize deals, restructure your lifestyle to promote better health and make changes at home that are affordable and well received by those around you. 1. Health Educ Res. Training needs to be interactive and practical, with written materials and sharing of success stories between schools. Timing of programme implementation, was also considered critical. Funding was a recurrent challenge for schools. Promote access to and participation in school meals. Each intervention needs to fit well contextually into the school setting, to make implementation and sustainability effective. CDC works to increase parents awareness about their childrens need for good sleep and how they can help their children get enoughfor example, by setting the same bed and wake-up times each day, including on the weekends, and by modeling good sleep behaviors. Healthy lifestyle programmes/initiatives used by schools to target nutrition and physical activity behaviour change. Recommended strategies for engaging parents more effectively in programmes included: inviting parents in for school meal taster sessions; healthy food workshops; attendance at School Nutrition Action Group/School Food Council meetings; and after school cooking, gardening and physical activities for parents and pupils to learn together. Strategies for Promotion of a Healthy Lifestyle in Clinical Settings The importance of getting the right balance with support from the programme team supporting delivery in schools, was acknowledged, highlighting the need to provide a sufficient level of support, without being too invasive. Doctors Are Using ChatGPT to Improve How They Talk to Patients - The Encourage administrative support for and staff involvement in school employee wellness. Helping parents, educators, health care providers, and other youth influencers understand and talk to young people about the risks of tobacco products by developing easy-to-understand materials. Primary schools are valuable settings to implement healthy lifestyle (healthy eating and physical activity) interventions, aimed at targeting childhood obesity. Offer physical education to increase students knowledge, skills, and confidence to be physically active. 2012;13:21433. Providing certified and qualified staff with regular professional development opportunities enables them to improve current skills and acquire new ones. Here's one example. Are school-based physical activity interventions effective and equitable? When celebrations do involve food, schools can encourage families to provide water or plain milk in addition to one age-appropriate celebratory treat. Furthermore, sufficient storage facilities for fresh produce, would allow programmes such as the Food Dudes and Fuel for School programme to be more easily implemented. Research suggests that modifications are necessary for successful implementation, because this improves fit between an intervention, its consumers and context and improves buy in [31]. One interview included three participants for the purpose of convenience, as staff were short of time. Some codes were identified a priori, using the interview topic guide and the implementation framework used in the analysis, while others emerged inductively from the data. The second evaluation was of a healthy eating programme called the Food Dudes Programme (FDE) (April 2015December 2016) [35]. MSC was the project manager and assisted with data collection, analysis and wrote the reports. Interviews were not fully transcribed. School is an ideal setting for children to learn and practice healthy eating. Continuous engagement in healthy lifestyle programmes and initiatives, was considered critical to successful sustainability of programmes. Providing these services at school is especially effective at reaching children at risk of developing cavities. Children have to understand how healthy food is made and to see the people who prepare . Encourage communication among schools, families, and community members to promote adopting healthy eating and physical activity behaviors among students. Braun V, Clarke V. Using thematic analysis in psychology. World Health Organization. In this section, we describe key principles for brief patient-centered counseling and strategies for . Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Eccles MP, Cane J, Wood CE. Growing Organic Food Other systematic reviews however, have indicated limited effectiveness on physical activity [20], nutrition behaviour [21, 22], and reducing sedentary behaviour and BMI [19, 23, 24]. The use of programme characters or role models (especially on the DVDs), were perceived to help engage pupils and drive interest in learning about healthy lifestyle. More interviews with school administrators or decision makers at school district level may have identified some broader community level factors as relevant. It aims to increase childrens fruit and vegetable intake at school and at home, using role modelling (through programme characters), repeated tasting, recording of fruit and vegetable consumption and rewards to promote palate adaptation and long-term behaviour change. Provide students enough time (at least 20 minutes) once they are seated to enjoy their meal. The long term health and social consequences of childhood obesity are well-established [4], and the adverse health impacts of childhood obesity are likely to continue into adulthood [5,6,7,8]. RED and MSC have substantial training and experience in qualitative research methods. Pediatricians are an important first resource for parents and caregivers who are worried about their child's emotional and behavioral health or who want to promote healthy mental development. Promote healthy snacks at athletic events. The percentage of obesity is over 20% for children aged 6 to 11 and over 21% for adolescents aged 12 to 19. Improved communication about healthy lifestyle programmes between schools and parents (school website, newsletters, meetings), was also recommended. However, negative adaptations, or lack of core components or poorly delivered core components, can hamper the impact of the intervention [31]. In the US, lifestyle medicine is built around six pillars: eating healthy foods; exercising regularly; easing stress; getting restful sleep; quitting addictive substances like tobacco and limiting alcohol; and nurturing social connections. The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request. Family members and caregivers play a crucial role when it comes to promoting children's overall well-being during their preschool years. BMC Public Health The interviews aimed to explore the healthy lifestyle programmes and initiatives delivered at the school, roles within programmes, training and support, perceived effectiveness, challenges and barriers to success. This was achieved via letters and information sheets, with follow up visits to schools that showed initial interest. The emergent themes relating to factors hindering and facilitating programme implementation, were categorised using the implementation framework outlined by Durlak and Dupre [26]. 2015;15:130. A breakdown of participants is presented in Table1. Rhiannon Eleanor Day. And living healthy means more than just eating a well-balanced diet, it includes your physical, mental and emotional well-being. Promoting Healthy, Active Living at School - AAP Interactive resources, relating to cooking and growing foods, online activities on tablets (for example interactive quizzes at the end of topics with certificates for completion), online videos and DVDs for pupils of all ages were also recommended. A component analysis can be carried out, to identify the core components vs. the modifiable components [29]. A coordinated effort that involves family members, community groups, social service agencies, and medical providers working with teachers, school nurses, and staff is crucial. A healthy, balanced diet will of course include the intake of foods containing essential vitamins and minerals. . PubMedGoogle Scholar. Barriers and facilitators to adoption, implementation and sustainment of obesity prevention interventions in schoolchildren- a DEDIPAC case study. Nearly 9 in 10 adults who smoke cigarettes in the United States first tried a cigarette before age 18. Some of these programmes had overlapping content, particularly those educating around healthy food, food preparation, food waste and food sustainability (for example, Healthy School award, Food for Life partnership award, PhunkyFoods programme, Tesco Eat Happy project, Fuel for School programme and cooking clubs). Use classroom instructional methods and strategies that are interactive, engage all students, and are relevant to their daily lives and experiences. Childhood obesity is a serious national problem. It was important that staff felt confident and capable, to deliver healthy eating and physical activity messages adequately. The other factors identified as challenging implementation in our study, such as lack of training and support, insufficient resources, facilities and capacity (for cooking, healthy eating and physical activity programmes, after school mainly), align with previous reviews of implementation factors [26, 27, 30, 33]. This has thus been classified as a factor relating to the prevention delivery system [26]. Whitby K. Tackling childhood obesity within schools: lessons learned from school-based interventions. The first evaluation was an 18-month feasibility study (PhunkyFoods Feasibility study - PFS), testing the acceptability and feasibility of the PhunkyFoods Programme (November 2012 to July 2014). Children who dont get enough sleep are at increased risk for obesity, type 2 diabetes, attention and behavior problems, poor mental health, and injuries. Establishing specialist teachers to deliver all teaching relating to healthy lifestyle, was recommended to ease the burden on other teaching staff, who have not the time to prioritise healthy lifestyle teaching. Domitrovich CE, Bradshaw CP, Poduska JM, Hoagwood K, Buckley JA, Olin S, Romanelli LH, Leaf PJ, Greenberg MT, Ialongo NS.
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