Using School Staff Members to Implement a Childhood Obesity Prevention Intervention in Low-Income School Districts: the Massachusetts Childhood Obesity Research Demonstration (MA-CORD Project), 2012–2014
| Autor: | Steven L. Gortmaker, Rachel E. Blaine, Jennifer Falbe, Emmeline Chuang, Catherine M. Giles, Thomas Land, Shaniece Criss, Jo-Ann Kwass, Rebecca L. Franckle, Kirsten K. Davison, Claudia Ganter |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Pediatric Obesity education Child Health Services Health Behavior Psychological intervention 030209 endocrinology & metabolism Burnout Childhood obesity 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans 030212 general & internal medicine Child Curriculum Exercise Poverty Original Research School Health Services Medical education Schools business.industry 4. Education Health Policy Public health Research Public Health Environmental and Occupational Health medicine.disease 3. Good health Incentive Massachusetts Child Preschool Physical therapy Female School Teachers business Child Nutritional Physiological Phenomena |
| Zdroj: | Preventing Chronic Disease |
| ISSN: | 1545-1151 |
| Popis: | Author(s): Blaine, Rachel E; Franckle, Rebecca L; Ganter, Claudia; Falbe, Jennifer; Giles, Catherine; Criss, Shaniece; Kwass, Jo-Ann; Land, Thomas; Gortmaker, Steven L; Chuang, Emmeline; Davison, Kirsten K; MA-CORD Project Group | Abstract: IntroductionAlthough evidence-based interventions to prevent childhood obesity in school settings exist, few studies have identified factors that enhance school districts' capacity to undertake such efforts. We describe the implementation of a school-based intervention using classroom lessons based on existing "Eat Well and Keep Moving" and "Planet Health" behavior change interventions and schoolwide activities to target 5,144 children in 4th through 7th grade in 2 low-income school districts.MethodsThe intervention was part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project, a multisector community-based intervention implemented from 2012 through 2014. Using mixed methods, we operationalized key implementation outcomes, including acceptability, adoption, appropriateness, feasibility, implementation fidelity, perceived implementation cost, reach, and sustainability.ResultsMA-CORD was adopted in 2 school districts that were facing resource limitations and competing priorities. Although strong leadership support existed in both communities at baseline, one district's staff reported less schoolwide readiness and commitment. Consequently, fewer teachers reported engaging in training, teaching lessons, or planning to sustain the lessons after MA-CORD. Interviews showed that principal and superintendent turnover, statewide testing, and teacher burnout limited implementation; passionate wellness champions in schools appeared to offset implementation barriers.ConclusionFuture interventions should assess adoption readiness at both leadership and staff levels, offer curriculum training sessions during school hours, use school nurses or health teachers as wellness champions to support teachers, and offer incentives such as staff stipends or play equipment to encourage school participation and sustained intervention activities. |
| Databáze: | OpenAIRE |
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