From “Best Practice” to “Next Practice”: The Effectiveness of School-Based Health Promotion in Improving Healthy Eating and Physical Activity and Preventing Childhood Obesity

2015 ◽  
pp. 253-272
2015 ◽  
Vol 1 (8) ◽  
pp. 120
Author(s):  
Aldona Jociutė ◽  
Gintarė Petronytė

This article focuses on local stakeholders’ (policy-makers and decisionmakers, administrators and practitioners) attitudes towards effective health promotion policy measures in physical activity and healthy eating for children and youth. A qualitative study using semi-structured interview method was performed with 12 representatives of the Klaipeda city, Kaunas and Jurbarkas districts municipal institutions in July – September, 2013, implementing the international healthy eating and physical activity in a local communities’ project (HEPCOM). Based on the results, stakeholders in planning health promotion activities in physical activity and healthy eating for children and youth mainly apply policy development, strategic planning, action planning and implementation measures, however, they face the use of evaluation measures. The key prerequisites for the development of health promotion activities in physical activity and healthy eating for children and youth at the local communities include targeted health policy strategy and the priorities identified at the national level, inter-institutional cooperation, cross-sectoral activities, the availability of information on best practice interventions and their evaluation tools, as well as human, financial and information resources.


Author(s):  
Courtney Barnes ◽  
Sam McCrabb ◽  
Fiona Stacey ◽  
Nicole Nathan ◽  
Sze Lin Yoong ◽  
...  

Abstract Although best practice recommendations exist regarding school-based healthy eating and physical activity policies, practices, and programs, research indicates that implementation is poor. As the field of implementation science is rapidly evolving, an update of the recent review of strategies to improve the implementation of healthy eating and physical activity interventions in schools published in the Cochrane Library in 2017 was required. The primary aim of this review was to examine the effectiveness of strategies that aim to improve the implementation of school-based policies, practices, or programs to address child diet, physical activity, or obesity. A systematic review of articles published between August 31, 2016 and April 10, 2019 utilizing Cochrane methodology was conducted. In addition to the 22 studies included in the original review, eight further studies were identified as eligible. The 30 studies sought to improve the implementation of healthy eating (n = 16), physical activity (n = 11), or both healthy eating and physical activity (n = 3). The narrative synthesis indicated that effect sizes of strategies to improve implementation were highly variable across studies. For example, among 10 studies reporting the proportion of schools implementing a targeted policy, practice, or program versus a minimal or usual practice control, the median unadjusted effect size was 16.2%, ranging from –0.2% to 66.6%. Findings provide some evidence to support the effectiveness of strategies in enhancing the nutritional quality of foods served at schools, the implementation of canteen policies, and the time scheduled for physical education.


2018 ◽  
Author(s):  
Atieh Mehdizadeh ◽  
Mohsen Nematy ◽  
Majid Khadem-Rezaiyan ◽  
Majid Ghayour-Mobarhan ◽  
Mohammad Ali Sardar ◽  
...  

BACKGROUND Prevention of childhood obesity is a key approach to the primary prevention of noncommunicable diseases. Several models, based on the population health approach and aligned with ecological models, are used to design childhood obesity prevention programs around the world. OBJECTIVE This study aims to introduce the design and evaluation plan of “Iran Healthy Start (IHS)/Aghazi Salem, Koodake Irani”—the customized Iranian version of Canadian Healthy Start/Départ Santé health promotion program—which is now being developed in Mashhad University of Medical Sciences (Mashhad, Iran) and focuses on improving physical activity and healthy eating among preschool children. METHODS We will evaluate the intervention using a pilot randomized controlled design. The components of intervention include customized Decoda Web-based resources for children, an implementation guide for educators and managers, training and monitoring, communication and knowledge exchange, building partnership, and parent engagement. Outcomes include changes in anthropometry, physical activity level, nutritional risk status and dietary intake, and quality of life. RESULTS The project is funded by Mashhad University of Medical Sciences. The intervention was completed by the end of March 2018, and the analysis is currently under way. The first results of the IHS intervention program are expected to be submitted for publication in December 2018. CONCLUSIONS The double burden of malnutrition in early years children is a major health concern in developing countries. This justifies the need for health promotion programs that are specifically designed to target both overnutrition and undernutrition prevention. If the efficacy approved, the IHS could potentially be a comprehensive health promotion program for young children whose lifestyle behaviors can be improved toward a healthy future life in a nutrition transition setting. CLINICALTRIAL International Clinical Trials Registry Platform IRCT2016041927475N1; https://en.irct.ir/trial/22497 INTERNATIONAL REGISTERED REPOR RR1-10.2196/11329


2009 ◽  
Vol 31 (4) ◽  
pp. 21-26 ◽  
Author(s):  
Margaret Everett ◽  
Angie Mejia ◽  
Olivia Quiroz

The Healthy Eating Active Living (HEAL) Coalition is a community-based health promotion program begun in 2006 in North Portland's Portsmouth neighborhood. The program seeks to promote community health and prevent childhood obesity by addressing barriers at local, regional and policy levels, with particular attention to the built environment. This article describes the findings of a program evaluation based on interviews with school staff and Latino parents. Important themes include the impact of the closure of a neighborhood school, access to grocery stores with affordable healthy foods, and concern about school meals. The comprehensive approach of programs like HEAL, which uses the socio-ecological model of health promotion, lends itself well to the participation of applied social scientists.


Author(s):  
Francesca Sánchez-Martínez ◽  
Olga Juárez ◽  
Gemma Serral ◽  
Sara Valmayor ◽  
Rosa Puigpinós ◽  
...  

Background: Childhood obesity preventive interventions should promote a healthy diet and physical activity at home and school. This study aims to describe a school-based childhood obesity preventive programme (POIBA Project) targeting 8-to-12- year-old. Design and methods: Evaluation study of a school-based intervention with a pre-post quasi-experimental design and a comparison group. Schools from disadvantaged neighbourhoods are oversampled. The intervention consists of 9 sessions, including 58 activities of a total duration between 9 and 13 hours, and the booster intervention of 2 sessions with 8 activities lasting 3 or 4 hours. They are multilevel (individual, family and school) and multicomponent (classroom, physical activity and family). Data are collected through anthropometric measurements, physical fitness tests and lifestyle surveys before and after the intervention and the booster intervention. In the intervention group, families complete two questionnaires about their children’s eating habits and physical activity. The outcome variable is the cumulative incidence rate of obesity, obtained from body mass index values and body fat assessed by triceps skinfold thickness. The independent variables are socio-demographic, contextual, eating habits, food frequency, intensity of physical activity and use of new technologies. Expected impact for public health: It is essential to implement preventive interventions at early ages and to follow its effects over time. Interventions involving diet and physical activity are the most common, being the most effective setting the school. The POIBA Project intervenes in both the school and family setting and focuses on the most disadvantaged groups, in which obesity is most pronounced and difficult to prevent.


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