School-based health education programs can be maintained over time: results from the CATCH Institutionalization study
Background. Developing and evaluating interventions to influence students' opportunities for healthful choices has been a focus of school-based health promotion research; however, few studies have examined the sustainability of these programs and viability of continued organizational implementa...
Gespeichert in:
| Veröffentlicht in: | Preventive medicine 2004-05, Vol.38 (5), p.594-606 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 606 |
|---|---|
| container_issue | 5 |
| container_start_page | 594 |
| container_title | Preventive medicine |
| container_volume | 38 |
| creator | Hoelscher, Deanna M Feldman, Henry A Johnson, Carolyn C Lytle, Leslie A Osganian, Stavroula K Parcel, Guy S Kelder, Steven H Stone, Elaine J Nader, Philip R |
| description | Background. Developing and evaluating interventions to influence students' opportunities for healthful choices has been a focus of school-based health promotion research; however, few studies have examined the sustainability of these programs and viability of continued organizational implementation.
Methods. The purpose of this study was to determine the maintenance of Child and Adolescent Trial for Cardiovascular Health (CATCH) school-level changes in former intervention (
n = 56) and former comparison (
n = 20) schools 5 years post-intervention. Twelve schools unexposed to CATCH were measured as controls. Macronutrient content of 5 days of school lunch menus, amount and type of physical education (PE) classes, and health instruction practices in the classroom were assessed. An institutionalization score for schools was developed, using program maintenance variables: % kcal from fat and saturated fat in school lunches, % PE class spent in vigorous and moderate-to-vigorous physical activity, and class time devoted to CATCH topics.
Results. Menus from 50% of former intervention cafeterias met the Eat Smart guidelines for fat, compared to 10% of former control cafeterias and 17% of unexposed school cafeterias (
P < 0.005). There were no significant differences in implementation of CATCH PE goals between conditions. Although the total time spent teaching CATCH was low in former CATCH schools, the former intervention schools spent significantly more time teaching CATCH and taught more lessons as compared to former comparison schools. Former intervention schools had a higher mean institutionalization score than former comparison schools (
P < 0.001). Training had the greatest impact on maintenance of CATCH.
Conclusions. Results from this study suggest that changes in the school environment to support healthful behaviors can be maintained over time. Staff training is an important factor in achieving institutionalization of these programs. |
| doi_str_mv | 10.1016/j.ypmed.2003.11.017 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71805872</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0091743503003311</els_id><sourcerecordid>71805872</sourcerecordid><originalsourceid>FETCH-LOGICAL-c355t-b51b09d9c6b8232386c05b24fcfebcd03e7e5799b462f2e7f82e446c2e12bc283</originalsourceid><addsrcrecordid>eNp9kMFq3DAQhkVpaDZJn6BQdOrNzkiyZTvQQ1iaNBDIoc1ZSPK4q8W2NpIc2Dx9tdmlxx7EHPT9_zAfIV8YlAyYvN6W-92EfckBRMlYCaz5QFYMOlkAl_CRrAA6VjSVqM_JRYxbAMYkVJ_IOatBSiH5iiy_7Mb7sTA6Yk83qMe0odgvVifnZ7oL_k_QU6RWz9QgnbSbU36Z9a8YaHIT3tCAcRlTpEPwE00bpOvb3-uf9GGOyaXlUKRH93ZsjGnp91fkbNBjxM-neUme737kSPH4dP-wvn0srKjrVJiaGej6zkrTcsFFKy3UhleDHdDYHgQ2WDddZyrJB47N0HKsKmk5Mm4sb8Ul-XbszXe8LBiTmly0OI56Rr9E1bAW6rbhGRRH0AYfY8BB7YKbdNgrBupgW23Vu211sK0YU9l2Tn091S_m8Pcvc9Kbge9HAPORrw6DitbhbLF3AW1SvXf_XfAXLCyTpA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71805872</pqid></control><display><type>article</type><title>School-based health education programs can be maintained over time: results from the CATCH Institutionalization study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Hoelscher, Deanna M ; Feldman, Henry A ; Johnson, Carolyn C ; Lytle, Leslie A ; Osganian, Stavroula K ; Parcel, Guy S ; Kelder, Steven H ; Stone, Elaine J ; Nader, Philip R</creator><creatorcontrib>Hoelscher, Deanna M ; Feldman, Henry A ; Johnson, Carolyn C ; Lytle, Leslie A ; Osganian, Stavroula K ; Parcel, Guy S ; Kelder, Steven H ; Stone, Elaine J ; Nader, Philip R</creatorcontrib><description>Background. Developing and evaluating interventions to influence students' opportunities for healthful choices has been a focus of school-based health promotion research; however, few studies have examined the sustainability of these programs and viability of continued organizational implementation.
Methods. The purpose of this study was to determine the maintenance of Child and Adolescent Trial for Cardiovascular Health (CATCH) school-level changes in former intervention (
n = 56) and former comparison (
n = 20) schools 5 years post-intervention. Twelve schools unexposed to CATCH were measured as controls. Macronutrient content of 5 days of school lunch menus, amount and type of physical education (PE) classes, and health instruction practices in the classroom were assessed. An institutionalization score for schools was developed, using program maintenance variables: % kcal from fat and saturated fat in school lunches, % PE class spent in vigorous and moderate-to-vigorous physical activity, and class time devoted to CATCH topics.
Results. Menus from 50% of former intervention cafeterias met the Eat Smart guidelines for fat, compared to 10% of former control cafeterias and 17% of unexposed school cafeterias (
P < 0.005). There were no significant differences in implementation of CATCH PE goals between conditions. Although the total time spent teaching CATCH was low in former CATCH schools, the former intervention schools spent significantly more time teaching CATCH and taught more lessons as compared to former comparison schools. Former intervention schools had a higher mean institutionalization score than former comparison schools (
P < 0.001). Training had the greatest impact on maintenance of CATCH.
Conclusions. Results from this study suggest that changes in the school environment to support healthful behaviors can be maintained over time. Staff training is an important factor in achieving institutionalization of these programs.</description><identifier>ISSN: 0091-7435</identifier><identifier>EISSN: 1096-0260</identifier><identifier>DOI: 10.1016/j.ypmed.2003.11.017</identifier><identifier>PMID: 15066362</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Cardiovascular disease ; Curriculum ; Diet ; Diffusion of innovation ; Exercise ; Food Services ; Guidelines as Topic ; Health Education - organization & administration ; Health promotion ; Humans ; Physical education and training ; Primary schools ; Program Evaluation ; Program sustainability ; School age population ; School Health Services - organization & administration ; School teachers ; Schools ; Surveys and Questionnaires ; United States</subject><ispartof>Preventive medicine, 2004-05, Vol.38 (5), p.594-606</ispartof><rights>2004 The Institute For Cancer Prevention and Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-b51b09d9c6b8232386c05b24fcfebcd03e7e5799b462f2e7f82e446c2e12bc283</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0091743503003311$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15066362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoelscher, Deanna M</creatorcontrib><creatorcontrib>Feldman, Henry A</creatorcontrib><creatorcontrib>Johnson, Carolyn C</creatorcontrib><creatorcontrib>Lytle, Leslie A</creatorcontrib><creatorcontrib>Osganian, Stavroula K</creatorcontrib><creatorcontrib>Parcel, Guy S</creatorcontrib><creatorcontrib>Kelder, Steven H</creatorcontrib><creatorcontrib>Stone, Elaine J</creatorcontrib><creatorcontrib>Nader, Philip R</creatorcontrib><title>School-based health education programs can be maintained over time: results from the CATCH Institutionalization study</title><title>Preventive medicine</title><addtitle>Prev Med</addtitle><description>Background. Developing and evaluating interventions to influence students' opportunities for healthful choices has been a focus of school-based health promotion research; however, few studies have examined the sustainability of these programs and viability of continued organizational implementation.
Methods. The purpose of this study was to determine the maintenance of Child and Adolescent Trial for Cardiovascular Health (CATCH) school-level changes in former intervention (
n = 56) and former comparison (
n = 20) schools 5 years post-intervention. Twelve schools unexposed to CATCH were measured as controls. Macronutrient content of 5 days of school lunch menus, amount and type of physical education (PE) classes, and health instruction practices in the classroom were assessed. An institutionalization score for schools was developed, using program maintenance variables: % kcal from fat and saturated fat in school lunches, % PE class spent in vigorous and moderate-to-vigorous physical activity, and class time devoted to CATCH topics.
Results. Menus from 50% of former intervention cafeterias met the Eat Smart guidelines for fat, compared to 10% of former control cafeterias and 17% of unexposed school cafeterias (
P < 0.005). There were no significant differences in implementation of CATCH PE goals between conditions. Although the total time spent teaching CATCH was low in former CATCH schools, the former intervention schools spent significantly more time teaching CATCH and taught more lessons as compared to former comparison schools. Former intervention schools had a higher mean institutionalization score than former comparison schools (
P < 0.001). Training had the greatest impact on maintenance of CATCH.
Conclusions. Results from this study suggest that changes in the school environment to support healthful behaviors can be maintained over time. Staff training is an important factor in achieving institutionalization of these programs.</description><subject>Adolescent</subject><subject>Cardiovascular disease</subject><subject>Curriculum</subject><subject>Diet</subject><subject>Diffusion of innovation</subject><subject>Exercise</subject><subject>Food Services</subject><subject>Guidelines as Topic</subject><subject>Health Education - organization & administration</subject><subject>Health promotion</subject><subject>Humans</subject><subject>Physical education and training</subject><subject>Primary schools</subject><subject>Program Evaluation</subject><subject>Program sustainability</subject><subject>School age population</subject><subject>School Health Services - organization & administration</subject><subject>School teachers</subject><subject>Schools</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><issn>0091-7435</issn><issn>1096-0260</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFq3DAQhkVpaDZJn6BQdOrNzkiyZTvQQ1iaNBDIoc1ZSPK4q8W2NpIc2Dx9tdmlxx7EHPT9_zAfIV8YlAyYvN6W-92EfckBRMlYCaz5QFYMOlkAl_CRrAA6VjSVqM_JRYxbAMYkVJ_IOatBSiH5iiy_7Mb7sTA6Yk83qMe0odgvVifnZ7oL_k_QU6RWz9QgnbSbU36Z9a8YaHIT3tCAcRlTpEPwE00bpOvb3-uf9GGOyaXlUKRH93ZsjGnp91fkbNBjxM-neUme737kSPH4dP-wvn0srKjrVJiaGej6zkrTcsFFKy3UhleDHdDYHgQ2WDddZyrJB47N0HKsKmk5Mm4sb8Ul-XbszXe8LBiTmly0OI56Rr9E1bAW6rbhGRRH0AYfY8BB7YKbdNgrBupgW23Vu211sK0YU9l2Tn091S_m8Pcvc9Kbge9HAPORrw6DitbhbLF3AW1SvXf_XfAXLCyTpA</recordid><startdate>20040501</startdate><enddate>20040501</enddate><creator>Hoelscher, Deanna M</creator><creator>Feldman, Henry A</creator><creator>Johnson, Carolyn C</creator><creator>Lytle, Leslie A</creator><creator>Osganian, Stavroula K</creator><creator>Parcel, Guy S</creator><creator>Kelder, Steven H</creator><creator>Stone, Elaine J</creator><creator>Nader, Philip R</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040501</creationdate><title>School-based health education programs can be maintained over time: results from the CATCH Institutionalization study</title><author>Hoelscher, Deanna M ; Feldman, Henry A ; Johnson, Carolyn C ; Lytle, Leslie A ; Osganian, Stavroula K ; Parcel, Guy S ; Kelder, Steven H ; Stone, Elaine J ; Nader, Philip R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-b51b09d9c6b8232386c05b24fcfebcd03e7e5799b462f2e7f82e446c2e12bc283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Cardiovascular disease</topic><topic>Curriculum</topic><topic>Diet</topic><topic>Diffusion of innovation</topic><topic>Exercise</topic><topic>Food Services</topic><topic>Guidelines as Topic</topic><topic>Health Education - organization & administration</topic><topic>Health promotion</topic><topic>Humans</topic><topic>Physical education and training</topic><topic>Primary schools</topic><topic>Program Evaluation</topic><topic>Program sustainability</topic><topic>School age population</topic><topic>School Health Services - organization & administration</topic><topic>School teachers</topic><topic>Schools</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoelscher, Deanna M</creatorcontrib><creatorcontrib>Feldman, Henry A</creatorcontrib><creatorcontrib>Johnson, Carolyn C</creatorcontrib><creatorcontrib>Lytle, Leslie A</creatorcontrib><creatorcontrib>Osganian, Stavroula K</creatorcontrib><creatorcontrib>Parcel, Guy S</creatorcontrib><creatorcontrib>Kelder, Steven H</creatorcontrib><creatorcontrib>Stone, Elaine J</creatorcontrib><creatorcontrib>Nader, Philip R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoelscher, Deanna M</au><au>Feldman, Henry A</au><au>Johnson, Carolyn C</au><au>Lytle, Leslie A</au><au>Osganian, Stavroula K</au><au>Parcel, Guy S</au><au>Kelder, Steven H</au><au>Stone, Elaine J</au><au>Nader, Philip R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>School-based health education programs can be maintained over time: results from the CATCH Institutionalization study</atitle><jtitle>Preventive medicine</jtitle><addtitle>Prev Med</addtitle><date>2004-05-01</date><risdate>2004</risdate><volume>38</volume><issue>5</issue><spage>594</spage><epage>606</epage><pages>594-606</pages><issn>0091-7435</issn><eissn>1096-0260</eissn><abstract>Background. Developing and evaluating interventions to influence students' opportunities for healthful choices has been a focus of school-based health promotion research; however, few studies have examined the sustainability of these programs and viability of continued organizational implementation.
Methods. The purpose of this study was to determine the maintenance of Child and Adolescent Trial for Cardiovascular Health (CATCH) school-level changes in former intervention (
n = 56) and former comparison (
n = 20) schools 5 years post-intervention. Twelve schools unexposed to CATCH were measured as controls. Macronutrient content of 5 days of school lunch menus, amount and type of physical education (PE) classes, and health instruction practices in the classroom were assessed. An institutionalization score for schools was developed, using program maintenance variables: % kcal from fat and saturated fat in school lunches, % PE class spent in vigorous and moderate-to-vigorous physical activity, and class time devoted to CATCH topics.
Results. Menus from 50% of former intervention cafeterias met the Eat Smart guidelines for fat, compared to 10% of former control cafeterias and 17% of unexposed school cafeterias (
P < 0.005). There were no significant differences in implementation of CATCH PE goals between conditions. Although the total time spent teaching CATCH was low in former CATCH schools, the former intervention schools spent significantly more time teaching CATCH and taught more lessons as compared to former comparison schools. Former intervention schools had a higher mean institutionalization score than former comparison schools (
P < 0.001). Training had the greatest impact on maintenance of CATCH.
Conclusions. Results from this study suggest that changes in the school environment to support healthful behaviors can be maintained over time. Staff training is an important factor in achieving institutionalization of these programs.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15066362</pmid><doi>10.1016/j.ypmed.2003.11.017</doi><tpages>13</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0091-7435 |
| ispartof | Preventive medicine, 2004-05, Vol.38 (5), p.594-606 |
| issn | 0091-7435 1096-0260 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71805872 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Cardiovascular disease Curriculum Diet Diffusion of innovation Exercise Food Services Guidelines as Topic Health Education - organization & administration Health promotion Humans Physical education and training Primary schools Program Evaluation Program sustainability School age population School Health Services - organization & administration School teachers Schools Surveys and Questionnaires United States |
| title | School-based health education programs can be maintained over time: results from the CATCH Institutionalization study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T22%3A00%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=School-based%20health%20education%20programs%20can%20be%20maintained%20over%20time:%20results%20from%20the%20CATCH%20Institutionalization%20study&rft.jtitle=Preventive%20medicine&rft.au=Hoelscher,%20Deanna%20M&rft.date=2004-05-01&rft.volume=38&rft.issue=5&rft.spage=594&rft.epage=606&rft.pages=594-606&rft.issn=0091-7435&rft.eissn=1096-0260&rft_id=info:doi/10.1016/j.ypmed.2003.11.017&rft_dat=%3Cproquest_cross%3E71805872%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71805872&rft_id=info:pmid/15066362&rft_els_id=S0091743503003311&rfr_iscdi=true |