The Role of Technical Assistance in School Wellness Policy Enhancement

BACKGROUND School settings offer an opportunity to impact student health and wellness. Quality wellness policies are important in establishing strong wellness environments, but current resources to support policy development, maintenance, and dissemination are lacking. The Building Healthy Schools P...

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Veröffentlicht in:The Journal of school health 2022-04, Vol.92 (4), p.361-367
Hauptverfasser: Hoke, Alicia M., Pattison, Krista L., Hivner, Elizabeth A., Lehman, Erik B., Kraschnewski, Jennifer L.
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container_end_page 367
container_issue 4
container_start_page 361
container_title The Journal of school health
container_volume 92
creator Hoke, Alicia M.
Pattison, Krista L.
Hivner, Elizabeth A.
Lehman, Erik B.
Kraschnewski, Jennifer L.
description BACKGROUND School settings offer an opportunity to impact student health and wellness. Quality wellness policies are important in establishing strong wellness environments, but current resources to support policy development, maintenance, and dissemination are lacking. The Building Healthy Schools Program aimed to develop capacity of school districts to improve the strength and comprehensiveness of wellness policies and sustain these activities. METHODS Fifteen school districts in Pennsylvania participated in a program to facilitate the improvement of district wellness policies and practices. Program staff provided technical assistance to evaluate wellness policies before and after program implementation. Professional development and tailored training was provided for school personnel to create sustainability. Statistical analysis was performed to evaluate policy improvement. RESULTS Thirteen of the 15 participating districts completed a policy revision. Median strength (p = .001) and comprehensiveness (p = .002) scores improved from baseline to post‐program and there were significant improvements in most assessment sub‐sections. Some districts were hesitant to make strong language improvements due to their limited capacity (ie, staff) for implementation. Champions (n = 13; 87%) reported confidence to revise wellness policy language independently in the future. CONCLUSIONS Technical assistance provided to districts facilitated significant improvements to wellness policy language, especially in the implementation, evaluation, and communication; critical components for policy impact on school wellness environments. In addition, participant feedback suggested an ability to sustain activities in the future. Both external (ie, technical assistance) and internal resources are needed to facilitate school districts' ongoing wellness policy improvement and implementation, including improved model wellness policy language and enforcement within schools, respectively.
doi_str_mv 10.1111/josh.13136
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Quality wellness policies are important in establishing strong wellness environments, but current resources to support policy development, maintenance, and dissemination are lacking. The Building Healthy Schools Program aimed to develop capacity of school districts to improve the strength and comprehensiveness of wellness policies and sustain these activities. METHODS Fifteen school districts in Pennsylvania participated in a program to facilitate the improvement of district wellness policies and practices. Program staff provided technical assistance to evaluate wellness policies before and after program implementation. Professional development and tailored training was provided for school personnel to create sustainability. Statistical analysis was performed to evaluate policy improvement. RESULTS Thirteen of the 15 participating districts completed a policy revision. Median strength (p = .001) and comprehensiveness (p = .002) scores improved from baseline to post‐program and there were significant improvements in most assessment sub‐sections. Some districts were hesitant to make strong language improvements due to their limited capacity (ie, staff) for implementation. Champions (n = 13; 87%) reported confidence to revise wellness policy language independently in the future. CONCLUSIONS Technical assistance provided to districts facilitated significant improvements to wellness policy language, especially in the implementation, evaluation, and communication; critical components for policy impact on school wellness environments. In addition, participant feedback suggested an ability to sustain activities in the future. Both external (ie, technical assistance) and internal resources are needed to facilitate school districts' ongoing wellness policy improvement and implementation, including improved model wellness policy language and enforcement within schools, respectively.</description><identifier>ISSN: 0022-4391</identifier><identifier>EISSN: 1746-1561</identifier><identifier>DOI: 10.1111/josh.13136</identifier><identifier>PMID: 35075644</identifier><language>eng</language><publisher>Malden, USA: Wiley Periodicals, Inc</publisher><subject>Capacity Building ; Childrens health ; Company business management ; Dissemination ; Enforcement ; Faculty Development ; Health Policy ; Health Promotion ; Humans ; Implementation ; Language Usage ; legal issues ; Management ; Nutrition Policy ; policy ; Policy Analysis ; Policy making ; Professional development ; Program Evaluation ; Program Implementation ; Program Improvement ; School Districts ; School Health Services ; School Personnel ; School Policy ; school wellness policy ; Schools ; Statistical analysis ; Student health services ; sustainability ; Teachers ; Technical Assistance ; Training ; Wellness ; Wellness programs</subject><ispartof>The Journal of school health, 2022-04, Vol.92 (4), p.361-367</ispartof><rights>2022 American School Health Association.</rights><rights>COPYRIGHT 2022 American School Health Association</rights><rights>2022, American School Health Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5096-265380df04df42e39029f4eb3bee72a3e6db190ddc91d09519bcc616b0a2e4743</citedby><cites>FETCH-LOGICAL-c5096-265380df04df42e39029f4eb3bee72a3e6db190ddc91d09519bcc616b0a2e4743</cites><orcidid>0000-0001-9061-6738 ; 0000-0003-3642-0632 ; 0000-0003-0537-3570 ; 0000-0003-4682-733X ; 0000-0003-0998-1346</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjosh.13136$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjosh.13136$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1331124$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35075644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoke, Alicia M.</creatorcontrib><creatorcontrib>Pattison, Krista L.</creatorcontrib><creatorcontrib>Hivner, Elizabeth A.</creatorcontrib><creatorcontrib>Lehman, Erik B.</creatorcontrib><creatorcontrib>Kraschnewski, Jennifer L.</creatorcontrib><title>The Role of Technical Assistance in School Wellness Policy Enhancement</title><title>The Journal of school health</title><addtitle>J Sch Health</addtitle><description>BACKGROUND School settings offer an opportunity to impact student health and wellness. Quality wellness policies are important in establishing strong wellness environments, but current resources to support policy development, maintenance, and dissemination are lacking. The Building Healthy Schools Program aimed to develop capacity of school districts to improve the strength and comprehensiveness of wellness policies and sustain these activities. METHODS Fifteen school districts in Pennsylvania participated in a program to facilitate the improvement of district wellness policies and practices. Program staff provided technical assistance to evaluate wellness policies before and after program implementation. Professional development and tailored training was provided for school personnel to create sustainability. Statistical analysis was performed to evaluate policy improvement. RESULTS Thirteen of the 15 participating districts completed a policy revision. Median strength (p = .001) and comprehensiveness (p = .002) scores improved from baseline to post‐program and there were significant improvements in most assessment sub‐sections. Some districts were hesitant to make strong language improvements due to their limited capacity (ie, staff) for implementation. Champions (n = 13; 87%) reported confidence to revise wellness policy language independently in the future. CONCLUSIONS Technical assistance provided to districts facilitated significant improvements to wellness policy language, especially in the implementation, evaluation, and communication; critical components for policy impact on school wellness environments. In addition, participant feedback suggested an ability to sustain activities in the future. 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Quality wellness policies are important in establishing strong wellness environments, but current resources to support policy development, maintenance, and dissemination are lacking. The Building Healthy Schools Program aimed to develop capacity of school districts to improve the strength and comprehensiveness of wellness policies and sustain these activities. METHODS Fifteen school districts in Pennsylvania participated in a program to facilitate the improvement of district wellness policies and practices. Program staff provided technical assistance to evaluate wellness policies before and after program implementation. Professional development and tailored training was provided for school personnel to create sustainability. Statistical analysis was performed to evaluate policy improvement. RESULTS Thirteen of the 15 participating districts completed a policy revision. Median strength (p = .001) and comprehensiveness (p = .002) scores improved from baseline to post‐program and there were significant improvements in most assessment sub‐sections. Some districts were hesitant to make strong language improvements due to their limited capacity (ie, staff) for implementation. Champions (n = 13; 87%) reported confidence to revise wellness policy language independently in the future. CONCLUSIONS Technical assistance provided to districts facilitated significant improvements to wellness policy language, especially in the implementation, evaluation, and communication; critical components for policy impact on school wellness environments. In addition, participant feedback suggested an ability to sustain activities in the future. 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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Capacity Building
Childrens health
Company business management
Dissemination
Enforcement
Faculty Development
Health Policy
Health Promotion
Humans
Implementation
Language Usage
legal issues
Management
Nutrition Policy
policy
Policy Analysis
Policy making
Professional development
Program Evaluation
Program Implementation
Program Improvement
School Districts
School Health Services
School Personnel
School Policy
school wellness policy
Schools
Statistical analysis
Student health services
sustainability
Teachers
Technical Assistance
Training
Wellness
Wellness programs
title The Role of Technical Assistance in School Wellness Policy Enhancement
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