Sustainability of the good behaviour game in Dutch primary schools

Datos Bibliográficos

ID22945625
AutoresMarieke A M Dijkman (GGD Amsterdam), J Harting (0000-0002-2811-9551, Amsterdam UMC Location University of Amsterdam), Lenneke van Tol (GGD Amsterdam), Marcel F van der Wal (0000-0001-5870-2572, GGD Amsterdam)
Año2017
Volumen32
Número1
Páginas79-90
Fecha de publicación2017-02-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Promotion International (JOURNAL)
Identificadores de la revistaISSN: 0957-4824 • E-ISSN: 1460-2245
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dav055
PMID26085505
OpenAlexW2274465110
IdiomaEN
Citas recibidas3
Referencias citadas26

Sustainability of health promotion programs is essential to maintain their positive effects. However, few studies have examined the extent of program sustainability and the factors influencing it. We examined these issues through the Good Behaviour Game (GBG), a classroom-based program in primary schools with beneficial behavioural and health-related effects that was implemented in 2008. GBG coordinators of 17 participating schools were invited in the study 2 years after the initial program implementation. Sustainability was measured using a 20-item checklist comprised of four dimensions of routinization including: memory, adaptation, values and rules. A semi-structured interview was then completed with 16 of the GBG coordinators to discuss the checklist scores and to probe in more depth the current level of sustainability. Based on the checklist scores, sustainability of the GBG was considered ‘high’ in five schools, ‘medium’ in another five and ‘weak’ in six. Factors influencing sustainability identified by GBG coordinators were organizational strength, strong leadership, program championship and the perceived modifiability and effectiveness of the GBG. Also, different factors were related to different dimensions of routinization. The combination of a sustainability checklist and an interview about influential factors may help to further clarify the sustainability construct and reveal which implementation sites, routinization dimensions and influential factors should be explored to further facilitate the sustaining of programs with proven effectiveness.

Checklist · Cognitive psychology · Health promotion · Medical education · Public health · Sustainability · Applied Psychology · Community Health and Development · Ecology · Health Policy Implementation Science · Medicine · Nursing · Psychology · School Health and Nursing Education · Social Psychology