Building community capacity to stimulate physical activity and dietary behavior in Dutch secondary schools
Evaluation of the FLASH intervention using the Reaim framework
Bibliographic Data
| ID | 22089903 |
|---|---|
| Authors | Bonnie Maria van Dongen (0000-0001-6718-3081, Vrije Universiteit Amsterdam, corresponding author), Inge Maria de Vries (Vrije Universiteit Amsterdam), Monica Antonia Maria Ridder (Windesheim University of Applied Sciences), Michiel R De Boer (0000-0001-9240-0199, University Medical Center Groningen), Michiel de Boer, Ingrid HM Steenhuis (0000-0002-0065-2776, Vrije Universiteit Amsterdam), Ingrid Hendrika Margaretha Steenhuis, Carry M Renders (0000-0001-6688-1312, Windesheim University of Applied Sciences) |
| Year | 2022 |
| Volume | 10 |
| Pages | 926465-926465 |
| Publication date | 2022-08-03 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.926465 |
| PMID | 35991016 |
| OpenAlex | W4289516830 |
| Language | EN |
| Citations received | 5 |
| References cited | 42 |
Background: Building community capacity in secondary schools is a promising strategy for the sustainable implementation of school-based health promotion. The Fit Lifestyle at School and at Home (FLASH) intervention explored how building community capacity works for the prevention of overweight following four strategies: leadership, participatory school culture, tailored health-promotion activities, and local networks. This study evaluates the intervention's impact on community capacity and capacity-building processes over a period of 3 years, as well as its effects on adolescents' BMI and waist circumference. Methods: A mixed-methods design guided by the RE-AIM framework was used. Impact on community capacity was evaluated with semi-structured interviews at the start and end of the intervention and analyzed using an anchored coding scale. Capacity-building processes were evaluated using interviews, journals, questionnaires, and the minutes of meetings. The effects on BMI z-scores and waist circumference were evaluated using a quasi-experimental design comparing an intervention (IG) and reference group (RG), based on multi-level analyses. Results: Community capacity improved across all intervention schools but varied between capacity-building strategies. Leadership recorded the greatest improvements, aided by the appointment of Healthy School Coordinators, who increasingly focused on coordinating processes and fostering collaborations. Participatory school culture also improved through the adoption and implementation of participatory methods and a general increase in awareness concerning the importance of the Healthy School approach. Although additional health-promotion activities were implemented, stakeholders struggled with tailoring these to the specific dynamics of their schools. Limited improvements were observed in setting-up local networks that could help schools encourage healthy behavior among pupils. Differences in BMI z-scores between IG and RG over the total sample were negligible whereas waist circumference increased slightly more in IG (0.99 cm, 95% CI [.04; 1.93]). However, differences were inconsistent over time and between cohorts. Conclusions: This study highlights the potential of building community capacity. It emphasizes that this is a process in which stakeholders must become acquainted with new leadership roles and responsibilities. To navigate this process, schools need support in improving communication, establishing local networks, and sustaining capacity-building efforts in school policy. Trial registration: ISRCTN67201841; date registered: 09/05/2019, retrospectively registered
Capacity building · Community-based participatory research · Health promotion · Intervention mapping · Medical education · Obesity · Overweight · Participatory action research · Political science · Public health · Sociology · Waist · Community Health and Development · Medicine · Nursing · Obesity, Physical Activity, Diet · Psychology · School Health and Nursing Education · Gerontology
Implementing health-promoting activities in diverse primary school contexts in the Netherlands
Increasing community capacity to improve the implementation of Health Promoting Schools
Cultivating partnerships to incorporate health promotion modules into primary school curricula
Systematic review on community-based interventions targeting prevention of overweight and obesity in children and adolescents
Understanding Adolescents and Teachers at Vocational Schools From a Health Promotion Perspective
Tracking of obesity-related behaviours from childhood to adulthood
Multiplying Health Gains
The sustainability of public health interventions in schools
Tracking of childhood overweight into adulthood
Continuing Positive Secular Growth Change in the Netherlands 1955–1997
The prevention of overweight and obesity in children and adolescents
RE-AIM Planning and Evaluation Framework
Education and Health
Health Promoting Schools—a complex approach and a major means to health improvement
Development of a collaborative model to improve school health promotion in the Netherlands
Systems thinking and complexity
Assessing community readiness online
A rural community moves closer to sustainable obesity prevention - an exploration of community readiness pre and post a community-based participatory intervention
Development of the ‘Canteen Scan’
Background and evaluation design of a community-based health-promoting school intervention
Implementation evaluation of school-based obesity prevention programmes in youth; how, what and why
Measurement error of waist circumference
Test–retest reliability and construct validity of the DOiT (Dutch Obesity Intervention in Teenagers) questionnaire
Krachtvoer
Is Sustainability Possible? A Review and Commentary on Empirical Studies of Program Sustainability
Research With Children
Theories of Change and Realistic Evaluation
Evaluating the public health impact of health promotion interventions
| Unique citing works | 5 |
|---|---|
| Citations per year | 1.67 |
| Citation span | 2023 - 2025 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |