Cargando…

Background and evaluation design of a community-based health-promoting school intervention: Fit Lifestyle at School and at Home (FLASH)

BACKGROUND: A community-based approach can be a promising strategy for implementing school-based health promotion aimed at stimulating healthy physical activity and dietary behaviour. Such an approach builds on the community capacity of multiple stakeholders, empowering them to design and implement...

Descripción completa

Detalles Bibliográficos
Autores principales: van Dongen, Bonnie Maria, Ridder, Monica Antonia Maria, Steenhuis, Ingrid Hendrika Margaretha, Renders, Carry Mira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585041/
https://www.ncbi.nlm.nih.gov/pubmed/31221106
http://dx.doi.org/10.1186/s12889-019-7088-3
_version_ 1783428626173132800
author van Dongen, Bonnie Maria
Ridder, Monica Antonia Maria
Steenhuis, Ingrid Hendrika Margaretha
Renders, Carry Mira
author_facet van Dongen, Bonnie Maria
Ridder, Monica Antonia Maria
Steenhuis, Ingrid Hendrika Margaretha
Renders, Carry Mira
author_sort van Dongen, Bonnie Maria
collection PubMed
description BACKGROUND: A community-based approach can be a promising strategy for implementing school-based health promotion aimed at stimulating healthy physical activity and dietary behaviour. Such an approach builds on the community capacity of multiple stakeholders, empowering them to design and implement tailored activities, supported by the whole school community. This paper describes the background and evaluation design of the community-based school intervention ‘Fit Lifestyle at School and at Home’ (FLASH) in four prevocational schools. FLASH includes four strategies for building the community capacity of students, school personnel and parents: 1) identifying leaders in each stakeholder group, 2) stimulating a school culture of participation, 3) having stakeholders design and implement tailored activities and 4) creating a network of local partners for structural embedding. The objective is to monitor the capacity-building processes of the FLASH intervention and to explore if these processes contribute to changes in community capacity. In addition, we will explore if the FLASH intervention is related to changes in PA, dietary behaviours and BMI of students. METHODS: This study has a mixed methods design and uses a participatory action-oriented approach to monitor and evaluate changes in community capacity, tailored health-promotion activities and implementation processes. Methods include semi-structured interviews, focus groups, journals, document analysis and observational scans of the physical environment. In addition, changes in BMI, physical activity and dietary behaviours of prevocational students will be explored by comparing the four intervention schools to four control schools. Data are collected by questionnaires and anthropometric measurements. DISCUSSION: The main strength of this study is its use of mixed methods to evaluate real-life processes of creating a healthy-school community. This will provide valuable information on capacity-building strategies for the structural embedding of health-promotion activities within school settings. The results could help schools become more empowered to adapt and adopt integral health-promotion interventions in daily practice that suit the needs of their communities, that are expected to be sustainable and that could lead to favourable changes in the PA and dietary behaviour of students. TRIAL REGISTRATION: ISRCTN67201841; date registered: 09-05-2019, retrospectively registered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-019-7088-3) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6585041
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-65850412019-06-27 Background and evaluation design of a community-based health-promoting school intervention: Fit Lifestyle at School and at Home (FLASH) van Dongen, Bonnie Maria Ridder, Monica Antonia Maria Steenhuis, Ingrid Hendrika Margaretha Renders, Carry Mira BMC Public Health Study Protocol BACKGROUND: A community-based approach can be a promising strategy for implementing school-based health promotion aimed at stimulating healthy physical activity and dietary behaviour. Such an approach builds on the community capacity of multiple stakeholders, empowering them to design and implement tailored activities, supported by the whole school community. This paper describes the background and evaluation design of the community-based school intervention ‘Fit Lifestyle at School and at Home’ (FLASH) in four prevocational schools. FLASH includes four strategies for building the community capacity of students, school personnel and parents: 1) identifying leaders in each stakeholder group, 2) stimulating a school culture of participation, 3) having stakeholders design and implement tailored activities and 4) creating a network of local partners for structural embedding. The objective is to monitor the capacity-building processes of the FLASH intervention and to explore if these processes contribute to changes in community capacity. In addition, we will explore if the FLASH intervention is related to changes in PA, dietary behaviours and BMI of students. METHODS: This study has a mixed methods design and uses a participatory action-oriented approach to monitor and evaluate changes in community capacity, tailored health-promotion activities and implementation processes. Methods include semi-structured interviews, focus groups, journals, document analysis and observational scans of the physical environment. In addition, changes in BMI, physical activity and dietary behaviours of prevocational students will be explored by comparing the four intervention schools to four control schools. Data are collected by questionnaires and anthropometric measurements. DISCUSSION: The main strength of this study is its use of mixed methods to evaluate real-life processes of creating a healthy-school community. This will provide valuable information on capacity-building strategies for the structural embedding of health-promotion activities within school settings. The results could help schools become more empowered to adapt and adopt integral health-promotion interventions in daily practice that suit the needs of their communities, that are expected to be sustainable and that could lead to favourable changes in the PA and dietary behaviour of students. TRIAL REGISTRATION: ISRCTN67201841; date registered: 09-05-2019, retrospectively registered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-019-7088-3) contains supplementary material, which is available to authorized users. BioMed Central 2019-06-20 /pmc/articles/PMC6585041/ /pubmed/31221106 http://dx.doi.org/10.1186/s12889-019-7088-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
van Dongen, Bonnie Maria
Ridder, Monica Antonia Maria
Steenhuis, Ingrid Hendrika Margaretha
Renders, Carry Mira
Background and evaluation design of a community-based health-promoting school intervention: Fit Lifestyle at School and at Home (FLASH)
title Background and evaluation design of a community-based health-promoting school intervention: Fit Lifestyle at School and at Home (FLASH)
title_full Background and evaluation design of a community-based health-promoting school intervention: Fit Lifestyle at School and at Home (FLASH)
title_fullStr Background and evaluation design of a community-based health-promoting school intervention: Fit Lifestyle at School and at Home (FLASH)
title_full_unstemmed Background and evaluation design of a community-based health-promoting school intervention: Fit Lifestyle at School and at Home (FLASH)
title_short Background and evaluation design of a community-based health-promoting school intervention: Fit Lifestyle at School and at Home (FLASH)
title_sort background and evaluation design of a community-based health-promoting school intervention: fit lifestyle at school and at home (flash)
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585041/
https://www.ncbi.nlm.nih.gov/pubmed/31221106
http://dx.doi.org/10.1186/s12889-019-7088-3
work_keys_str_mv AT vandongenbonniemaria backgroundandevaluationdesignofacommunitybasedhealthpromotingschoolinterventionfitlifestyleatschoolandathomeflash
AT riddermonicaantoniamaria backgroundandevaluationdesignofacommunitybasedhealthpromotingschoolinterventionfitlifestyleatschoolandathomeflash
AT steenhuisingridhendrikamargaretha backgroundandevaluationdesignofacommunitybasedhealthpromotingschoolinterventionfitlifestyleatschoolandathomeflash
AT renderscarrymira backgroundandevaluationdesignofacommunitybasedhealthpromotingschoolinterventionfitlifestyleatschoolandathomeflash