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Filippa von Haartman, Nutrition

A capacity-building approach for sustainable promotion of healthy lifestyles – the SCIP school intervention study. Workshop no 7. Implementation: A common challenge for health, equity and environmental education. Experiences from Europe (E) July 10th, 10:45-12:15

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Filippa von Haartman, Nutrition

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  1. A capacity-building approach for sustainable promotion of healthy lifestyles – the SCIP school intervention study Workshop no 7. Implementation: A common challenge for health, equity and environmental education. Experiences from Europe (E) July 10th, 10:45-12:15 Anna-Karin Jälminger, MSc Nutrition, Department of Public Health Sciences,Karolinska Institutet, Stockholm, Sweden Funding: Stockholm County council

  2. Mårten Åhström, Physical activity Maria Wikland, Physical activity Nelleke Heinemans, Mental health Liselotte Schäfer Elinder, Principle investigator Filippa von Haartman, Nutrition Anna-Karin Jälminger, Project leader Lene Lindberg, Mental health Project team

  3. The SCIP-school setting Österåker municipality • 30 km north of Stockholm • 38 000 inhabitants, 18 schools • History of engagement in school health promotion • Asked Karolinska Institutet for collaboration and assistance in 2008 • Funding: Stockholm county council http://www.bmkoch.se/ 10/07/2010 Anna-Karin Jälminger Anna-Karin JälmingerNamn Efternamn

  4. Aim To improve dietary habits, physical activity and self-esteem in school children 6-16 years of age in order to promote a normal weight development …by building school capacity on the issues • Capacity • “the necessary motivation and ability to identify, select, plan, implement, evaluate and sustain effective interventions” • Durlak and DuPre (2008) Implementation matters: A review of research on the influence of Implementation on program outcomes and the factors affecting implementation, Am J Community Psychol 41:327-350 (p.335) 10/07/2010 Anna-Karin Jälminger Anna-Karin JälmingerNamn Efternamn

  5. Physical and social environment Health education Health Policies Health Organisation on each school Collaboration Media response Objectives (areas with expected short term effects) Anna-Karin JälmingerNamn Efternamn

  6. Formation of multi-professional health teams by each school Repeated self-assessments of school health practices Action plan on health developed by each school Tool box with educational materials and methods Workshops for health teams Seminars on health to school staff Lectures and materials on child health and lifestyle to parents Intervention components Anna-Karin JälmingerNamn Efternamn

  7. Feedback on school health practices and student health data to health teams On-site visits and observations Coaching and support Regular news letters to the schools Meetings with community officials and local politicians Implementation components Anna-Karin JälmingerNamn Efternamn

  8. Expected outcomes School level • Health action plans are integrated in schools regular operational plans • Local systems for long term follow up and dissemination Student level • Improved dietary habits • More physically active students • More students with high self esteem • More students who are satisfied with own body weight • More students with normal weight development Anna-Karin JälmingerNamn Efternamn

  9. Half-time!Some lessons learned and reflections • The participatory approach may lead to sustained local engagement • Self-Assessment gives new insights and increased collaboration • Action plans are not only based on weaknesses! • Schools need support to implement their action plans • Local systems for evaluation can support long term follow up and continuous development • Schools have problem prioritizing health and collaborate between staff despite interest • Each school develop own methods… 10/07/2010 Anna-Karin Jälminger Anna-Karin JälmingerNamn Efternamn

  10. Some thoughts for discussion • Is a “universal program” feasible or realistic? Stakeholder involvement and contextual factors needs to be emphasized. • How can school health promotion include all school staff and not only school health services? 10/07/2010 Anna-Karin Jälminger Anna-Karin JälmingerNamn Efternamn

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