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Implementing a multicomponent school-based obesity prevention intervention: a qualitative study.

Abstract：

OBJECTIVE:To explore barriers and facilitators to implementing and sustaining Healthy Choices, a 3-year multicomponent obesity prevention intervention implemented in middle schools in Massachusetts. METHODS:Using purposive sampling, 56 in-depth interviews were conducted with middle school employees representing different positions (administrators, teachers, food service personnel, and employees serving as intervention coordinators). Interviews were recorded and transcribed. Emergent themes were identified using thematic analyses. RESULTS:State-mandated testing, budget limitations, and time constraints were viewed as implementation barriers, whereas staff buy-in, external support, and technical assistance were seen as facilitating implementation. Respondents thought that intervention sustainability depended on external funding and expert assistance. CONCLUSIONS AND IMPLICATIONS:Results confirm the importance of gaining faculty and staff support. Schools implementing large-scale interventions should consider developing sustainable partnerships with organizations that can provide resources and ongoing training. Sustainability of complex interventions may depend on state-level strategies that provide resources for implementation and technical assistance.

journal_name

J Nutr Educ Behav

journal_title

Journal of nutrition education and behavior

authors

Greaney ML,Hardwick CK,Spadano-Gasbarro JL,Mezgebu S,Horan CM,Schlotterbeck S,Austin SB,Peterson KE

doi

10.1016/j.jneb.2014.04.293

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

576-82

issue

6

eissn

1499-4046

issn

1878-2620

pii

S1499-4046(14)00471-0

journal_volume

46

pub_type

杂志文章,多中心研究

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