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Implementing Health-Promoting Activities in Diverse Primary School Contexts in the Netherlands: Practical Lessons Learnt

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Title: Implementing Health-Promoting Activities in Diverse Primary School Contexts in the Netherlands: Practical Lessons Learnt
Language: English
Authors: Hahnraths, Marla T. H. (ORCID 0000-0002-8049-448X), Willeboordse, Maartje, van Schayck, Onno C. P.
Source: Health Education. 2023 123(2):55-72.
Availability: Emerald Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emerald.com/insight
Peer Reviewed: Y
Page Count: 18
Publication Date: 2023
Document Type: Journal Articles
Reports - Research
Education Level: Elementary Education
Descriptors: Foreign Countries, Health Promotion, Elementary Schools, Intervention, Health Activities, Barriers, Program Implementation, Physical Activity Level, Eating Habits, Administrator Attitudes, Teacher Attitudes, Educational Environment
Geographic Terms: Netherlands
DOI: 10.1108/HE-10-2022-0080
ISSN: 0965-4283
1758-714X
Abstract: Purpose: To gain insight into factors enhancing or obstructing implementation in various school-settings, which is vital for widespread dissemination and sustainable integration of school-based health-promoting interventions. Design/methodology/approach: A mixed methods multisite comparative case study to investigate (factors influencing) the implementation of health-promoting activities in twelve Dutch primary schools. Data were collected during three school years (2019--2022) through observations, questionnaires and interviews. Findings: The project resulted in the implementation of small, incidental activities. Important reasons for the limited implementation were lack of commitment and bottom-up involvement. School directors and teachers were not involved early on in the project, which limited project support and commitment. On school level, directors largely carried project responsibility themselves, hindering project sustainability and integration. Coronavirus disease 2019 (COVID-19) made that schools had difficulties forming long-term visions and plans. Other observed barriers included limited perceived necessity to change, high workload and high staff turnover. Important facilitators were the presence of a process coordinator and sharing experiences from other schools. Originality/value: This research provided valuable insights into (factors influencing) the implementation of health-promoting initiatives in diverse, real-world school contexts. More extensive support is needed to create commitment, bottom-up involvement and a project vision. Furthermore, empowering in-school champions and/or school-wide project groups is desirable to decrease schools' dependence on long-term external support. The findings can be used by various stakeholders throughout development, adoption and implementation and can facilitate widespread dissemination and sustainable integration of school-based health-promoting interventions.
Abstractor: As Provided
Entry Date: 2023
Accession Number: EJ1388276
Database: ERIC
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  Data: Implementing Health-Promoting Activities in Diverse Primary School Contexts in the Netherlands: Practical Lessons Learnt
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Hahnraths%2C+Marla+T%2E+H%2E%22">Hahnraths, Marla T. H.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-8049-448X">0000-0002-8049-448X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Willeboordse%2C+Maartje%22">Willeboordse, Maartje</searchLink><br /><searchLink fieldCode="AR" term="%22van+Schayck%2C+Onno+C%2E+P%2E%22">van Schayck, Onno C. P.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education%22"><i>Health Education</i></searchLink>. 2023 123(2):55-72.
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  Data: Emerald Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emerald.com/insight
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  Data: Y
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  Data: 18
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="EL" term="%22Elementary+Education%22">Elementary Education</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Promotion%22">Health Promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Elementary+Schools%22">Elementary Schools</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Activities%22">Health Activities</searchLink><br /><searchLink fieldCode="DE" term="%22Barriers%22">Barriers</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Implementation%22">Program Implementation</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+Activity+Level%22">Physical Activity Level</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+Habits%22">Eating Habits</searchLink><br /><searchLink fieldCode="DE" term="%22Administrator+Attitudes%22">Administrator Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Teacher+Attitudes%22">Teacher Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Environment%22">Educational Environment</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Netherlands%22">Netherlands</searchLink>
– Name: DOI
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  Data: 10.1108/HE-10-2022-0080
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  Label: ISSN
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  Data: 0965-4283<br />1758-714X
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: To gain insight into factors enhancing or obstructing implementation in various school-settings, which is vital for widespread dissemination and sustainable integration of school-based health-promoting interventions. Design/methodology/approach: A mixed methods multisite comparative case study to investigate (factors influencing) the implementation of health-promoting activities in twelve Dutch primary schools. Data were collected during three school years (2019--2022) through observations, questionnaires and interviews. Findings: The project resulted in the implementation of small, incidental activities. Important reasons for the limited implementation were lack of commitment and bottom-up involvement. School directors and teachers were not involved early on in the project, which limited project support and commitment. On school level, directors largely carried project responsibility themselves, hindering project sustainability and integration. Coronavirus disease 2019 (COVID-19) made that schools had difficulties forming long-term visions and plans. Other observed barriers included limited perceived necessity to change, high workload and high staff turnover. Important facilitators were the presence of a process coordinator and sharing experiences from other schools. Originality/value: This research provided valuable insights into (factors influencing) the implementation of health-promoting initiatives in diverse, real-world school contexts. More extensive support is needed to create commitment, bottom-up involvement and a project vision. Furthermore, empowering in-school champions and/or school-wide project groups is desirable to decrease schools' dependence on long-term external support. The findings can be used by various stakeholders throughout development, adoption and implementation and can facilitate widespread dissemination and sustainable integration of school-based health-promoting interventions.
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  Data: 2023
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  Data: EJ1388276
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        Value: 10.1108/HE-10-2022-0080
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      – Text: English
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      – SubjectFull: Foreign Countries
        Type: general
      – SubjectFull: Health Promotion
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      – SubjectFull: Elementary Schools
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      – SubjectFull: Health Activities
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      – SubjectFull: Barriers
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      – SubjectFull: Physical Activity Level
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      – SubjectFull: Eating Habits
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      – SubjectFull: Administrator Attitudes
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      – SubjectFull: Educational Environment
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      – SubjectFull: Netherlands
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      – TitleFull: Implementing Health-Promoting Activities in Diverse Primary School Contexts in the Netherlands: Practical Lessons Learnt
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