Implementing and Evaluating Environmental and Policy Interventions for Promoting Physical Activity in Rural Schools

Implementing and Evaluating Environmental and Policy Interventions for Promoting Physical Activity in Rural Schools
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DOI:
10.1111/josh.12522
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发表时间:
2017-07-01
影响因子:
2.2
通讯作者:
Hashimoto, Derek
Hashimoto, Derek
中科院分区:
医学4区
文献类型:
--
作者:
Baker, Elizabeth A.;Elliott, Michael;Hashimoto, Derek

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BACKGROUNDSchools are an important setting for improving behaviors associated with obesity, including physical activity. However, within schools there is often a tension between spending time on activities promoting academic achievement and those promoting physical activity.METHODSA community-based intervention provided administrators and teachers with a training on evidence-based public health and then collaborated with them to identify and implement environmental (walking track) and local school policy interventions (brain breaks). The evaluation included conducting in-depth interviews and SOPLAY observations to assess the facilitators and barriers and impact of the dissemination of environmental and policy changes.RESULTSIndividual, organizational, intervention, and contextual factors influenced dissemination. Teachers reported that brain breaks increased student focus and engagement with classroom material and decreased student behavioral problems. Students decreased sedentary behavior and increased vigorous behavior. Of the 4 schools, 2 increased walking.CONCLUSIONSActive dissemination of environmental and policy interventions by engaging school administrators and teachers in planning and implementation shows potential for increasing physical activity in rural school settings.