Department of Applied Health Science, Indiana University, Bloomington, USA.
J Sch Health. 2011 Dec;81(12):727-32. doi: 10.1111/j.1746-1561.2011.00651.x.
The purpose of this study was to detect and document common themes among success stories, along with challenges, as related by participants in the Michiana Coordinated School Health Leadership Institute. Four-member teams from 18 Michigan and Indiana school districts participated in semiannual Institute workshops over a 3-year period and were tasked with implementing Coordinated School Health Programs (CSHPs).
Qualitative methods were used to generate themes from interviews. Data were gathered through a combined survey/interview process related to programmatic successes, evidence of success, and implementation challenges. One participant from 11 of 18 participating school districts completed the survey/interview.
Each participant reported at least 1 success that had a positive effect on students and/or staff, many of which were related to the federally mandated wellness policy. With some notable exceptions, success was based on subjective judgments rather than systematically collected data. Unanimous expression of time constraints and being overworked in their current positions constituted major challenges.
Although the Institute required only process evaluation, some participants collected outcome data, a task that is important in validating the benefits of CSHPs. Most districts were not able to hire the recommended coordinator to ensure implementation of health program planning initially developed during the institute. Encouragingly, at the time of data collection many teams were still acting to ensure health programming remained a priority. Nevertheless, without the network of social support provided by the Institute, some respondents struggled to maintain momentum.
本研究旨在通过密歇根州和印第安纳州 18 个学区的 4 人团队参与半年度的领导力学院研讨会，来发现和记录密歇根州协调学校健康领导力学院参与者的成功故事以及挑战，并将其记录下来。这些团队在三年期间参与了该研讨会，其任务是实施协调学校健康计划（CSHP）。
采用定性方法从访谈中生成主题。通过与计划成功、成功证据和实施挑战相关的综合调查/访谈过程收集数据。18 个参与学区中的 11 个学区的 1 名参与者完成了调查/访谈。
每位参与者报告了至少 1 项对学生和/或员工产生积极影响的成功，其中许多与联邦授权的健康政策有关。除了一些值得注意的例外情况外，成功是基于主观判断而不是系统收集的数据。普遍表达的时间限制和在当前职位上过度劳累是主要挑战。
尽管该学院只需要进行过程评估，但一些参与者收集了结果数据，这是验证 CSHP 益处的重要任务。大多数学区无法聘请建议的协调员，以确保在学院期间最初制定的健康计划的实施。令人鼓舞的是，在收集数据时，许多团队仍在努力确保健康计划仍然是重中之重。然而，如果没有学院提供的社交支持网络，一些受访者在维持动力方面会遇到困难。
