Ingman Benjamin C, Loecke Carla, Belansky Elaine S
Center for Rural School Health and Education, Morgridge College of Education, University of Denver, Denver, CO, United States.
Front Health Serv. 2022 Jul 12;2:816536. doi: 10.3389/frhs.2022.816536. eCollection 2022.
One pathway to addressing childhood obesity is through implementing evidence-based practices (EBPs) shown to promote nutrition and physical activity in K-12 school settings. Assess, Identify, Make it happen (AIM) is a strategic planning process to engage stakeholders in implementing EBPs in their K-12 schools. Local Public Health Agencies (LPHAs) are a potential partner to facilitate this process to a broader audience of rural school communities.
A process and outcome evaluation design was applied in this study to examine the extent to which LPHAs effectively implemented AIM with rural/frontier schools in comparison to university staff. Data collection included post-meeting surveys completed by facilitators, a post-intervention interview with facilitators, a survey of school task force members at the end of the AIM process, and systematic documentation of the intervention.
-Among the 26 eligible elementary schools, 18 (69%) agreed to participate. -In total, schools facilitated by LPHAs fully implemented an average of 4.0 changes per school, while schools facilitated by the university staff fully implemented an average of 3.7 changes. -Among the five LPHAs in the target region, all five agreed to partner on the initiative, but some agencies were unable to identify sufficient personnel to facilitate all schools in their catchment area. -(1) In total, 89 of 94 (95%) meetings scheduled by LPHA facilitators occurred. 47 of 48 (98%) meetings scheduled by the university staff occurred. (2) The university staff self-reported 93% of agenda items in the AIM process as "completely" followed while LPHA facilitators reported 41% of agenda items as "completely" followed. (3) Task force satisfaction with the AIM process and facilitator showed limited variance across LPHAs and university-facilitated schools. -Of the 16 school districts that agreed to participate in the school-based version of AIM, 9 (56%) also participated in a district-wide version of AIM 2 years later.
AIM is an effective process for implementing EBPs in elementary schools when facilitated by LPHAs. Effective partnerships, a nuanced approach to fidelity, scalability considerations, and the role of technical assistance and training all contributed to the successful implementation of this LPHA-Elementary school partnership.
解决儿童肥胖问题的一条途径是实施循证实践（EBPs），这些实践已被证明能在K-12学校环境中促进营养和体育活动。评估、识别、实现（AIM）是一个战略规划过程，旨在让利益相关者在其K-12学校中实施循证实践。地方公共卫生机构（LPHAs）是一个潜在的合作伙伴，可促进这一过程惠及更广泛的农村学校社区受众。
本研究采用了过程和结果评估设计，以检验与大学工作人员相比，地方公共卫生机构在农村/偏远地区学校有效实施AIM的程度。数据收集包括主持人完成的会后调查、对主持人的干预后访谈、AIM过程结束时对学校特别工作组成员的调查以及干预的系统记录。
当由地方公共卫生机构推动时，AIM是在小学实施循证实践的有效过程。有效的伙伴关系、对保真度的细致入微的方法、可扩展性考虑以及技术援助和培训的作用都有助于地方公共卫生机构与小学伙伴关系的成功实施。
