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Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
School factors as barriers to and facilitators of a preventive intervention for pediatric type 2 diabetes
Translational behavioral medicine, v 4(2), pp 131-140
01 Jun 2014
PMID: 24904696
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
School-based interventions are essential to prevent pediatric obesity and type 2 diabetes. School environmental factors influence implementation of these interventions. This article examines how school factors acted as barriers to and facilitators of the HEALTHY intervention. The HEALTHY study was a cluster-randomized trial of a multicomponent intervention implemented in 21 schools. Interview data were analyzed to identify barriers and facilitators. Barriers included teacher frustration that intervention activities detracted from tested subjects, student resistance and misbehavior, classroom management problems, communication equipment problems, lack of teacher/staff engagement, high cost and limited availability of nutritious products, inadequate facility space, and large class sizes. Facilitators included teacher/staff engagement, effective classroom management, student engagement, schools with direct control over food service, support from school leaders, and adequate facilities and equipment. Contextual barriers and facilitators must be taken into account in the design and implementation of school-based health interventions.
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Details
- Title
- School factors as barriers to and facilitators of a preventive intervention for pediatric type 2 diabetes
- Creators
- William J. Hall - University of North Carolina at Chapel HillMargaret Schneider - University of California, IrvineDeborah Thompson - Baylor Coll Med, USDA, ARS, Childrens Nutr Res Ctr, Houston, TX 77030 USAStella L. Volpe - Drexel UniversityAllan Steckler - University of North Carolina at Chapel HillJohn M. Hall - University of North Carolina at Chapel HillM. Randall Fisher - University of North Carolina at Chapel HillHLTH Study Grp
- Publication Details
- Translational behavioral medicine, v 4(2), pp 131-140
- Publisher
- Oxford Univ Press
- Number of pages
- 10
- Grant note
- U01-DK61230; U01-DK61249; U01-DK61231; U01-DK61223 / National Institute of Diabetes, Digestive, and Kidney Diseases of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) American Diabetes Association U01DK061249 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Nutrition Sciences
- Web of Science ID
- WOS:000356786400003
- Scopus ID
- 2-s2.0-84926307146
- Other Identifier
- 991019167642504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health