Diffusion of an integrated health education program in an urban school system: planet health.

OBJECTIVE Assessed the feasibility, acceptability, and sustainability of Planet Health, an interdisciplinary, integrated health education curriculum implemented in six public middle schools. METHODS Workshops on Planet Health implementation were attended by 129 teachers (language arts, math, science, and social studies) over three school years (1999-2000, 2000-2001, and 2001-2002). Questionnaires were administered post-implementation and in the fall and spring of each year. Outcomes were dose, acceptability, feasibility, and intent to continue use. RESULTS The average number of lessons taught per teacher per year was 1.7 to 3.1, compared to a goal of 2 to 3. Each year, teachers reported high acceptability and perceived feasibility of the intervention, and the majority indicated they intended to continue using the curriculum. CONCLUSIONS Planet Health was feasible and acceptable in a participatory research model involving a public school-university partnership, and it was also sustainable independent of the research effort.

[1]  S. Gortmaker,et al.  Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. , 1999, Archives of pediatrics & adolescent medicine.

[2]  E. Rogers.  Diffusion of preventive innovations. , 2002, Addictive behaviors.

[3]  C. Perry,et al.  The Child and Adolescent Trial for Cardiovascular Health (CATCH): Intervention, Implementation, and Feasibility for Elementary Schools in the United States , 1997, Health education & behavior : the official publication of the Society for Public Health Education.

[4]  M. Chesney,et al.  Creating social and public health environments to sustain behavior change: Lessons from obesity research. , 2001 .

[5]  D. Berwick.  Disseminating innovations in health care. , 2003, JAMA.

[6]  Laura Kann,et al.  Youth Risk Behavior Surveillance--United States, 1993. CDC Surveillance Summaries. , 1995 .

[7]  E. Rogers,et al.  Diffusion of innovations , 1964, Encyclopedia of Sport Management.

[8]  S. Kelder,et al.  Dissemination and adoption of the Child and Adolescent Trial for Cardiovascular Health (CATCH): a case study in Texas. , 2001, Journal of public health management and practice : JPHMP.

[9]  N. Schneiderman.  Integrating behavioral and social sciences with public health , 2001 .

[10]  A. Manley.  Physical Activity And Health: A Report Of The Surgeon General , 2004 .

[11]  C. Perry,et al.  School-based cardiovascular health promotion: the child and adolescent trial for cardiovascular health (CATCH). , 1990, The Journal of school health.

[12]  R. A. Detert,et al.  The Wisconsin Elementary Health Education Pilot Project: Years One and Two Diffusion Activities , 1996 .

[13]  Louise A. Rohrbach,et al.  Diffusion of School-Based Substance Abuse Prevention Programs , 1996 .

[14]  Jill Carter,et al.  Planet Health : An Interdisciplinary Curriculum for Teaching Middle School Nutrition and Physical Activity , 2001 .

[15]  Katherine M Flegal,et al.  Prevalence and trends in overweight among US children and adolescents, 1999-2000. , 2002, JAMA.

[16]  L. Novick,et al.  Partnerships and Coalitions for Community-Based Research , 2001, Public health reports.

[17]  Troiano Rp,et al.  Overweight prevalence and trends for children and adolescents , 1996 .

[18]  K. Glanz,et al.  Health Behavior and Health Education , 1990 .

[19]  A. Bandura.  Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychology Review.

[20]  T N Robinson,et al.  Reducing children's television viewing to prevent obesity: a randomized controlled trial. , 1999, JAMA.

[21]  R. Glasgow,et al.  Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. , 2003, American journal of public health.

[22]  B. Israel,et al.  Review of community-based research: assessing partnership approaches to improve public health. , 1998, Annual review of public health.

[23]  S. Kelder,et al.  Outcomes of a field trial to improve children's dietary patterns and physical activity. The Child and Adolescent Trial for Cardiovascular Health. CATCH collaborative group. , 1996, JAMA.

[24]  Outcomes of a field trial to improve children's dietary patterns and physical activity. The Child and Adolescent Trial for Cardiovascular Health. CATCH collaborative group. , 1996, JAMA.

[25]  L. Epstein,et al.  DataBase: Research and Evaluation Results , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[26]  D Johnston,et al.  Implications of the results of community intervention trials. , 1998, Annual Review of Public Health.

[27]  E. Rogers.  Diffusion of Innovations , 1962 .

[28]  S. Kelder,et al.  Communitywide smoking prevention: long-term outcomes of the Minnesota Heart Health Program and the Class of 1989 Study. , 1992, American journal of public health.

[29]  A. Steckler,et al.  Teachers' use of health curricula: implementation of growing healthy, project SMART, and the teenage health teaching modules. , 1993, The Journal of school health.

[30]  K. Flegal,et al.  Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963 to 1991. , 1995, Archives of pediatrics & adolescent medicine.

[31]  L. Wang,et al.  Economic analysis of a school-based obesity prevention program. , 2003, Obesity research.

[32]  Hermann Bondi,et al.  The good, the bad and the ugly , 1988, Nature.

[33]  D. Hallfors,et al.  Will the 'principles of effectiveness' improve prevention practice? Early findings from a diffusion study. , 2002, Health education research.

[34]  A. Bandura.  Social Foundations of Thought and Action , 1986 .