The School Health Index as an Impetus for Change

Background The increase in childhood obesity and prevalence of chronic disease risk factors demonstrate the importance of creating healthy school environments. As part of the Border Health Strategic Initiative, the School Health Index was implemented in public schools in two counties along the Ariz...

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Main Authors: Lisa K. Staten, PhD, Nicolette I. Teufel-Shone, PhD, Victoria E. Steinfelt, MS, Nohemi Ortega, Karen Halverson, Carmen Flores, Michael D. Lebowitz, PhD
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2005-01-01
Series:Preventing Chronic Disease
Subjects:
Online Access:http://www.cdc.gov/pcd/issues/2005/jan/04_0076.htm
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author Lisa K. Staten, PhD
Nicolette I. Teufel-Shone, PhD
Victoria E. Steinfelt, MS
Nohemi Ortega
Karen Halverson
Carmen Flores
Michael D. Lebowitz, PhD
author_facet Lisa K. Staten, PhD
Nicolette I. Teufel-Shone, PhD
Victoria E. Steinfelt, MS
Nohemi Ortega
Karen Halverson
Carmen Flores
Michael D. Lebowitz, PhD
author_sort Lisa K. Staten, PhD
collection DOAJ
description Background The increase in childhood obesity and prevalence of chronic disease risk factors demonstrate the importance of creating healthy school environments. As part of the Border Health Strategic Initiative, the School Health Index was implemented in public schools in two counties along the Arizona, United States-Sonora, Mexico border. Developed in 2000 by the Centers for Disease Control and Prevention, the School Health Index offers a guide to assist schools in evaluating and improving opportunities for physical activity and good nutrition for their students. Context Between 2000 and 2003, a total of 13 schools from five school districts in two counties participated in the School Health Index project despite academic pressures and limited resources. Methods The Border Health Strategic Initiative supported the hiring and training of an external coordinator in each county who was not part of the school system but who was an employee in an established community-based organization. The coordinators worked with the schools to implement the School Health Index, to develop action plans, and to monitor progress toward these goals. Consequences The School Health Index process and school team participation varied from school to school. Individual plans were different but all focused on reducing in-school access to unhealthy foods, identified as high-fat and/or of low nutritional value. Ideas for acting on this focus ranged from changing the content of school lunches to discontinuing the use of nonnutritious foods as classroom rewards. All plans included recommendations that could be implemented immediately as well as those that would require planning and perhaps the formation and assistance of a subcommittee (e.g., for developing or adopting a district-wide health curriculum). Interpretation After working with the School Health Index, most schools made at least one immediate change in their school environments. The external coordinator was essential to keeping the School Health Index results and action plans on the agendas of school administrators, especially during periods of staff turnover. Staff turnover, lack of time, and limited resources resulted in few schools achieving longer-term policy changes.
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spelling doaj.art-a9f4a066fc8d4b52a1f8f389956981e02023-12-02T13:11:33ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11512005-01-0121The School Health Index as an Impetus for ChangeLisa K. Staten, PhDNicolette I. Teufel-Shone, PhDVictoria E. Steinfelt, MSNohemi OrtegaKaren HalversonCarmen FloresMichael D. Lebowitz, PhDBackground The increase in childhood obesity and prevalence of chronic disease risk factors demonstrate the importance of creating healthy school environments. As part of the Border Health Strategic Initiative, the School Health Index was implemented in public schools in two counties along the Arizona, United States-Sonora, Mexico border. Developed in 2000 by the Centers for Disease Control and Prevention, the School Health Index offers a guide to assist schools in evaluating and improving opportunities for physical activity and good nutrition for their students. Context Between 2000 and 2003, a total of 13 schools from five school districts in two counties participated in the School Health Index project despite academic pressures and limited resources. Methods The Border Health Strategic Initiative supported the hiring and training of an external coordinator in each county who was not part of the school system but who was an employee in an established community-based organization. The coordinators worked with the schools to implement the School Health Index, to develop action plans, and to monitor progress toward these goals. Consequences The School Health Index process and school team participation varied from school to school. Individual plans were different but all focused on reducing in-school access to unhealthy foods, identified as high-fat and/or of low nutritional value. Ideas for acting on this focus ranged from changing the content of school lunches to discontinuing the use of nonnutritious foods as classroom rewards. All plans included recommendations that could be implemented immediately as well as those that would require planning and perhaps the formation and assistance of a subcommittee (e.g., for developing or adopting a district-wide health curriculum). Interpretation After working with the School Health Index, most schools made at least one immediate change in their school environments. The external coordinator was essential to keeping the School Health Index results and action plans on the agendas of school administrators, especially during periods of staff turnover. Staff turnover, lack of time, and limited resources resulted in few schools achieving longer-term policy changes.http://www.cdc.gov/pcd/issues/2005/jan/04_0076.htmchronic diseasepreventionpublic healthSchool Health Index
spellingShingle Lisa K. Staten, PhD
Nicolette I. Teufel-Shone, PhD
Victoria E. Steinfelt, MS
Nohemi Ortega
Karen Halverson
Carmen Flores
Michael D. Lebowitz, PhD
The School Health Index as an Impetus for Change
Preventing Chronic Disease
chronic disease
prevention
public health
School Health Index
title The School Health Index as an Impetus for Change
title_full The School Health Index as an Impetus for Change
title_fullStr The School Health Index as an Impetus for Change
title_full_unstemmed The School Health Index as an Impetus for Change
title_short The School Health Index as an Impetus for Change
title_sort school health index as an impetus for change
topic chronic disease
prevention
public health
School Health Index
url http://www.cdc.gov/pcd/issues/2005/jan/04_0076.htm
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