The Short-Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment Analysis
Background: This study examines the social return on investment (SROI) of the “Healthy Primary School of the Future” initiative after 2 years.Methods: Healthy Primary Schools of the Future (HPSF) provide a healthy lunch and daily structured physical activity sessions, whereas Physical Activity Schoo...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2020-08-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpubh.2020.00401/full |
| _version_ | 1828786224875175936 |
|---|---|
| author | Marije Oosterhoff Onno C. P. van Schayck Nina H. M. Bartelink Hans Bosma Maartje Willeboordse Bjorn Winkens Manuela A. Joore |
| author_facet | Marije Oosterhoff Onno C. P. van Schayck Nina H. M. Bartelink Hans Bosma Maartje Willeboordse Bjorn Winkens Manuela A. Joore |
| author_sort | Marije Oosterhoff |
| collection | DOAJ |
| description | Background: This study examines the social return on investment (SROI) of the “Healthy Primary School of the Future” initiative after 2 years.Methods: Healthy Primary Schools of the Future (HPSF) provide a healthy lunch and daily structured physical activity sessions, whereas Physical Activity Schools (PAS) focus on physical activity only. We evaluated the 2-years investments and effects (N = 1,676 children) of both school environments (four schools) compared to control schools (four schools). Investments and outcomes were grouped within the healthcare, education, household & leisure, and labor & social security sector. Outcomes that could be expressed in monetary terms were used for the calculation of social return on investment.Results: HPSF and PAS created outcomes for the healthcare sector by favorable changes in health behaviors, body mass index [both significant], and medical resource use [not significant]. Outcomes for the education sector included a favorable impact on perceived social behaviors and school satisfaction, and absenteeism from school [latter not significant], and more engagement with the community was experienced. The per child investments, €859 (HPSF) and €1017 (PAS), generated a benefit of €8 (HPSF) and €49 (PAS) due to reduced school absenteeism and medical resource use.Conclusions: Within 2 years of intervention implementation, the HPSF initiative created outcomes in several sectors, but the benefits did not outweigh the investments. Follow-up assessments as well as modeling long-term outcomes are needed to assess the total value of the interventions. Until then, the SROI framework can inform strategies for obtaining stakeholder support and intervention implementation.Trial registration: The study was registered in the ClinicalTrials.gov database on 14 June 2016 (NCT02800616). |
| first_indexed | 2024-12-12T00:07:33Z |
| format | Article |
| id | doaj.art-d42f8b96470a4c38be37f182b1bd8b3a |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-12T00:07:33Z |
| publishDate | 2020-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-d42f8b96470a4c38be37f182b1bd8b3a2022-12-22T00:45:04ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-08-01810.3389/fpubh.2020.00401524933The Short-Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment AnalysisMarije Oosterhoff0Onno C. P. van Schayck1Nina H. M. Bartelink2Hans Bosma3Maartje Willeboordse4Bjorn Winkens5Manuela A. Joore6Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, Care and Public Health Research Institute, Maastricht University, Maastricht, NetherlandsDepartment of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, NetherlandsDepartment of Health Promotion, Care and Public Health Research Institute, Maastricht University, Maastricht, NetherlandsDepartment of Social Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, NetherlandsDepartment of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, NetherlandsDepartment of Methodology and Statistics, Care and Public Health Research Institute, Maastricht University, Maastricht, NetherlandsDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, Care and Public Health Research Institute, Maastricht University, Maastricht, NetherlandsBackground: This study examines the social return on investment (SROI) of the “Healthy Primary School of the Future” initiative after 2 years.Methods: Healthy Primary Schools of the Future (HPSF) provide a healthy lunch and daily structured physical activity sessions, whereas Physical Activity Schools (PAS) focus on physical activity only. We evaluated the 2-years investments and effects (N = 1,676 children) of both school environments (four schools) compared to control schools (four schools). Investments and outcomes were grouped within the healthcare, education, household & leisure, and labor & social security sector. Outcomes that could be expressed in monetary terms were used for the calculation of social return on investment.Results: HPSF and PAS created outcomes for the healthcare sector by favorable changes in health behaviors, body mass index [both significant], and medical resource use [not significant]. Outcomes for the education sector included a favorable impact on perceived social behaviors and school satisfaction, and absenteeism from school [latter not significant], and more engagement with the community was experienced. The per child investments, €859 (HPSF) and €1017 (PAS), generated a benefit of €8 (HPSF) and €49 (PAS) due to reduced school absenteeism and medical resource use.Conclusions: Within 2 years of intervention implementation, the HPSF initiative created outcomes in several sectors, but the benefits did not outweigh the investments. Follow-up assessments as well as modeling long-term outcomes are needed to assess the total value of the interventions. Until then, the SROI framework can inform strategies for obtaining stakeholder support and intervention implementation.Trial registration: The study was registered in the ClinicalTrials.gov database on 14 June 2016 (NCT02800616).https://www.frontiersin.org/article/10.3389/fpubh.2020.00401/fullsocial return on investmenthealth promotion/economicschildhealth promoting schoolseconomic evaluation |
| spellingShingle | Marije Oosterhoff Onno C. P. van Schayck Nina H. M. Bartelink Hans Bosma Maartje Willeboordse Bjorn Winkens Manuela A. Joore The Short-Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment Analysis Frontiers in Public Health social return on investment health promotion/economics child health promoting schools economic evaluation |
| title | The Short-Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment Analysis |
| title_full | The Short-Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment Analysis |
| title_fullStr | The Short-Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment Analysis |
| title_full_unstemmed | The Short-Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment Analysis |
| title_short | The Short-Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment Analysis |
| title_sort | short term value of the healthy primary school of the future initiative a social return on investment analysis |
| topic | social return on investment health promotion/economics child health promoting schools economic evaluation |
| url | https://www.frontiersin.org/article/10.3389/fpubh.2020.00401/full |
| work_keys_str_mv | AT marijeoosterhoff theshorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT onnocpvanschayck theshorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT ninahmbartelink theshorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT hansbosma theshorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT maartjewilleboordse theshorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT bjornwinkens theshorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT manuelaajoore theshorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT marijeoosterhoff shorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT onnocpvanschayck shorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT ninahmbartelink shorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT hansbosma shorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT maartjewilleboordse shorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT bjornwinkens shorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis AT manuelaajoore shorttermvalueofthehealthyprimaryschoolofthefutureinitiativeasocialreturnoninvestmentanalysis |