Skip to main content
Top

Open Access 01-06-2020 | Obesity | Original Paper

Managing Implementation of a Parental Support Programme for Obesity Prevention in the School Context: The Importance of Creating Commitment in an Overburdened Work Situation, a Qualitative Study

Authors: Helena Bergström, Elinor Sundblom, Liselotte Schäfer Elinder, Åsa Norman, Gisela Nyberg

Published in: Journal of Prevention | Issue 3/2020

Login to get access

Abstract

Health-related behaviours in children can be influenced by parental support programmes. The aim of this study was to explore barriers to and facilitators for the implementation of a parental support programme to promote physical activity and healthy dietary habits in a school context. We explored the views and experiences of 17 coordinating school nurses, non-coordinating school nurses, and school principals. We based the interview guide on the Consolidated Framework for Implementation Research. We held four focus group discussions with coordinating and non-coordinating school nurses, and conducted three individual interviews with school principals. We analysed data inductively using qualitative content analysis. We identified “Creating commitment in an overburdened work situation” as an overarching theme, emphasising the high workload in schools and the importance of creating commitment, by giving support to and including staff in the implementation process. We also identified barriers to and facilitators of implementation within four categories: (1) community and organisational factors, (2) a matter of priority, (3) implementation support, and (4) implementation process. When implementing a parental support programme to promote physical activity and healthy dietary habits for 5- to 7-year-old children in the school context, it is important to create commitment among school staff and school nurses. The implementation can be facilitated by political support and additional funding, external guidance, use of pre-existing resources, integration of the programme into school routines, a clearly structured manual, and appointment of a multidisciplinary team. The results of this study should provide useful guidance for the implementation of similar health promotion interventions in the school context.
Literature
go back to reference Cooper, A. R., Goodman, A., Page, A. S., Sherar, L. B., Esliger, D. W., van Sluijs, E. M., et al. (2015). Objectively measured physical activity and sedentary time in youth: The International children’s accelerometry database (ICAD). International Journal of Behavioral Nutrition and Physical Activity,17(12), 113.CrossRef Cooper, A. R., Goodman, A., Page, A. S., Sherar, L. B., Esliger, D. W., van Sluijs, E. M., et al. (2015). Objectively measured physical activity and sedentary time in youth: The International children’s accelerometry database (ICAD). International Journal of Behavioral Nutrition and Physical Activity,17(12), 113.CrossRef
go back to reference Hardcastle, S. J., Taylor, A. H., Bailey, M. P., Harley, R. A., & Hagger, M. S. (2013). Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: A randomised controlled trial with a 12-month post-intervention follow-up. The International Journal of Behavioral Nutrition and Physical Activity,10, 40. https://doi.org/10.1186/1479-5868-10-40.CrossRefPubMedPubMedCentral Hardcastle, S. J., Taylor, A. H., Bailey, M. P., Harley, R. A., & Hagger, M. S. (2013). Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: A randomised controlled trial with a 12-month post-intervention follow-up. The International Journal of Behavioral Nutrition and Physical Activity,10, 40. https://​doi.​org/​10.​1186/​1479-5868-10-40.CrossRefPubMedPubMedCentral
go back to reference Kirk, M. A., Kelley, C., Yankey, N., Birken, S. A., Abadie, B., & Damschroder, L. (2016). A systematic review of the use of the consolidated framework for implementation research. Implementation Science,11, 17. Kirk, M. A., Kelley, C., Yankey, N., Birken, S. A., Abadie, B., & Damschroder, L. (2016). A systematic review of the use of the consolidated framework for implementation research. Implementation Science,11, 17.
go back to reference Krueger, R. A., & Casey, M. A. (2014). Focus groups, a practical guide for applied research (5th ed.). Thousand Oaks, CA: Sage Publications. Krueger, R. A., & Casey, M. A. (2014). Focus groups, a practical guide for applied research (5th ed.). Thousand Oaks, CA: Sage Publications.
go back to reference Landsverk, J., Hendricks Brown, C., Chamberlain, P., Palinkas, L., Ogihara, M., & Czaja, S. (2012). Design and analysis in dessimination and implementation research. In R. Brownson, G. Colditz, & E. Proctor (Eds.), Dissemination and implementation research in health—Translating science into practice. New York: Oxford University Press. Landsverk, J., Hendricks Brown, C., Chamberlain, P., Palinkas, L., Ogihara, M., & Czaja, S. (2012). Design and analysis in dessimination and implementation research. In R. Brownson, G. Colditz, & E. Proctor (Eds.), Dissemination and implementation research in health—Translating science into practice. New York: Oxford University Press.
go back to reference Miller, W., & Rollnick, S. (2013). Motivational interviewing: helping people change (3rd ed.). New York: Guilford Press. Miller, W., & Rollnick, S. (2013). Motivational interviewing: helping people change (3rd ed.). New York: Guilford Press.
go back to reference Nyberg, G., Norman, A., Sundblom, E., Zeebari, Z., & Elinder, L. S. (2016). Effectiveness of a universal parental support programme to promote health behaviours and prevent overweight and obesity in 6-year-old children in disadvantaged areas, the Healthy School Start Study II, a cluster-randomised controlled trial. The International Journal of Behavioral Nutrition and Physical Activity,13(1), 4. https://doi.org/10.1186/s12966-016-0327-4.CrossRefPubMedPubMedCentral Nyberg, G., Norman, A., Sundblom, E., Zeebari, Z., & Elinder, L. S. (2016). Effectiveness of a universal parental support programme to promote health behaviours and prevent overweight and obesity in 6-year-old children in disadvantaged areas, the Healthy School Start Study II, a cluster-randomised controlled trial. The International Journal of Behavioral Nutrition and Physical Activity,13(1), 4. https://​doi.​org/​10.​1186/​s12966-016-0327-4.CrossRefPubMedPubMedCentral
go back to reference Nyberg, G., Sundblom, E., Norman, A., Bohman, B., Hagberg, J., & Elinder, L. S. (2015). Effectiveness of a universal parental support programme to promote healthy dietary habits and physical activity and to prevent overweight and obesity in 6-year-old children: The Healthy School Start Study, a cluster-randomised controlled trial. Plos ONE,10, 2. https://doi.org/10.1371/journal.pone.0116876.CrossRef Nyberg, G., Sundblom, E., Norman, A., Bohman, B., Hagberg, J., & Elinder, L. S. (2015). Effectiveness of a universal parental support programme to promote healthy dietary habits and physical activity and to prevent overweight and obesity in 6-year-old children: The Healthy School Start Study, a cluster-randomised controlled trial. Plos ONE,10, 2. https://​doi.​org/​10.​1371/​journal.​pone.​0116876.CrossRef
go back to reference Nyberg, G., Sundblom, E., Norman, A., & Elinder, L. S. (2011). A healthy school start-parental support to promote healthy dietary habits and physical activity in children: Design and evaluation of a cluster-randomised intervention. BMC Public Health,11, 185.CrossRef Nyberg, G., Sundblom, E., Norman, A., & Elinder, L. S. (2011). A healthy school start-parental support to promote healthy dietary habits and physical activity in children: Design and evaluation of a cluster-randomised intervention. BMC Public Health,11, 185.CrossRef
go back to reference Patton, M. (2015). Qualitative research and evaluation methods (5th ed.). Thousand Oaks: Sage Publications. Patton, M. (2015). Qualitative research and evaluation methods (5th ed.). Thousand Oaks: Sage Publications.
go back to reference Singh, A. S., Mulder, C., Twisk, J. W., van Mechelen, W., & Chinapaw, M. J. (2008). Tracking of childhood overweight into adulthood: A systematic review of the literature. Obesity Reviews,9(5), 474–488.CrossRef Singh, A. S., Mulder, C., Twisk, J. W., van Mechelen, W., & Chinapaw, M. J. (2008). Tracking of childhood overweight into adulthood: A systematic review of the literature. Obesity Reviews,9(5), 474–488.CrossRef
go back to reference The National Board of Health and Welfare, & The Swedish National Agency for Education. (2016). Guidance for student health. The National Board of Health and Welfare, & The Swedish National Agency for Education. (2016). Guidance for student health.
go back to reference Turner, G. L., Owen, S., & Watson, P. M. (2016). Addressing childhood obesity at school entry: Qualitative experieces of school health professionals. Journal of Child Health Care,20(3), 304–313.CrossRef Turner, G. L., Owen, S., & Watson, P. M. (2016). Addressing childhood obesity at school entry: Qualitative experieces of school health professionals. Journal of Child Health Care,20(3), 304–313.CrossRef
go back to reference World Health Organization. (2016). Ending childhood obesity. Geneva: WHO. World Health Organization. (2016). Ending childhood obesity. Geneva: WHO.
Metadata
Title
Managing Implementation of a Parental Support Programme for Obesity Prevention in the School Context: The Importance of Creating Commitment in an Overburdened Work Situation, a Qualitative Study
Authors
Helena Bergström
Elinor Sundblom
Liselotte Schäfer Elinder
Åsa Norman
Gisela Nyberg
Publication date
01-06-2020
Publisher
Springer US
Keywords
Obesity
Obesity
Published in
Journal of Prevention / Issue 3/2020
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI
https://doi.org/10.1007/s10935-020-00584-2