Purpose: A more dynamic school day that includes less sitting and more physical activity throughout the day may support health in primary school children. In this mixed methodologies study, we assessed which physical activity possibilities are incorporated in the school policies of Dutch primary schools and if this translates into more physical activity in pupils.Methods: Seven primary schools were included in the study. The head teachers completed a questionnaire on the incorporation of physical activity in the school policy. Physical activity policy was assessed for physical education, physical activity during breaks, scheduling of physical activity during lessons, after school physical activity and active transport to school. In each school, actual physical activity was objectively measured using accelerometers in pupils in two classes and planning and logging of PA by teachers.Results: We will assess the impact of the school policy on physical activity in pupils using logistic regression. We will assess the impact of the several school policies on total physical activity in pupils, and on the three (light, moderate and high) modalities of physical activity.Conclusion: The results of this study will give us more insight in the current role of physical activity in Dutch primary schools. The potential impact of the school policy on physical activity levels in pupils can be used as a starting point for a more integral dynamic school day approach.Support/Funding Source: This study was partially funded by “Stichting Westelijke Tuinsteden’
Background: The environment affects children’s energy balance-related behaviors to a considerable extent. A context-based physical activity and nutrition school- and family-based intervention, named KEIGAAF, is being implemented in low socio-economic neighborhoods in Eindhoven, The Netherlands. The aim of this study was to investigate: 1) the effectiveness of the KEIGAAF intervention on BMI z-score, waist circumference, physical activity, sedentary behavior, nutrition behavior, and physical fitness of primary school children, and 2) the process related to the implementation of the intervention. Methods: A quasi-experimental, controlled study with eight intervention schools and three control schools was conducted. The KEIGAAF intervention consists of a combined top-down and bottom-up school intervention: a steering committee developed the general KEIGAAF principles (top-down), and in accordance with these principles, KEIGAAF working groups subsequently develop and implement the intervention in their local context (bottom-up). Parents are also invited to participate in a family-based parenting program, i.e., Triple P Lifestyle. Children aged 7 to 10 years old (grades 4 to 6 in the Netherlands) are included in the study. Effect evaluation data is collected at baseline, after one year, and after two years by using a child questionnaire, accelerometers, anthropometry, a physical fitness test, and a parent questionnaire. A mixed methods approach is applied for the process evaluation: quantitative (checklists, questionnaires) and qualitative methods (observations, interviews) are used. To analyze intervention effectiveness, multilevel regression analyses will be conducted. Content analyses will be conducted on the qualitative process data. Discussion: Two important environmental settings, the school environment and the family environment, are simultaneously targeted in the KEIGAAF intervention. The combined top-down and bottom-up approach is expected to make the intervention an effective and sustainable version of the Health Promoting Schools framework. An elaborate process evaluation will be conducted alongside an effect evaluation in which multiple data collection sources (both qualitative and quantitative) are used.
Introduction: The health-promoting school (HPS) approach was developed by the World Health Organization to create health promotion changes in the whole school system. Implementing the approach can be challenging for schools because schools are dynamic organizations with each a unique context. Many countries worldwide have a health promotion system in place in which healthy school (HS) advisors support schools in the process of implementing the HPS approach. Even though these HS advisors can take on various roles to provide support in an adaptive and context-oriented manner, these roles have not yet been described. The current study aims to identify and describe the key roles of the HS advisor when supporting schools during the dynamic process of implementing the HPS approach. Methods: The study was part of a project in which a capacity-building module was developed for and with HS advisors in the Netherlands. In the current study, a co-creation process enabled by participatory research was used in which researchers, HS advisors, national representatives, and coordinators of the Dutch HS program participated. Co-creation processes took place between October 2020 and November 2021 and consisted of four phases: (1) a narrative review of the literature, (2) interviews, (3) focus groups, and (4) a final check. Results: Five roles were identified. The role of “navigator” as a more central one and four other roles: “linking pin,” “expert in the field,” “critical friend,” and “ambassador of the HPS approach.” The (final) description of the five roles was recognizable for the HS advisors that participated in the study, and they indicated that it provided a comprehensive overview of the work of an HS advisor in the Netherlands. Discussion: The roles can provide guidance to all Dutch HS advisors and the regional public health organizations that employ them on what is needed to provide sufficient and context-oriented support to schools. These roles can inspire and guide people from other countries to adapt the roles to their own national context.
Bij de ontwikkeling van kinderen speelt de omgeving waarin zij opgroeien en de wijze waarop zij zich verbonden voelen met hun buurt een belangrijke rol (Owens, 2004; 2016). Om als basisschool goed bij te kunnen dragen aan de ontwikkeling van kinderen is het van belang dat scholen de omgeving en de buurt waarin hun leerlingen opgroeien kennen en kunnen benutten voor hun onderwijs. In het bijzonder gaat het daarbij om de betekenis die deze omgeving voor hun leerlingen heeft. Voor basisscholen in wijken met een grote diversiteit aan inwoners kan de betekenis van eenzelfde omgeving voor verschillende leerlingen ook zeer verschillend zijn. Naar de wijze waarop kinderen zich verbonden voelen met de fysieke en sociale ruimte is nog weinig onderzoek gedaan (Tani, 2016). Naast inzicht in de bestaande verbinding van kinderen met hun omgeving is het voor het onderwijs belangrijk om inzicht te verkrijgen in de wijze waarop kinderen in staat kunnen worden gesteld om zich te binden aan een plek en om deze plek te benutten bij hun ontwikkeling. De capability approach (Nussbaum, 2014) en een perspectief op de veerkracht van kinderen (Enthoven, 2007) bieden een kader om naar dit vraagstuk te kijken. Het onderzoek richt zich op wat het primair onderwijs kan doen om de aan de omgeving gerelateerde vermogens van kinderen te ontwikkelen. Onderwijs waarin de leefomgeving van kinderen wordt betrokken of waarin de leefomgeving op enige wijze een rol speelt kan hiertoe een middel zijn. Dit vanuit de notie dat door het ontwikkelen van een ‘sense of place’ (Dolan, 2016) de kennis, persoonlijke verbondenheid en verantwoordelijkheid voor de lokale omgeving versterkt kunnen worden. Het onderzoek zal na een verkennende fase een ontwerpgericht karakter krijgen, waarbij op onderzoeksmatige wijze materiaal wordt ontwikkeld dat bruikbaar is op basisscholen en lerarenopleidingen basisonderwijs.
In 2022 voerde Hogeschool Utrecht samen met de Reclasseringsacademie een onderzoek uit naar de praktische haalbaarheid van Solo. Solo is een cognitieve vaardigheidstraining voor cliënten die niet geschikt zijn voor een groepssetting, zoals cliënten die kwetsbaar zijn in een groep of cliënten die de groep verstoren met een vijandige houding. Cliënten vinden Solo een aantrekkelijke training, maar bepaalde programmaonderdelen moeten verder ontwikkeld worden. Dit project richt zich op de doorontwikkeling van Solo.
