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School climate and implementation of the Pathways study.

Joel Gittelsohn1, Sarah Merkle, Mary Story

  • 1Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205-2179, USA. jgittels@jhsph.edu

Preventive Medicine
|November 26, 2003
PubMed
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School climate assessment aids in understanding successes and failures of health interventions. Interviews revealed support and barriers, with school climate predicting some implementation success.

Area of Science:

  • Public Health
  • Obesity Prevention
  • School Health Programs

Background:

  • The Pathways study was a multisite, school-based initiative designed to prevent obesity among American Indian children.
  • The intervention focused on promoting healthy eating habits and increasing physical activity levels.

Purpose of the Study:

  • To examine the support and barriers encountered during the implementation of the Pathways intervention.
  • To assess the impact of school climate on the successful adoption of intervention components.

Main Methods:

  • Conducted 290 in-depth interviews with school staff (administrators, food service managers, teachers, physical education instructors) across 21 intervention schools over three years.
  • Employed qualitative thematic analysis and quantitative modeling to evaluate intervention implementation and the influence of school climate.

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Main Results:

  • Most school staff (teachers, food service managers, PE instructors) expressed support for the Pathways interventions.
  • Perceived barriers included school administration and limited family participation. Overall program attitudes were generally positive, with a mean rating of 3.5/5.
  • School climate positively correlated with classroom curriculum and student exposure, but not with family engagement or physical activity implementation.

Conclusions:

  • Assessing school climate via interviews provides valuable insights into the successes and challenges of school-based health interventions.
  • School climate can serve as a predictive indicator for the implementation success of certain health programs within schools.