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Building local infrastructure for coordinated school health programs: a pilot study.
Ann D Stoltz1, Sheri Coburn, Ann Knickelbein
1Division of Nursing, California State University, Sacramento, California, USA.
Summary
A training program significantly improved school health infrastructure by establishing key structures in participating districts. This initiative shows promise for enhancing coordinated school health programs nationwide.
Area of Science:
- Public Health
- Educational Administration
- Health Services Research
Background:
- Coordinated School Health Programs (CSHPs) integrate health education, promotion, disease prevention, and services.
- Establishing robust CSHP infrastructure is crucial for effective school health practice.
- A regional training program aimed to bolster CSHP infrastructure in school districts.
Purpose of the Study:
- To evaluate the impact of a 2-year regional training program on CSHP infrastructure.
- To assess the establishment of four essential CSHP structures: advisory councils, coordinators, health teams, and board policies.
- To compare infrastructure development between participating and nonparticipating school districts.
Main Methods:
- Quasi-experimental design comparing nine training participants with seven nonparticipants.
- Measured CSHP infrastructure development through the presence of four key structural components.
- Tracked academic and physical fitness outcomes in both groups.
Main Results:
- Participating districts showed significant increases in school health services and CSHP infrastructure.
- The establishment of all four essential CSHP structures was significantly higher in participating districts.
- Both participating and nonparticipating districts observed gains in academic performance and physical fitness.
Conclusions:
- The regional training intervention effectively enhanced CSHP infrastructure in school districts.
- The findings support the potential of targeted interventions to strengthen school health systems.
- Continued efforts at all levels are recommended to promote comprehensive CSHP implementation.
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