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Implementing a State-Adopted High School Health Curriculum: A Case Study.

Andria B Eisman1, Amy M Kilbourne2, Quyen Ngo3

  • 1Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109.

The Journal of School Health
|April 1, 2020
PubMed
Summary

Most Michigan high school health teachers struggle to implement the Michigan Model for Health™ (MMH) curriculum with fidelity. Factors like training and contextual challenges hinder effective delivery of this evidence-based health education program.

Keywords:
evidence-based practicehealth disparitieshigh school teachersimplementation scienceprimary preventionprogram evaluation

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Area of Science:

  • Public Health
  • Health Education
  • Implementation Science

Background:

  • The Michigan Model for Health™ (MMH) is Michigan's official health curriculum.
  • Evidence-based program fidelity is crucial for effectiveness.
  • Most schools do not meet state fidelity requirements for MMH implementation.

Purpose of the Study:

  • To investigate fidelity and factors influencing MMH curriculum implementation in socioeconomically challenged high schools.
  • To identify barriers and facilitators to effective health curriculum delivery.

Main Methods:

  • Online surveys (N=20) and in-person interviews (N=5) were conducted with high school health teachers and stakeholders.
  • Data collection focused on fidelity and implementation processes of the MMH curriculum.

Main Results:

  • 68% of teachers did not meet state fidelity standards for curriculum delivery.
  • Implementation context and processes, such as training, were associated with fidelity.
  • Teachers reported barriers including curriculum adaptation, competing priorities, and addressing student needs (substance use, mental health).

Conclusions:

  • Multiple factors impact health curriculum fidelity in schools serving low-income students.
  • Implementation science frameworks can guide strategies to improve curriculum delivery.
  • Addressing contextual and process-related factors is key to enhancing MMH implementation.