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. 2014 Jun;4(2):131-40.
doi: 10.1007/s13142-013-0226-z.

School factors as barriers to and facilitators of a preventive intervention for pediatric type 2 diabetes

William J Hall  1 , Margaret Schneider  2 , Deborah Thompson  3 , Stella L Volpe  4 , Allan Steckler  1 , John M Hall  1 , M Randall Fisher  1 ; HEALTHY Study Group
Affiliations

School factors as barriers to and facilitators of a preventive intervention for pediatric type 2 diabetes

William J Hall et al. Transl Behav Med. 2014 Jun.

Abstract

School-based interventions are essential to prevent pediatric obesity and type 2 diabetes. School environmental factors influence implementation of these interventions. This article examines how school factors acted as barriers to and facilitators of the HEALTHY intervention. The HEALTHY study was a cluster-randomized trial of a multicomponent intervention implemented in 21 schools. Interview data were analyzed to identify barriers and facilitators. Barriers included teacher frustration that intervention activities detracted from tested subjects, student resistance and misbehavior, classroom management problems, communication equipment problems, lack of teacher/staff engagement, high cost and limited availability of nutritious products, inadequate facility space, and large class sizes. Facilitators included teacher/staff engagement, effective classroom management, student engagement, schools with direct control over food service, support from school leaders, and adequate facilities and equipment. Contextual barriers and facilitators must be taken into account in the design and implementation of school-based health interventions.

Keywords: Diabetes; Health behavior; Intervention; Obesity; Prevention; School.

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References

    1. Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. U.S. Department of Health and Human Services; 2011.
    1. Ogden CL, Carroll MD, Flegal KM. High body mass index for age among U.S. children and adolescents 2003–2006. JAMA. 2008;299:2401–2405. doi: 10.1001/jama.299.20.2401. - DOI - PubMed
    1. Hannon TS, Rao G, Arslanian SA. Childhood obesity and type 2 diabetes mellitus. Pediatrics. 2005;116:473–480. doi: 10.1542/peds.2004-2536. - DOI - PubMed
    1. Venkat Narayan KM, Boyle JP, Thompson TJ, Sorensen SW, Williamson DF. Lifetime risk for diabetes mellitus in the United States. JAMA. 2003;290:1884–1890. doi: 10.1001/jama.290.14.1884. - DOI - PubMed
    1. Centers for Disease Control and Prevention Youth risk behavior surveillance—United States, 2009. MMWR Morb Mortal Wkly Rep. 2010;59:1–148. - PubMed