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. 2023 Jan 18;20(3):1791.
doi: 10.3390/ijerph20031791.

A Novel Policy Alignment and Enhancement Process to Improve Sustainment of School-Based Physical Activity Programming

Penelope J Friday  1 , Lexie R Beemer  1 , Diane Martindale  2 , Amy Wassmann  3 , Andria B Eisman  4   5 , Thomas Templin  1 , Ronald F Zernicke  1   6 , Lynn Malinoff  7 , Anna Schwartz  1 , Tiwaloluwa A Ajibewa  1 , Michele W Marenus  1 , Rebecca E Hasson  1
Affiliations

A Novel Policy Alignment and Enhancement Process to Improve Sustainment of School-Based Physical Activity Programming

Penelope J Friday et al. Int J Environ Res Public Health. .

Abstract

The purpose of the current study was twofold: (1) to evaluate the strength and comprehensiveness of district wellness policies in one central Michigan intermediate school district (ISD; 16 districts), and (2) to pilot a novel policy alignment and enhancement process in one district within the ISD to improve sustainment of district-wide physical activity (PA) programming. Policy evaluation and alignment were determined using WellSAT 3.0. The Exploration, Preparation, Implementation, Sustainment (EPIS) framework was used to guide a seven-step policy alignment and enhancement process. Initial evaluation of the PA policy for the ISD revealed a strength score of 19/100 (i.e., included weak and non-specific language) and 31/100 for comprehensiveness (i.e., mentioned few components of the Comprehensive School Physical Activity Program). For the pilot school district, initial strength scores were 19/100 and 38/100 for comprehensiveness (exploration). An alignment of the tailored PA policy with current practices resulted in a 100% increase in strength (score of 38/100), and 132% increase in comprehensiveness (score of 88/100; preparation). However, district administrators encountered barriers to adopting the tailored policy and subsequently integrated the PA requirements into their curriculum guide and school improvement plan (implementation and sustainment). Future research should examine the effectiveness of our EPIS-informed policy evaluation, alignment, and enhancement process to promote widespread increases in student PA.

Keywords: classroom-based physical activity interventions; exploration; implementation; implementation science; preparation; sustainment framework.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Seven-step policy evaluation, alignment, and enhancement process. ISD, intermediate school district.
Figure 2
Figure 2
Strengths, weaknesses, opportunities, and threats identified by the school district leaders related to tailored policy implementation, [22].
See this image and copyright information in PMC

References

    1. United States Department of Health and Human Services . Physical Activity Guidelines for Americans. United States Department of Health and Human Services; Washington, DC, USA: 2018.
    1. 108th Congress of the United States . Healthy Hunger-Free Kids Act of 2010, Public Law 111-296, 124 STAT 3183, Codified as Amended at 42 USC 1751 S.3307. Congress of the United States; Washington, DC, USA: 2010.
    1. Local school wellness policy. [(accessed on 29 November 2022)]; Available online: https://www.fns.usda.gov/tn/local-school-wellness-policy.
    1. 111th Congress of the United States . Every Student Succeeds Act of 2015 Pub. L. No. 114-95 114 Stat. 1177. Congress of the United States; Washington, DC, USA: 2015.
    1. Merlo C.L., Jones S.E., Michael S.L., Chen T.J., Sliwa S.A., Lee S.H., Brener N.D., Lee S.M., Park S. Dietary and Physical Activity Behaviors Among High School Students—Youth Risk Behavior Survey, United States, 2019. MMWR Suppl. 2020;69:64–76. doi: 10.15585/mmwr.su6901a8. - DOI - PMC - PubMed

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