Journal of School Health最新文献

{"title":"Availability and Implementation Characteristics of Nutrition Health Promotion Interventions in Quebec Elementary Schools.","authors":"Erin K O'Loughlin, Mounia Naja, Robert J Wellman, Katerina Maximova, Jennifer L O'Loughlin","doi":"10.1111/josh.70043","DOIUrl":"https://doi.org/10.1111/josh.70043","url":null,"abstract":"<p><strong>Background: </strong>Availability and quality of nutrition-related health-promoting interventions (N-HPIs) vary across primary schools. We examined whether school contextual factors (e.g., socioeconomic deprivation) were associated with N-HPI availability in Quebec, Canada, and whether available N-HPIs incorporated evidence-based implementation characteristics.</p><p><strong>Methods: </strong>In a cross-sectional study (2016-2019), informants from 171 primary schools reported on N-HPI availability. Availability was analyzed in relation to 10 school-level contextual indicators. A subset of 52 N-HPIs was examined in-depth for alignment with 15 evidence-based implementation characteristics identified in a literature review.</p><p><strong>Results: </strong>N-HPIs were reported in 120 schools (70%, including 77% serving disadvantaged populations). Among the 52 N-HPIs examined in-depth, over 75% demonstrated four core characteristics: Staff involvement, integration of multiple core competencies, innovative teaching strategies, and alignment with school context. Fewer HPIs included formal evaluation (46%), were delivered over multiple sessions (35%), or engaged students in design or implementation (15%).</p><p><strong>Implications: </strong>To strengthen N-HPIs, policymakers should support flexible, theory-informed interventions that incorporate evaluation from the outset. Greater involvement of students, staff, and families in planning may help address persistent barriers.</p><p><strong>Conclusion: </strong>While N-HPIs are widespread and often incorporate evidence-based implementation characteristics, there is room to enhance student participation, extend program duration, and strengthen evaluation.</p>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"School Connectedness Boosts Mental Health in Indigenous Adolescents With Adverse Childhood Experiences: Mediation Analysis of a Longitudinal Study in Australia.","authors":"Md Irteja Islam, Vaikunth Sia Cheruvu, Caitlin Laska, Tuguy Esgin, Alexandra Martiniuk","doi":"10.1111/josh.70047","DOIUrl":"https://doi.org/10.1111/josh.70047","url":null,"abstract":"<p><strong>Background: </strong>The study examined whether school connectedness mediates the association between Adverse Childhood Experiences (ACEs) and mental health conditions among Indigenous adolescents, and if this mediation varies by school type-Public versus Private/Catholic METHODS: Using data from 13 waves of the Longitudinal Study of Indigenous Children (LSIC) in Australia (2008-2020), the present study examined the potential mediating effects of school connectedness in the association between exposure to ACEs and adolescent mental health conditions (anxiety/depression) in 636 Indigenous adolescents aged 12-17 years. Based on Baron and Kenny's approach, modified Structural Equation Modeling (SEM) techniques were employed to examine the mediating effect. All models were adjusted for covariates including age, sex, location, and socioeconomic position.</p><p><strong>Results: </strong>The longitudinal analysis revealed that strong school connectedness and no/limited ACE exposure positively influenced mental health, regardless of school type (p < 0.05). Mediation analysis indicated that school connectedness significantly mediated the association between ACE exposure and mental health conditions for Indigenous adolescents who attended public schools (p < 0.05) but not for those who attended Private/Catholic schools.</p><p><strong>Implications for practice: </strong>These results underscore the critical role of school connectedness in supporting the mental health of Indigenous adolescents who have faced early childhood adversity. Notably, it highlights the unique needs of students in different school types and calls for further research to better understand how schools can foster well-being for Indigenous adolescents.</p><p><strong>Conclusion: </strong>Strengthening school connectedness offers a valuable avenue for promoting mental health among school-going Indigenous adolescents.</p>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resiliency of the Comprehensive School Health Approach in Canadian Schools Throughout the COVID-19 Pandemic.","authors":"Danielle Klassen, Genevieve Montemurro, Jenn Flynn, Kim Raine, Kate Storey","doi":"10.1111/josh.70044","DOIUrl":"https://doi.org/10.1111/josh.70044","url":null,"abstract":"<p><strong>Background: </strong>Comprehensive School Health (CSH) is a whole school approach to promote healthy school communities. The objective of this study was to understand if and how schools that take a CSH approach (i.e., APPLE Schools) sustained and adapted their efforts during the COVID-19 pandemic.</p><p><strong>Contributions to practice: </strong>This qualitative study highlighted teaching staff and principals' perspectives to showcase the ways that health and wellbeing supports through the CSH approach helped to mitigate the COVID-19 impacts on schools. This article describes three themes that exemplified how healthy school communities were promoted and maintained during the COVID-19 pandemic: wellness was already a priority, purposeful efforts to continue health promotion, and recognition that (a culture of) wellness extends beyond the school.</p><p><strong>Implications for school health policy, practice, and equity: </strong>CSH approaches with supportive environments, healthy living practices, partnerships, and overarching district policies offer a structure and pathway to guide efforts in schools during times of adversity and support whole school communities. The CSH approach had a beneficial impact in urban, rural, and remote school contexts.</p><p><strong>Conclusions: </strong>Schools with well-established priorities of wellness carried CSH practices throughout the pandemic. This ensured student and staff wellness was at the forefront of health promoting efforts.</p>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Condom Availability in Chicago Public Schools: Lessons From a Multi-Sector Partnership.","authors":"Julia Liu, S Parchem, M DiPaolo, K Ramirez-Mercado, T DeClemente, E Jarpe-Ratner","doi":"10.1111/josh.70046","DOIUrl":"https://doi.org/10.1111/josh.70046","url":null,"abstract":"<p><strong>Background: </strong>Condom availability programs (CAPs) in schools are a strategy intended to reduce rates of sexually transmitted infections (STIs) and unintended pregnancies among youth. Despite evidence on comprehensive sexual health education and contraceptives, these initiatives often face inconsistent implementation.</p><p><strong>Contribution to practice: </strong>This retrospective case study examines the evolution of CAP in Chicago Public Schools (CPS), emphasizing on the cooperation between CPS and the Chicago Department of Public Health (CDPH). This case study details the transition of ad-hoc distribution to a universal condom distribution. Through interagency collaboration, CPS and CDPH developed a sustainable and scalable model for increasing access to sexual health resources into school settings.</p><p><strong>Implications for school health policy, practice, and equity: </strong>This initiative highlights the importance of policy-driven health intervention in school settings and how structured collaboration can ensure equitable access to condoms. This demonstrates how institutional relationships can work together to enhance adolescents' health and wellbeing.</p><p><strong>Conclusion: </strong>The success of a universal CAP in school districts illuminates the value of cross-sector partnerships that strengthens health equity and can serve as a blueprint for other districts who face similar challenges in adolescent reproductive health services.</p>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the COVID-19 Pandemic on Prevalence of Cardiorespiratory Fitness in Public School Students","authors":"Russell R. Pate,&nbsp;Marsha Dowda,&nbsp;Morgan N. Clennin,&nbsp;Gregory J. Welk","doi":"10.1111/josh.70041","DOIUrl":"10.1111/josh.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To determine if the COVID-19 pandemic influenced students' cardiorespiratory fitness (CRF), this study examined the prevalence of meeting a health-related standard for CRF in public school students before, during and after the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A repeated cross-sectional study design was used, and multilevel logistic regression was employed to compare the prevalence of students meeting the CRF standard during the four school years preceding the pandemic (2016–2017 to 2019–2020) with the 2 years during the pandemic (2020–2021 to 2021–2022) and with 2 years after the pandemic (2022–2023 to 2023–2024). Students' CRF data were provided by 21 school districts that, between 2016–2017 and 2023–2024, consistently participated in a statewide survey of health-related fitness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Before the pandemic 52.4% of students met the standard for CRF. This prevalence was reduced to 44.3% during the pandemic (AOR = 0.69, 95% CI = 0.67, 0.70) and remained reduced at 47.1% after the pandemic (AOR = 0.77, 95% CI = 0.76, 0.79).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health</h3>\u0000 \u0000 <p>During periods of societal disruption, such as a pandemic, school personnel should adopt practices aimed at supporting students' CRF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The COVID-19 pandemic was associated with reduced CRF in public school students, and this trend persisted for at least two school years following the pandemic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"639-648"},"PeriodicalIF":1.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Primary School Nurses' Activities That Are Effective in Health Promotion and Primary Prevention: A Systematic Review","authors":"Lisa Kühne,&nbsp;Faith Mugo","doi":"10.1111/josh.70027","DOIUrl":"10.1111/josh.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>School nurses that are regularly present at school can influence health behaviors in the early lifespan, establishing a foundation for healthy growth. This systematic review identifies activities targeting health promotion and primary prevention and assesses the activities that are effective in improving students' health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The protocol was registered on PROSPERO (CRD42023471364). The search was conducted in the databases MEDLINE, PsycINFO, CINAHL, ERIC, Scopus, and ASSIA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The 19 identified studies include seven RCTs, four quasi-experimental studies, four cross-sectional studies, one secondary data analysis, one qualitative study, and two reviews published between 2012 and 2023. The activities were categorized as health education, screening, and structural prevention. Certain health education activities, commonly in short sessions and incorporating interactive and creative features, effectively improved health behavior, knowledge, and physical health outcomes. One screening intervention reliably identified children with vision abnormalities at an early stage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>By implementing these activities, school nurses enhance students' health behaviors of nutrition, physical activity, toothbrushing, and nail-biting, among others. In this way, they promote children's well-being and are well positioned to reduce health inequalities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Primary schools are an ideal setting to engage students and their families in enhancing their health literacy, with school nurses incorporating significant potential for public health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"649-667"},"PeriodicalIF":1.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening Tools in School-Based Health Centers for Children With Asthma","authors":"Vanessa F. Maier,&nbsp;Olivia Dhaliwal,&nbsp;Amanda Liu,&nbsp;Kim Foreman,&nbsp;Matthew Linick,&nbsp;Katie Feldman","doi":"10.1111/josh.70033","DOIUrl":"10.1111/josh.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is a large body of research suggesting the role of school-based health centers (SBHCs) in improving outcomes for children with asthma, but there are no evidence-based guidelines for the care of children with asthma in SBHCs. We conducted a randomized trial to assess screening in children with asthma in an urban SBHC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were screened for asthma triggers. The intervention group received home assessments and medical legal partnership (MLP) referrals as indicated. The primary outcome of asthma severity was assessed using the asthma control test (ACT). All participants completed semi-structured interviews to evaluate their experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All families randomized to intervention qualified for and completed home remediation. There were no statistically significant differences in asthma severity. There was 100% retention of participants, and all participants rated their experience as good or excellent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice and Equity</h3>\u0000 \u0000 <p>This study demonstrates a high prevalence of home-based asthma triggers for children with asthma who receive care in SBHCs. Although not large enough to demonstrate significance in primary outcomes, participants were successfully recruited from a diverse population and retained through completion of the study. Participants rated their experience as good or excellent, suggesting that the recruitment and retention of diverse participants for clinical trials in SBHCs can be successful.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Home-based asthma triggers for children with asthma who receive care in SBHCs are prevalent. Although complex collaborations are required, SBHCs are a viable site for clinical trials. More research is needed to understand the benefit of interventions in SBHCs to reduce asthma severity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"622-630"},"PeriodicalIF":1.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foodservice Directors' Perceived Barriers to Student Participation in School Meals When Meals Were Served Free of Charge During the 2021–2022 School Year","authors":"Deborah A. Olarte,&nbsp;Wendi Gosliner,&nbsp;Leah E. Chapman,&nbsp;Christina Hecht,&nbsp;Ken Hecht,&nbsp;Punam Ohri-Vachaspati,&nbsp;Anisha I. Patel,&nbsp;Margaret Read,&nbsp;Lorrene D. Ritchie,&nbsp;Marlene B. Schwartz,&nbsp;Monica D. Zuercher,&nbsp;Dania Orta-Aleman,&nbsp;Michele Polacsek,&nbsp;Juliana F. W. Cohen","doi":"10.1111/josh.70019","DOIUrl":"10.1111/josh.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>School meals were served free of charge to all public school students in the United States during the COVID-19 pandemic, but some students still did not participate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this mixed-methods study, surveys and interviews were conducted with food service directors (FSDs) from California (<i>n</i> = 556 surveys; <i>n</i> = 29 interviews) and Maine (<i>n</i> = 43 surveys; <i>n</i> = 20 interviews) during spring 2022. Survey data was analyzed using multivariable logistic regression models, and interview data was analyzed using the immersion/crystallization approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Students' preference to eat meals from home or elsewhere (81.5%) and negative perceptions of the school food's taste (67%) were the most common barriers reported. Schools' prior community eligibility provision (CEP) participation and smaller student enrollment were associated with fewer reported barriers. Inadequate time to eat lunch and stigma were also reported as barriers to participation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Investments are needed to help schools partner with students to optimize school meal experiences and to improve food taste. Policies that provide school meals free of charge for all students can also help reduce negative social barriers such as stigma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite the provision of USM, barriers to participation remain. Policies to enhance meal quality and program implementation are needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"575-586"},"PeriodicalIF":1.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Policies Implemented Where Most Needed? Exploring Equity in School-Based Smoking Prevention in 2013 and 2016 in Six European Cities","authors":"Nora Mélard,&nbsp;Alexandre Jacquemain,&nbsp;Julian Perelman,&nbsp;SILNE-R Consortium,&nbsp;Vincent Lorant","doi":"10.1111/josh.70031","DOIUrl":"10.1111/josh.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Health policies are key social determinants of health, but may cause inequalities if their implementation does not match local needs and if resources are misallocated. This study tests the inverse prevention law on school tobacco policies, assessing inequity in their implementation and identifying contributing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A student survey and a staff survey were conducted in 38 schools across six European cities in 2013 and 2016. We assessed tobacco policy and calculated policy-need ratios to measure how well schools implemented a policy in line with adolescent smoking. Gini coefficients of policy-need ratios were used as an inequity measure. We ran a penalized Lorenz regression to identify factors contributing to inequity and used the Shapley decomposition technique to decompose explained Gini coefficients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Gini coefficients were 8.8% in 2013 and 8.9% in 2016, indicating moderately inequitable implementation of school tobacco policies and limited change over time. Socio-economic characteristics and family/home environment contributed the most to these inequities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In line with the inverse prevention law, stronger tobacco policies are not implemented in schools that most need them, and this persisted between 2013 and 2016. Policy-makers should prioritize equity in health policy implementation and devote more resources to contexts with greater need.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"612-621"},"PeriodicalIF":1.8,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation Drivers of COVID-19 Prevention Strategies in K-12 School Settings: A Qualitative Analysis","authors":"Dana Keener Mast,&nbsp;Syreeta Skelton-Wilson,&nbsp;Chloe Chung,&nbsp;Melissa Fahrenbruch,&nbsp;Sarah Lee","doi":"10.1111/josh.70025","DOIUrl":"10.1111/josh.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In August 2020, the Centers for Disease Control and Prevention (CDC) released guidance to prevent transmission of coronavirus disease 2019 (COVID-19) in K-12 education settings. Schools varied in the degree to which they were able to implement COVID-19 prevention strategies during the height of the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An evaluation team conducted interviews with state education staff and focus groups with district and school staff over 2 years to explore contextual factors that influenced the implementation of CDC's recommended COVID-19 prevention strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight implementation drivers influenced COVID-19 response efforts in school settings, including COVID-19 guidance, political climate, communication challenges, state health and education agency support, partnerships, physical and financial resources, staffing, and student needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>Evaluation results offer insights for future guidance and support for schools and educators as they continue efforts to prevent the spread of COVID-19 and other infectious diseases for safe in-person learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The authors describe key drivers and conditions that influenced, facilitated, and/or impeded schools' implementation of COVID-19 prevention strategies. Federal, state, district, and school leadership can use the results to bolster future emergency preparedness and response efforts to protect student and school employee health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"587-596"},"PeriodicalIF":1.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}