Implementation of KEIGAAF in Primary Schools: A Mutual Adaptation Physical Activity and Nutrition Intervention
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. The KEIGAAF Intervention
2.3. Study Setting and Study Population
2.4. Data Collection
2.4.1. Minutes of Working Group Meetings and Participatory Observations
2.4.2. School Scan
2.4.3. Timeline Sessions
2.4.4. Semi-Structured Interviews
2.5. Data Coding and Analysis
3. Results
3.1. Implementation of the KEIGAAF Intervention
3.1.1. Formation of Working Group
3.1.2. Development of Activity Plans
3.1.3. Implementation of Activity Plans
3.1.4. Guarantee Sustainability
3.2. Factors Influencing the Implementation of the KEIGAAF Intervention
3.2.1. Intervention: Unadapted
Practical Support of HP Advisor and Financial Support
Feedback Loops
Nutrition as Intervention Topic
3.2.2. Outer Setting
National Health-Promoting Trends
Top-Down Influence of School Boards
Lack of Potential Partners
3.2.3. Inner Setting (Schools)
Starting Situation of Schools
Low Parental Support
Support of School Staff and Principal
Employee Turnover
3.2.4. Individuals (Working Group)
Misinterpretation of the Intervention
Practice-Oriented Thinking
Champion
Positive Dynamics
3.2.5. Intervention: Adapted
Adaptation
4. Discussion
Strengths and Limitations of the Study
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Verjans-Janssen, S.R.B.; Gerards, S.M.P.L.; Verhees, A.H.; Kremers, S.P.J.; Vos, S.B.; Jansen, M.W.J.; Van Kann, D.H.H. Implementation of KEIGAAF in Primary Schools: A Mutual Adaptation Physical Activity and Nutrition Intervention. Int. J. Environ. Res. Public Health 2020, 17, 751. https://doi.org/10.3390/ijerph17030751
Verjans-Janssen SRB, Gerards SMPL, Verhees AH, Kremers SPJ, Vos SB, Jansen MWJ, Van Kann DHH. Implementation of KEIGAAF in Primary Schools: A Mutual Adaptation Physical Activity and Nutrition Intervention. International Journal of Environmental Research and Public Health. 2020; 17(3):751. https://doi.org/10.3390/ijerph17030751
Chicago/Turabian StyleVerjans-Janssen, Sacha R.B., Sanne M.P.L. Gerards, Anke H. Verhees, Stef P.J. Kremers, Steven B. Vos, Maria W.J. Jansen, and Dave H.H. Van Kann. 2020. "Implementation of KEIGAAF in Primary Schools: A Mutual Adaptation Physical Activity and Nutrition Intervention" International Journal of Environmental Research and Public Health 17, no. 3: 751. https://doi.org/10.3390/ijerph17030751