Measuring Implementation of Health Promoting School (HPS) Programs: Development and Psychometric Evaluation of the HPS Implementation Questionnaire

Background: Implementation of Health Promoting School (HPS) programs can be challenging due to the dynamic school context. Navigating between program fidelity and adaptation, as well as integrating the program, is essential for successful implementation, and consequently, for program effects. As part of an evaluation study in the Netherlands,...

Onderzoeksopzet evaluatie Gezonde School: onder welke condities doet het ertoe? [Design of a three-level evaluation of the Dutch Healthy School program]

An increasing number of schools obtained a Healthy School certificate, yet little is known about factors, characteristics, and processes, i.e. conditions, influencing the effectiveness of the Healthy School program. Therefore, a mixed methods evaluation study will be conducted on three levels: the student, the school, and the region. The...

Implementation of intersectoral community approaches targeting childhood obesity: A systematic review

The implementation of intersectoral community approaches targeting childhood obesity (IACO) is considered challenging. To help overcome these challenges, an overview of the evidence to date is needed. We searched four databases to identify papers that reported on the determinants of successful implementation of IACOs, resulting in the inclusion...

Exploring determinants of completeness of implementation and continuation of a Dutch school-based healthy diet promotion programme

Strategies to promote implementation of school-based health promotion (HP) programmes should be designed to suit determinants of implementation and continuation. This study explored determinants of completeness of teachers' implementation of a healthy diet promotion programme and of their intention to continue the programme. Strategies for...

Equity-specific effects of 26 dutch obesity-related lifestyle interventions

Context: Reducing health inequalities is a policy priority in many developed countries. Little is known about effective strategies to reduce inequalities in obesity and its underlying behaviors. The goal of the study was to investigate differential effectiveness of interventions aimed at obesity prevention, the promotion of physical activity or...

Examining the relationship between completeness of teachers' implementation of the Krachtvoer healthy diet programme and changes in students' dietary intakes

OBJECTIVE: The goal of the current study was to examine if the completeness of programme implementation and the completeness of implementation of specific programme elements of the Dutch school-based healthy diet promotion programme Krachtvoer are related to short- and longer-term changes in students' fruit, sweets and breakfast intakes.DESIGN:...

Healthier food choices as a result of the revised healthy diet programme Krachtvoer for students of prevocational schools

BACKGROUND: Krachtvoer is a Dutch healthy diet programme for prevocational schools, developed in 2001 and revised for a broader target group in 2007, based on the findings of an evaluation of the first version. The goal of this study was to report on the short- and longer-term total and subgroup effects of the revised programme on students'...

Evaluation of an adoption strategy for a healthy diet programme for lower vocational schools

This paper describes the evaluation of an adoption strategy for the school-based healthy diet programme Krachtvoer. Health promotion (HP) professionals from five Regional Public Health Services (RPHSs) in The Netherlands were asked to recruit a total of 25 schools to adopt the Krachtvoer programme in accordance with this strategy. Afterwards,...

Appreciation and implementation of the Krachtvoer healthy diet promotion programme for 12- to 14- year-old students of prevocational schools

Background: Krachtvoer is a school-based healthy diet programme, developed in 2001 and revised in 2007 to meet the needs of particular segments of the target population as well as a wider target group. The main aims of the present process evaluation of the revised programme were to examine student and teacher appreciation of the programme,...

Krachtvoer: Effect evaluation of a Dutch healthful diet promotion curriculum for lower vocational schools

Objective: The aim of this study was to assess the behavioural effects of a school-based healthful diet promotion intervention implemented in lower vocational schools. Design: A cluster-randomised pre-test-post-test experimental design was used, and data were collected by means of written questionnaires. Setting: Students of 18 Dutch lower...

Krachtvoer: Effect evaluation of a Dutch healthful diet promotion curriculum for lower vocational schools

Objective: The aim of this study was to assess the behavioural effects of a schoolbased healthful diet promotion intervention implemented in lower vocational schools. Design: A cluster-randomised pre-test–post-test experimental design was used, and data were collected by means of written questionnaires. Setting: Students of 18 Dutch lower...

Krachtvoer: Process evaluation of a Dutch programme for lower vocational schools to promote healthful diet

The aim of this study was to examine the fidelity and completeness of the implementation of a school-based healthful diet promotion programme called 'Krachtvoer' (we use the Dutch title of the programme throughout this article. A possible translation is Power Food, but this does not reflect the play on words in the Dutch title), aimed at lower...

Fat watch: a nationwide campaign in the Netherlands to reduce fat intake : effect evaluation

Fat watch: A nationwide campaign in the Netherlands to reduce fat intake-effect evaluation

In the Netherlands, the nationwide Fat Watch campaign aiming at a reduction in fat consumption was organized from 1991 onwards. This study describes the effects of the first three consecutive campaign years on attention to fat, diet and health, attitudes, self-efficacy expectations and intentions related to dietary fat reduction, and self-rated...