Healthy lifestyles Not Applicable
Conditions
Interventions
Mapping the situation - needs-assessment:
The FLASH intervention starts with a needs-assessment among a) students and b) key-stakeholders. For students, the needs-assessment is based o
Sponsors
Vrije Universiteit Amsterdam
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All schools: 1. School offers prevocational education (lowest education level in the Netherlands) 2. School is committed to participate in evaluation research for four years Inclusion criteria for intervention schools: 1. Willing to implement the FLASH intervention, e.g. create a healthy school community regarding health PA and dietary behavior 2. Willing to facilitate new health-promotion activities 3. Willing to appoint a staff member to coordinate the intervention Inclusion criteria for control schools: 1. Control schools match on the following characteristics to an intervention school: size (total number of prevocational students registered), physical environment (rural vs. urban environment), types of education offered (school offers exclusively prevocational education vs. schools offer prevocational education and higher types of secondary education) Individual level: 1. All students enrolled in prevocational education 2. Informed consent from student and parent
Exclusion criteria
Exclusion criteria: For control schools: 1. Schools that fall under the direction of the educational organization that co-developed the FLASH intervention. This organization facilitates secondary and vocational education in the North-eastern region of the Netherlands. Therefore, schools in this region are excluded for control schools to prevent contamination of results due to connection between these schools and the educational organization.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Changes in community-capacity evaluated with the community readiness to change interview method, which includes an anchoring scoring system that can create a score for each community on their level of community-capacity. Interviews take place at the end of school year 2017/18 (June 2018) and at one-year follow-up, June 2019. 2. Changes in health-promotion activities evaluated per intervention school on how they fit within the pillars of the Dutch Healthy-School approach: education, policy, environment and monitoring. A questionnaire is filled out by the healthy school-coordinator at baseline and three-year follow-up. 3. Daily processes related to capacity-building monitored with journals of the healthy school coordinator, with document analysis of meetings held throughout the intervention and with interviews with key stakeholders from local organizations (such as local public health organization, educational organization, municipality). Measurements take place every 26 weeks during the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. PA and dietary behaviors including attitude toward PA and dietary behavior, are measured with a self-reported questionnaire. 2. BMI and waist circumference. Height and weight are measured to calculate BMI. Height, weight, and waist circumference are all measured using a protocol by trained research assistants. Data are gathered in three cohorts between October and December on a yearly basis starting in 2016. Participants are followed-up on until they leave school or when the study will be concluded (January 2019). Students start in the study when they are in the second grade. In prevocational education, students are intended to leave school after the fourth grade. This leads to the following measurements per cohort: - Cohort 1 is measured at three time points: in school year 2016/17 (measurement 1), school year 2017/18 (measurement 2) and school year 2018/19 (measurement 3). - Cohort 2 is measured at three time points: in school year 2017/18 (measurement 1), school year 2018/19 (measurement 2) and school year 2019/20 (measurement 3). - Cohort 3 is measured at two time points: in school year 2018/19 (measurement 1) and school year 2019/20 (measurement 2). | — |
Countries
Netherlands
Outcome results
None listed