Steven Rowe, Author at Health Behavior and Policy Review

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So far Steven Rowe has created 122 blog entries.

That Pop-Up Restaurant: Innovation in a Summer Feeding Program

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Keyondra L. Brooks, PhD
Will Rapp, MS
Jennifer Ogleby
Matt Shepherd, PhD

Objective:

That Pop-Up Restaurant Summer Food Service Program (SFSP) was a federally reimbursed program that first served healthy meals to families in a rural Kansas community during the summer of 2017. The program aimed to empower communities to address child hunger by reducing stigma concerning food assistance and providing high-quality, nutritious meals to families. This pilot was developed to increase low utilization rates of summer feeding programs.

Methods:

An ecological approach was implemented to engage students and families. Program innovations included an open menu ordering format with paid adult meals and proper food storage while maintaining USDA’s nutritional requirements. Additionally, the menu options exceeded fruit and vegetable requirements.

Results:

On average, 9.6% of youth who participated in the free and reduced-price lunch programs participated daily in summer nutrition during the 2016-2017 school year (FRAC, 2019). Comparatively, That Pop-Up Restaurant’s pilot had over 25% of eligible youth participate in the program one or more times.

Conclusions:

That Pop-Up Restaurant summer food service program showed promising results for the target population and program developers aim to replicate the program in various communities.

Source: Health Behavior and Policy Review, Volume 8, Number 6, November 2021, pp. 620-627(8)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.6.12

Steven Rowe2021-12-30T21:43:43-07:00December 30th, 2021|Nutrition, Youth|

A Content Analysis of Implementation Strategies Chosen by Virginia School Nutrition Directors

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Kathleen J. Porter, PhD, RD
Kelly Shomo, MPH
Sandra Curwood, PhD, RDN
Sarah A. Misyak, PhD, MPH

Objective:

School-based interventions are common approaches to address childhood obesity; however, there is little understanding of strategies that can foster their implementation into schools. In this study, we aimed to identify goals and the specific strategies selected by school nutrition directors (SNDs) in Virginia to execute school-based interventions.

Methods:

Between 2018 and 2019, SNDs in Virginia participated in Team Nutrition workshops through which they created action plans. We carried out a content analysis of 132 action plans collected from 100 school divisions. We developed codes deductively and inductively. The codes captured plan completion, goals, and strategies. Each plan was independently coded by 2 coders.

Results:

Action plans included 1.2 goals (SD = 0.54) and 3.9 strategies per goal (SD = 2.1). Goals were most commonly related to improving menus or increasing participation in the school meal programs. The strategies varied based on the goals. However, obtaining buy-in from school personnel and students was the most commonly included goal (64.4%) across plans. The level of action plan completion decreased with each subsequent section of the worksheet.

Conclusions:

Emerging patterns identified in this study suggest SNDs’ strategy selection is based on goals and that trainings should be tailored to promote the development of skills required to execute optimal strategies.

Source: Health Behavior and Policy Review, Volume 8, Number 6, November 2021, pp. 585-595(11)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.6.9

Steven Rowe2021-12-30T21:42:26-07:00December 30th, 2021|Implementation, Nutrition|

The Impact of COVID-19 on Pre-K-12 Students and Staff in a Mid-sized Metropolitan Area

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Paul R. Teran, MD
Julia Kononowicz, MD
Stephanie Kuhlmann, DO
Julian Dedeaux, PhD
Kari Harris, MD

Objective:

During fall 2020, schools used a variety of learning modes based on anticipated risk of viral transmission within schools.

Methods:

De-identified SARS-CoV-2 data from 11 school districts in the Wichita, Kansas metropolitan area from August 1 to November 15, 2020, was collated for analysis. The Sedgwick County Health Department (SCHD) and Kansas Department of Health and Environment (KDHE) databases were accessed for community-level and contact tracing data.

Results:

Altogether, 13,573 staff and 54,479 students receiving full or partial on-site (hybrid) education were included. Few students (1.4%) or staff (4.7%) tested positive for SARS-CoV-2. District rates varied from 0.1% to 3.3% in students and 0.7% to 8.7% in staff. Students in grades 9-12 had a higher rate of positive tests and cases were more likely linked to school-based exposure. Staff rate by grade level did not show an identifiable trend; staff rates were higher in non-attendance centers.

Conclusions:

Low SARS-CoV-2 student case rates suggests on-site learning formats may be appropriate. School trends reflected community rate reinforcing that community-level interventions are necessary to decrease transmission. As new variants arise, transmission characteristics must be studied. Health and education partnership is important to ensure the greatest well-being for students and staff.

Source: Health Behavior and Policy Review, Volume 8, Number 6, November 2021, pp. 575-584(10)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.6.8

Steven Rowe2021-12-30T21:40:08-07:00December 30th, 2021|COVID19, School Health|

Development and Psychometric Assessment of Questionnaires for Evaluation of Social Support for Healthy Breakfast and Snack Consumption

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Fatemeh Bastami, PhD
Firoozeh Mostafavi, PhD
Arash Ardalan, MD, MPH
Fereshteh Zamani-Alavijeh, PhD

Objective:

Social support is one of the predictors of nutrition behaviors. Therefore, measuring and improving the level of support is necessary to improve students’ nutritional status. The purpose of this study was to design instruments and evaluate their psychometric properties for the evaluation of social support for breakfast and snack consumption.

Methods:

This methodological study was carried out from 2016 to 2018. The qualitative phase was performed in 3 Iranian cities: Isfahan, Khorramabad and Tehran. The quantitative phase was completed in Isfahan only. Initially, 2 questionnaires were developed using the results of the qualitative research. Subsequently, we assessed the face, content, and construct validity of both instruments.

Results:

The maternal support questionnaire consisted of 3 dimensions, including mother-sponsored support, family life pattern, and school-based collaboration, which explained 55.35% of the instrument’s variance. The school support questionnaire comprised 2 dimensions including informational support and instrumental support, which explained 54.52% of the variance in the results.

Conclusions:

These instruments can be used to measure and improve social support by designing, implementing, and evaluating community-based campaigns and interventions to improve breakfast consumption and snacking behaviors among children and youth at home and in school.

Source: Health Behavior and Policy Review, Volume 8, Number 6, November 2021, pp. 558-569(12)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.6.6

Steven Rowe2021-12-30T21:38:17-07:00December 30th, 2021|Nutrition, Psychometric Assessment, Social Support|

Effective Elements of School-based Provision for the Promotion of Healthy Lifestyles: A European Delphi Study

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Richard Bailey, PhD
Iva Glibo, MSc
Claude Scheuer, PhD

Objective:

Schools can serve as settings for promoting their student health, although it is necessary to identify the key elements of provision to leverage change. This study’s objective was to develop a Europe-based list of the elements of learning and health support systems judged by a group of experts to be most effective in influencing school student healthy lifestyles education.

Methods:

A 3-stage Delphi study involving a group of 18 Europe-based subject specialists was used to articulate shared expert opinions on the main research question: what are the most effective elements of learning and health support systems influencing school students’ healthy lifestyles education? Over 3 rounds of data-gathering, experts were asked to assess the effectiveness of 25 specific elements.

Results:

The 3 rounds resulted in the following ranked list: Physical Education (PE), Staff Professional Development, Healthy School Policies, Active Recess, Family & Community Engagement, Healthy Eating, Physical Activity in Classroom Lessons, and Active Transport.

Conclusions:

Cautious of overly generalizing from the results, we suggest the findings offer useful information for evidence-based programs, as well as future research that explores the necessary components of health promotion in schools.

Source: Health Behavior and Policy Review, Volume 8, Number 6, November 2021, pp. 546-557(12)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.6.5

Steven Rowe2021-12-30T21:35:45-07:00December 30th, 2021|Lifestyle, School Health|

Hallways to Health: School Health Beyond School-Based Health Center Walls

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Sara Geierstanger, MPH
Jordanna Snyder, MPH, CHES
Hayley Love, PhD, MSc
Andrea Shore, MPH
John Schlitt, MSW

Objective:

In this paper, we describe the implementation and outcomes of an initiative that engaged school-based health centers (SBHCs) in a learning community to create programmatic and policy school health changes beyond the health center walls.

Methods:

Sixty respondents completed impact surveys and 13 coalitions completed progress reports to document schoolwide wellness efforts and outcomes in stakeholder engagement, student healthy eating and active living, student social and emotional wellness, and school staff wellness.

Results:

Respondents reported pre- to post-intervention improvements in stakeholder engagement, including school administration promotion of school health policies (from 64% to 95%), and teacher participation in SBHC sponsored activities (from 63% to 98%). They reported schoolwide policy and programmatic achievements including increased opportunities for physical activity for students during school hours (from 55% to 85%), access to behavioral health counseling and support services to all students, either on-site or through referrals (from 62% to 89%), and offering healthy food or nutrition education to staff (from 10% to 73%).

Conclusions:

SBHC staff, school employees, and community members can work collaboratively to assess student physical and mental health needs, and develop and implement school policies and programs beyond the clinic walls.

Source: Health Behavior and Policy Review, Volume 8, Number 6, November 2021, pp. 503-513(11)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.6.2

Steven Rowe2021-12-30T21:34:00-07:00December 30th, 2021|Implementation, Program Planning, School Health|

Problematic Internet Use, Related Psychosocial Behaviors, Healthy Lifestyle, and Subjective Health Complaints in Adolescents

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Aija Klavina, PhD
Viktors Veliks, PhD
Anna Zusa, PhD
Juris Porozovs, PhD
Aleksandrs Aniscenko, MSc
Luize Bebrisa-Fedotova, MSc

Objective:

In this study, we explored Internet use-associated psychosocial behavior problems in relationship to adolescents’ subjective health complaints and healthy lifestyle habits.

Methods:

A cross-sectional sample of Latvian adolescents (N = 570, age range 11-19 years) completed a survey. Problematic Internet use (PIU) was assessed by the Problematic and Risky Internet Use Screening Scale (PRIUSS) that measures social impairment, emotional impairment, and risky/impulsive Internet use. Subjective health complaints assessed were somatic complaints and psychological complaints. Healthy lifestyle behaviors assessed were daily physical activity, time spent using information technologies (IT), eating habits, and sleep duration.

Results:

We found that 27.02 % (N = 154) of the participants scored at risk for PIU with significantly higher PIU mean scores in 15-16-year-old girls (p <.05). Also, 15-16-year-old girls reported significantly higher prevalence of subjective health symptoms than boys and girls in other age groups (p < .05). There were statistically significant associations between PIU-related psychosocial behaviors and subjective health complaints and limited physical activity (p < .01).

Conclusions:

PIU behaviors, subjective health complaints and lack healthy lifestyles were common in adolescents in this study with a significantly high prevalence in 15-16-year-old girls.

Source: Health Behavior and Policy Review, Volume 8, Number 5, September 2021, pp. 451-464(14)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.5.6

Steven Rowe2021-10-27T17:26:03-06:00October 27th, 2021|Adolescents, Technology Use|

Supporting Mental Health in School Settings: Findings from a Qualitative Evaluation

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Linda Weiss, PhD
Marilyn Jacob, PhD, LCSW
Maya Scherer, MPH
Anna Borkina, MS

Objective:

In this paper, we describe results from stakeholder interviews conducted to assess implementation and perceived outcomes of a project, implemented in 92 New York City middle and high schools, and focused on building the mental health-related skills of school personnel and promotion of healthier school environments.

Methods:

As part of a mixed-methods evaluation, we conducted 59 key stakeholder interviews with staff of participating community-based organizations and schools. Interview topics included mental health needs, project activities, engagement by school staff, strengths and challenges of the initiative, and perceived impact.

Results:

At the start of the project, interviewees reported difficulty comprehending the model and accepting its utility, given the direct service needs of students. Although concerns remained, we found positive impact, including increased awareness of mental health issues and their root causes, a greater sensitivity to students’ social and emotional challenges, and improved capacity to manage behavioral issues in the classroom.

Conclusions:

Although targeted approaches are needed for high-risk youth, population-level approaches may increase mental health knowledge and skills and support transformation leading to healthier school environments.

Source: Health Behavior and Policy Review, Volume 8, Number 5, September 2021, pp. 429-437(9)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.5.4

Steven Rowe2021-10-27T18:54:25-06:00October 27th, 2021|Mental Health, School Health|

Face Mask Policies of US Public School Districts in States without Statewide Mandates

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Philip Jacobs, PhD
Arvi Ohinmaa

Objective:

We developed categories of the degree of restrictiveness of public schoolboards’ face mask policies in 10 US states that had no statewide mask mandates at any time during the COVID-19 pandemic. We collected data on schoolboards’ mask wearing policies for the individual boards in these states.

Methods:

We obtained school reopening plans found on school district webpages. We abstracted district mask policies and sorted them into groups indicating whether mask wearing was required or recommended.

Results:

Overall, 44% of boards mandated masks in school settings. There was a wide variation of policies within and between states.

Conclusions:

When left to their own resources, schoolboards will follow a variety of policies, many of which are a departure from state recommendations.

Source: Health Behavior and Policy Review, Volume 8, Number 5, September 2021, pp. 422-428(7)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.5.3

Steven Rowe2021-10-27T17:15:38-06:00October 27th, 2021|COVID19, School Health|

Implementing Statewide Health Surveillance in Schools: Processes and Lessons Learned from the Texas SPAN Project

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An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Katherine A. Elder, PhD, MPAff
Carolyn Smith, BS
Claire Niday, MPH
Alison Winters Massie, DrPH
Amanda M. Reat, PhD, RD
Amier Haidar, BS
Michelle L. Cook, PhD, MPH
Deanna M. Hoelscher, PhD, RDN, LD, CNS, FISBNPA

Objective:

Prevalence of obesity among youth has increased in the last several decades. Using schools as a place to collect data on childhood obesity is considered by many researchers to be an important component to combating the disease. In this paper, we present process data from the Texas School Physical Activity and Nutrition (SPAN) project, a statewide surveillance system to monitor the prevalence of Texas school-aged children who have overweight/obesity.

Methods:

We selected 3 Public Health Regions (PHRs), including 30 districts and 140 schools, to represent geographic variability of processes of conducting this surveillance system. We tracked and analyzed administrative and communicative processes to conduct the Texas SPAN in those districts/schools.

Results:

The results demonstrate significant procedural variability across and within PHRs in implementing Texas SPAN. These variations occurred and are presented at both the district and school levels and relate to parental consent, communication processes, and time lags involved in approval and measurement.

Conclusions:

Due to the variability in the process data observed across and within PHRs, we recommend researchers interested in establishing obesity surveillance systems work to create statewide and local partnerships, cultivate strong communication, and develop mechanisms for data management.

Source: Health Behavior and Policy Review, Volume 8, Number 5, September 2021, pp. 412-421(10)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.5.2

Steven Rowe2021-10-27T17:09:44-06:00October 27th, 2021|Community Health, School Health|

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