224526 Implementation of school wellness policies: Challenges and opportunities

Wednesday, November 10, 2010 : 9:30 AM - 9:45 AM

Janice Kao, MPH , Dr. Robert C. and Veronica Atkins Center for Weight and Health, UC Berkeley, Berkeley, CA
Gail Woodward-Lopez, MPH, RD , Dr. Robert C. and Veronica Atkins Center for Weight and Health, UC Berkeley, Berkeley, CA
Mary Lussier, MPH, RD , Nutrition Services Division, California Department of Education, Sacramento, CA
Pat Crawford, DrPH, RD , Atkins Center for Weight and Health, University of California, Berkeley, Berkeley, CA
In 2004 the Child Nutrition and WIC Reauthorization Act required that school districts adopt a comprehensive wellness policy by the 2007-8 school year. These policies had to address the school meal program, nutrition standards, nutrition education, and physical education/physical activity. The USDA funded a demonstration project in 3 states to examine the process and impact of the school wellness policies. The study was a pre/post intervention design with a comparison group. Methods included district and school level online questionnaires and in-person interviews, observation and documentation of the meal program and competitive food environment, and accounts of meal participation and food and beverage sales. In California 24 schools in 8 districts participated. The nutrition polices were the most extensively implemented and the most controversial. Federal and state law, leadership and staff expertise were the primary reasons for focusing on a given goal. The most important ingredients for success related to the attributes of school personnel whereas the barriers were resource related and most commonly included lack of time, lack of buy-in and financial concerns. Monitoring implementation was one of the least implemented areas and was an area where the most technical assistance was needed. The schools were successful in decreasing a la carte sales and increasing meal participation which had a positive impact on food service finances. Although schools had made significant progress additional support is needed if we expect schools to continue to make the school wide changes need to support student wellness and readiness to learn.

Learning Areas:
Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related laws, regulations, standards, or guidelines
Public health or related research

Learning Objectives:
Describe the extent to which schools were able to implement the various aspects of their school wellness policies. Identify factors that contributed to successful implementation of school wellness policies. Identify barriers to school wellness policy implementation and how schools overcame them. Discuss the types of support that are needed for schools to fully implement their wellness policies

Keywords: School Health, Children and Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was involved in all aspects of the evaluation implementation, analysis and interpretation of findings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5085.0: School policies and wellness