1. Afdeling 1 Nina Bartelink PhD student at Maastricht University Department of Health Promotion n.bartelink@maastrichtuniversity.nl ‘The Healthy Elementary School of the Future’

2. Afdeling 2 1.The Healthy Elementary School of the Future 2.Aspects: physical activity and nutrition 3.Effect study 4.Implementation study 5.Planning Content of the presentation

3. Afdeling 3 Why? Low social-economic status Unhealthy lifestyle Health problems Project goals: Improving school achievements and developing talents; Adjusting to the biorhythm of the child; Improving a healthy lifestyle in children and parents; Facilitating parents in combining work and children; 1. The Healthy Elementary School of the Future

4. Afdeling 4 1. The Healthy Elementary School of the Future Stakeholders: School team Parents (and children) MOVARE school board Maastricht University Child care organisations SODEXO (food services and facilities corporation) Sport and leisure organisation Province Limburg Public health services

5. Afdeling 5 1. The Healthy Elementary School of the Future Example of a dayschool schedule TimeActivityInvulling 07:30DaycareDaycare with optional healthy breakfast 08:30Start schoolday1 hour school with exercise, singing 09:30Math, language etc.2 hours school with obligatory activities, and healthy morning snack 12:00BreakBreak with healthy lunch, and physical activity 14:00Math, language etc.2 hours school with obligatory activities 16:00DaycareSport, physical activity, free time, homework, associations

6. Afdeling 6 Daily: 1 hour physical activity 1 healthy schoolmeal A healthy morning snack Health education Many more activities possible! Intervention Mapping: systematic search for evidence-based activities. For example: creating PA-friendly playground, creating more healthy policy, use of energizers, improving active transport, school garden, etc. School will decide what fits to their goals and possibilities 2. Aspects: physical activity and nutrition

7. Afdeling 7 Research questions: What is the effect of The Healthy Elementary School of the Future on children’s dietary and physical activity behaviour? What is the effect of changes on ‘liking of’ physical activities and food products on children’s dietary and physical activity behaviour? What is the effect of changes on parents’ and teachers’ physical activity and food practices on children’s dietary and physical activity behaviour? 3. Effect study

8. Afdeling 8 3. Effect study The Healthy Elementary School of the Future 2 intervention schools 2 PA schools 4 control schools Baseline measurements Regular school Measurements 1 year 4 years

9. Afdeling 9 Measurements BMI Waist circumference Accelerometer Questionnaire for children Physical activity and dietary behaviour ‘Liking of’ activities and healthy food products Questionnaire for parents Childs’ physical activity and dietary behaviour Physical activity and food practices Questionnaire for teachers Physical activity and food practices 3. Effect study

10. Afdeling 10 Research questions Implementation of the activities: 1. Which activities did the school choose? 2.Which activities did the school implement? 3.How was the implementation fidelity of the activities that were chosen? (Dusenbury et al. (2003)) 4.What were perceived barriers and facilitators of implementation of the activities? (Bessems et al. (2014), Bartholomew et al. (2011) and the CFIR framework of Damschroder et al. (2009)) Implementation of the strategies: 1.Which strategies are used to optimize implementation of the activities? 2.How was the implementation fidelity of the strategies that were used? 3.What were perceived barriers and facilitators of the used strategies? 4. Implementation study

11. Afdeling 11 Measuring throughout the year Participants: –Implementation of the activities: implementers and receivers of the activities –Implementation of the strategies: implementers and receivers of the strategies Measurements: –Implementation of the activities: observations, logbooks, semi-structured interviews –Implementation of the strategies: semi-structured interviews 4. Implementation study

12. Afdeling 12 Preparation year Start baseline measurements: 1 september 2015 Start project: 1 november 2015 5. Planning

13. Afdeling 13 www.gezondebasisschoolvandetoekomst.nl Questions???