Abstract
Given the increase in the number of Canadian jurisdictions with school nutrition and/or physical activity policies, there is a need to assess the effectiveness of such policies. The objectives of this paper are to 1) provide an overview of key issues in monitoring and evaluating school nutrition and physical activity policies in Canada and 2) identify areas for further research needed to strengthen the evidence base and inform the development of effective approaches to monitoring and evaluation. Evaluation indicators, data sources and existing tools for evaluating nutrition and physical activity are reviewed. This paper has underscored the importance of identifying common indicators and approaches, using a comprehensive approach based on the WHO framework and ensuring that research capacity and funding is in place to facilitate high-quality evaluation efforts in the future.
Electronic Supplementary Material
Supplementary material is available for this article at 10.1007/BF03405622 and is accessible for authorized users.
Key words: Nutrition policy, physical activity policy, evaluation, school health
Résumé
Compte tenu du nombre croissant d’administrations canadiennes disposant de politiques de nutrition ou d’activité physique en milieu scolaire, la nécessité se fait sentir d’évaluer l’efficacité de ces politiques. Le présent article vise les objectifs suivants: 1) fournir un aperçu des principales problématiques entourant la surveillance et l’évaluation des politiques de nutrition et d’activité physique en milieu scolaire au Canada et 2) identifier les domaines où des recherches ultérieures s’imposent pour renforcer les données probantes et guider l’élaboration d’approches efficaces en matière de surveillance et d’évaluation. Cet article examine les indicateurs, les sources de données et les outils d’évaluation existants dans les domaines de la nutrition et de l’activité physique. Il insiste sur l’importance d’identifier des approches et indicateurs communs, d’adopter une approche globale s’inscrivant dans le cadre de l’Organisation mondiale de la Santé (OMS) et de s’assurer que la capacité de recherche et le financement soient suffisants pour augmenter l’efficacité des démarches d’évaluation à l’avenir.
Mots clés: politique de nutrition, politique d’activité physique, évaluation, santé en milieu scolaire
French language version/Version en Français
Footnotes
Conflict of Interest None to declare.
Conflit d’intérêts: Aucun à déclarer.
Références
- 1.Institute of Medicine. Preventing Childhood Obesity: Health in the Balance. Washington D.C.: National Academies Press; 2005. [PubMed] [Google Scholar]
- 2.Raine K, Wilson E. Obesity Prevention in the Canadian Population: Policy Recommendations for Environmental Change. Canadian Medical Association Journal. 2007;176(8):106–109. [Google Scholar]
- 3.Budd GM, Volpe SL. School-Based Obesity Prevention: Research, Challenges, and Recommendations. The Journal of School Health. 2006;76(10):485–495. doi: 10.1111/j.1746-1561.2006.00149.x. [DOI] [PubMed] [Google Scholar]
- 4.Les diététistes du Canada. « . An Overview of School Nutrition Policies. 2008. [Google Scholar]
- 5.McKenna ML «. Issues in Implementing School Nutrition Policies. Canadian Journal of Dietetic Practice and Research. 2003;64(4):208–213. doi: 10.3148/64.4.2003.208. [DOI] [PubMed] [Google Scholar]
- 6.Organisation mondiale de la santé. Stratégie mondiale pour l’alimentation, l’exercice physique and la santé: cadre de surveillance and d’évaluation de la mise en œuvre. 2006. [Google Scholar]
- 7.Institute of Medicine. Progress in Preventing Childhood Obesity: How Do We Measure Up? Washington D.C.: National Academies Press; 2007. [Google Scholar]
- 8.Lagarde F, LeBlanc CMA. Physical Activity in Schools. 2008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Boyle M, Purciel M, Craypo L, Stone-Francisco S, Samuels SE. National Evaluation and Measurement Meeting on School Nutrition and Physical Activity Policies: Final Report, Meeting Proceedings. San Francisco (Californie): Samuels & Associates; 2004. [Google Scholar]
- 10.Illinois School Wellness Policy Task Force. Report on the Evaluation of Six School Districts on the Effectiveness of Wellness Policies. 2008. [Google Scholar]
- 11.Action for Healthy Kids. Wellness Policy Tool. 2008. [Google Scholar]
- 12.Finkelstein DM, Hill EL, Whitaker RC. School Food Environments and Policies in US Public Schools. Pediatrics. 2008;122:e251–e259. doi: 10.1542/peds.2007-2814. [DOI] [PubMed] [Google Scholar]
- 13.O’Toole TP, Anderson S, Miller C, Guthrie J. Nutrition Services and Foods and Beverages Available at School: Results From the School Health Policies and Programs Study 2006. The Journal of School Health. 2007;77(8):500–521. doi: 10.1111/j.1746-1561.2007.00232.x. [DOI] [PubMed] [Google Scholar]
- 14.Taylor J, Evers S, McKenna M. Determinants of Healthy Eating in Children and Youth. Canadian Journal of Public Health. 2005;96(suppl.):S20–S26. [PubMed] [Google Scholar]
- 15.Ministère de l’Éducationministère de la Santé de la Colombie-Britannique. School Food Sales and Policies Provincial Report II. 2008. [Google Scholar]
- 16.Gouvernement du Manitoba. Manitoba School Nutrition Survey. 2006. [Google Scholar]
- 17.Leatherdale ST, Manske S, Wong SL, Cameron R. Integrating Research, Policy, and Practice in School-Based Physical Activity Prevention Programming: The School Health Action, Planning, and Evaluation System (SHAPES) Physical Activity Module. Health Promotion Practice. 2009;10(2):254–261. doi: 10.1177/1524839906298499. [DOI] [PubMed] [Google Scholar]
- 18.Robert Wood Johnson Foundation. Policy Brief: Improved Child Nutrition Policy: Insights From a National USDA Study of School Food Environments. 2009. [Google Scholar]
- 19.Institut canadien de la recherche sur la condition physiquele mode de vie sain. Kids CANPLAY! Encouraging Children to Be Active at Home, at School and in Their Communities. 2008. [Google Scholar]
- 20.Organisation mondiale de la santé. «Inequalities in Young People’s Health: HBSC International Report From the 2005/2006 Survey». Tiré de: Currie, C., S. Gabhainn, E. Godeau,coll. dir. Health Policy for Children and Adolescents. Copenhague, Danemark: Bureau régional de l’Europe de l’OMS; 2008. [Google Scholar]
- 21.Lee SM, Burgeson CR, Fulton JE, Spain CG. Physical Education and Physical Activity: Results From the School Health Policies and Programs Study 2006. The Journal of School Health. 2007;77(8):435–463. doi: 10.1111/j.1746-1561.2007.00229.x. [DOI] [PubMed] [Google Scholar]
- 22.Bauman A, Phongsavan P, Schoeppe S, Owen N. Physical Activity Measurement–a Primer for Health Promotion. Promotion & Education. 2006;13(2):92–103. doi: 10.1177/10253823060130020103. [DOI] [PubMed] [Google Scholar]
- 23.Tessier S, Vuillemin A, Briançon S. Revue des questionnaires de mesure de l’activité physique validés chez les enfants and les adolescents. Science & Sports. 2008;23:118–125. doi: 10.1016/j.scispo.2007.10.011. [DOI] [Google Scholar]
- 24.Jago R, Anderson CB, Baranowski T, Watson K. Adolescent Patterns of Physical Activity: Differences by Gender, Day and Time of Day. American Journal of Preventive Medicine. 2005;28(5):447–452. doi: 10.1016/j.amepre.2005.02.007. [DOI] [PubMed] [Google Scholar]
- 25.MacLellan D, Taylor J, Freeze C. Developing school nutrition policies: Enabling and barrier factors. Canadian Journal of Dietetic Practice and Research. 2009;70(4):162–208. doi: 10.3148/70.4.2009.166. [DOI] [PubMed] [Google Scholar]
- 26.Foster GD, Sherman S, Borradaile KE, Grundy KM, Vander Veur SS, Nachmani J. A Policy-Based School Intervention to Prevent Overweight and Obesity. Pediatrics. 2008;121(4):e794–e802. doi: 10.1542/peds.2007-1365. [DOI] [PubMed] [Google Scholar]
- 27.Ramanathan S, Allison KR, Faulkner G, Dwyer JJM. Challenges in Assessing the Implementation and Effectiveness of Physical Activity and Nutrition Policy Interventions as Natural Experiments. Health Promotion International. 2008;23:290–297. doi: 10.1093/heapro/dan022. [DOI] [PubMed] [Google Scholar]
- 28.Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating Healthy Food et Eating Environments: Policy and Environmental Approaches. Annual Review of Public Health. 2008;29:253–272. doi: 10.1146/annurev.publhealth.29.020907.090926. [DOI] [PubMed] [Google Scholar]
- 29.Masse LC, Frosh MM, Chriqui JF, Yaroch AL, Aguis-Collins T. Development of a School Nutrition-Environment State Policy Classification System (SNESPCS) American Journal of Preventive Medicine. 2007;33(4S):S277–S291. doi: 10.1016/j.amepre.2007.07.017. [DOI] [PubMed] [Google Scholar]
- 30.Durant N, Harris SK, Doyle S, Person S, Saelens BE, Kerr J. Relation of the School Environment and Policy to Adolescent Physical Activity. The Journal of School Health. 2009;79:153–159. doi: 10.1111/j.1746-1561.2008.00384.x. [DOI] [PubMed] [Google Scholar]
- 31.Brescoll V, Kersh R, Brownell KD. Assessing the Feasibility and Impact of Federal Childhood Obesity Policies. The ANNALS of the American Academy of Political and Social Science. 2008;615:178–194. doi: 10.1177/0002716207309189. [DOI] [Google Scholar]