| 1. |
- Berggren, Linda, et al.
(författare)
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Nordic children's conceptualizations of healthy eating in relation to school lunch
- 2017
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 117:2, s. 130-147
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Pupils' perspective should be better taken into account when developing nutrition education at school. The purpose of this paper is to explore Nordic children's perspectives on the healthiness of meals in the context of school lunches.Design/methodology/approach: In total, 78 focus group discussions were conducted with 10-11-year-old girls and boys (n=457) from schools in Finland, Iceland, Norway and Sweden, which were participating in the Nordic school meal project ProMeal during the school year 2013-2014. A flexible discussion guide and stimulus material in the form of 14 photographs displaying different school lunch contexts were used. The discussions were analyzed using thematic analysis.Findings: These Nordic children seem to share the adult-set aim of healthy eating in the school context as a socio-cultural norm. Although healthy eating was constructed as a rational, normative and acceptable way to eat at school, unhealthy eating was emphasized as negotiably acceptable when eaten occasionally and under certain circumstances (e.g. at special occasions). Unhealthy eating also comprised emotionally laden descriptions such as enjoyment and disgust. Practical implications: Children's conceptualizations of healthy eating are connected to nutritional, socio-cultural, emotional and normative dimensions, which should be reflected also when developing nutrition education in school.Originality/value: The need for research exploring children's experiences of, and understandings about, school lunch motivated this unique multicenter study with a large number of participating children. In the focus groups a child-oriented, photo-elicitation method was used.
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| 2. |
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| 3. |
- Eriksson Tinghög, Mimmi, 1973-
(författare)
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An eye opener, but mostly for others : Employees’ perceptions on workplace alcohol education programmes
- 2013
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Ingår i: Health Education. - : Emerald. - 0965-4283 .- 1758-714X. ; 113:2, s. 144-159
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The aim of this study is to examine the rarely heard opinions of participants in alcohol educations – in this case, employees at three workplaces. What opinions were found in relation to the initiative, its content and effects, and what are the underlying notions from which these opinions derive?Design/methodology/approach – The study material consisted of ten group interviews and questionnaire responses (n:298) with both fixed and open response alternatives. The data were analysed using thematic analysis and frequency tables.Findings – The alcohol educations appear to be perceived as legitimate and relatively unproblematic. Most opinions focused on the basic approaches used in alcohol education programmes at a more general level; there should be no lecturing and no moralizing and the content and lecturer should be trustworthy. One important finding is that education programmes like these are perceived as being useful, but mostly for others. These opinions appeared to be associated with two overarching themes in particular: paternalism and beneficence.Originality/value – The results of the study provide some idea of the value placed on education programmes of this kind from the perspective of the participants. Alcohol education programmes are perceived as being important and justified since they produce benefits for others, for those at risk. If the education programme is presented as being health promotive rather than risk reducing it is more likely to be perceived as relating to everyone, not only “the others”. The results may be of relevance for those planning and performing many types of health education programmes.
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| 4. |
- Geidne, Susanna, 1975-, et al.
(författare)
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The implementation process of alcohol policies in eight Swedish football clubs
- 2013
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Ingår i: Health Education. - : Emerald. - 0965-4283 .- 1758-714X. ; 113:3, s. 196-215
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – Alcohol stands in an ambiguous relationship to sports, and there is a common belief that participation in sports prevents alcohol consumption. Although this is not always the case, sports clubs can be important settings for health promoting alcohol policy interventions .The purpose of this paper is to explore the process of implementing alcohol policies in eight football clubs in Sweden and, in particular, how the implementation process is conveyed in the clubs’ alcohol policy projects, the similarities and differences between this case study and Durlak and DuPre's implementation model and the recommendations for successful alcohol policy implementation in relation to the result.Design/methodology/approach – In total, 15 semi-structured interviews on the subject of sports’ club alcohol policies were conducted with project leaders and board members from eight sports clubs. The interviews were analysed using Durlak and DuPre's model of factors affecting implementation processes.Findings – The results show that almost all the factors in Durlak and DuPre's model were comprehensively manifested in the football clubs’ alcohol policy projects, although with slightly different significance and emphases.Practical implications – The results are discussed in relation to recommendations for successful alcohol policy implementation in sports clubs. Recommendations are presented in six areas: an explicit message; fit; internal policy dissemination; alcohol policy as a part of overall policy; support; and actors.Originality/value – Many sports clubs do an excellent job of implementing alcohol policies successfully and it is imperative to incorporate their “good” practices into research and provide assistance to those whose policies and practice are less developed.
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| 5. |
- Geidne, Susanna, 1975-, et al.
(författare)
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Working with or against the stores? : A non-governmental organization working with alcohol purchase attempts
- 2009
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Ingår i: Health Education. - Southampton : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 109:3, s. 259-278
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this paper is to describe and analyse the implementation by a non-governmental organization (NGO) of an intervention with two different strategies – one employing confrontational approaches, the other cooperative ones – aiming to reduce the rate of successful purchase attempts (PAs) of medium-strength beer in Sweden.Design/methodology/approach – The Swedish Youth Temperance Movement (UNF) has been responsible for the development and implementation of the intervention, and a research team at Örebro University for the evaluation. The outcome analysis is based on 1,475 PA from 25 Swedish cities during 2003-2006. Annual reports, discussions and telephone interviews have been used to understand the intervention process.Findings – In 40 per cent of all registered PAs, beer is sold to minors. In the eight cities using a structured strategy, there is a significant decrease from 2003 to 2006 (44-27 per cent; p<0.001). The confrontation method, compared to no model, is more than four times (OR?=?3.8; CI 2.0-7.0) more likely to yield a positive result. Compared to the cooperation method, it is even more likely to yield a positive result (OR?=?4.7; CI 2.1-10.7).Practical implications – Working with a structured strategy gives significantly better results than working without one. The confrontation method is more successful than the cooperation method. Developing a preventive strategy takes time, cooperation perhaps requiring even more time to succeed than confrontation. The result reveals the importance of building local networks in the municipalities.Originality/value – The advocacy for Swedish alcohol policy by the young members of UNF and participatory research is a unique combination. Purpose – The purpose of this paper is to describe and analyse the implementation by a non-governmental organization (NGO) of an intervention with two different strategies – one employing confrontational approaches, the other cooperative ones – aiming to reduce the rate of successful purchase attempts (PAs) of medium-strength beer in Sweden. Design/methodology/approach – The Swedish Youth Temperance Movement (UNF) has been responsible for the development and implementation of the intervention, and a research team at Örebro University for the evaluation. The outcome analysis is based on 1,475 PA from 25 Swedish cities during 2003-2006. Annual reports, discussions and telephone interviews have been used to understand the intervention process. Findings – In 40 per cent of all registered PAs, beer is sold to minors. In the eight cities using a structured strategy, there is a significant decrease from 2003 to 2006 (44-27 per cent; p =0.001).The confrontation method, compared to no model, is more than four times (OR= 3.8; CI 2.0-7.0) more likely to yield a positive result. Compared to the cooperation method, it is even more likely to yield a positive result (OR =4.7; CI 2.1-10.7). Practical implications – Working with a structured strategy gives significantly better results thanworking without one. The confrontation method is more successful than the cooperation method.- Developing a preventive strategy takes time, cooperation perhaps requiring even more time to succeed than confrontation. The result reveals the importance of building local networks in the municipalities. Originality/value – The advocacy for Swedish alcohol policy by the young members of UNF and participatory research is a unique combination.
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| 6. |
- Ingemarson, Maria, et al.
(författare)
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The implementation of a behavioural support programme Teachers' perceptions of the programme and themselves as providers
- 2016
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Ingår i: Health Education. - : EMERALD GROUP PUBLISHING LTD. - 0965-4283 .- 1758-714X. ; 116:6, s. 526-540
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Tidskriftsartikel (refereegranskat)abstract
- Purpose - The purpose of this paper is to investigate how teachers received and perceived the school programme Prevention in School (PS), a positive behavioural support programme; how did the teachers perceive the programme characteristics and themselves as providers; and how did this affect programme implementation? Design/methodology/approach - Qualitative methods with semi-structured interviews with 13 teachers and thematic content analysis were used. Findings - The teachers were heterogeneous in their views, with professional identity, programme understanding and experiencing change being important factors for the implementation. Ambiguities regarding the boundaries of the social assignment, opposition against the theoretical underpinnings and an unclear nomenclature in a core component affected the implementation negatively. Among the perceived benefits were instant rewards in the form of aha moments and increased self-awareness. The nature of the implementation barriers indicates that PS is in need of further development. Practical implications - Compatibility with teachers' ideologies, clarification of the social assignment and enough time to consider programme adoption are vital when implementing a programme like PS. Originality/value - The study provides context-specific understanding of teachers' perceptions of a behavioural support programme and of their role when trying to implement it. It is known that providers' perceptions affect the implementation and this study contributes to the field of implementation research, with particular respect to the school setting and comprehensive programmes like PS.
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| 7. |
- Korp, Peter, 1966, et al.
(författare)
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Making sense of health in PE : conceptions of health among Swedish physical education teachers
- 2023
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 123:2, s. 79-92
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Tidskriftsartikel (refereegranskat)abstract
- PurposeOver the last couple of decades, health has become a central part of the subject content in physical education (PE) curricula in many countries. As a result, issues of health have been foregrounded much more clearly in the teaching of PE. The aim of this study was to explore how Swedish PE teachers make sense of health in relation to their teaching practices. This was done through investigating conceptions and theories about health in the teachers' descriptions of their teaching practices.Design/methodology/approachThe data analyzed in this paper were collected through focus group and individual interviews with PE teachers in the grades 7-9 within compulsory schools in Sweden. The data were analyzed using thematic analysis.FindingsFour dominant themes were identified in the data: 1) Health as a healthy attitude, 2) Health as a functional ability, 3) Health as fitness, 4) Health as mental wellbeing. There is a clear impact from healthism and obesity discourses on the teachers' accounts of health, but there is also an impact from holistic views and approaches to health. The authors contend that teachers should be explicit in what they mean by health in relation to what they teach, how they teach and why they teach health in a certain way.Originality/valueThe knowledge produced by this study is crucial since teachers' assumptions regarding health affect the subject content (what), the pedagogies (how), as well as the reasons (why) they teach health and therefore what students learn regarding health.
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| 8. |
- Kostenius, Catrine, et al.
(författare)
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Gamification of health education : Schoolchildren’s participation in the development of a serious game to promote health and learning
- 2018
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 118:4, s. 354-368
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Tidskriftsartikel (refereegranskat)abstract
- PurposeThe use of modern technology has many challenges and risks. However, by collaborating with schoolchildren, ideas to effectively promote health and learning in school can be identified. This study aimed to examine how a participatory approach can deepen the understanding of how schoolchildren relate to and use gamification as a tool to promote physical activity and learning.Design/methodology/approachInspired by the concept and process of empowerment and child participation, the methodological focus of this study was on consulting schoolchildren. During a 2-month period, 18 schoolchildren (10–12-years-old) participated in workshops to create game ideas that would motivate them to be physically active and learn in school.FindingsThe phenomenological analysis resulted in one main theme, ‘Playing games for fun to be the best I can be’. This consisted of four themes with two sub-themes each. The findings offer insights on how to increase physical activity and health education opportunities using serious games in school.Originality/valueThe knowledge gained provides gamification concepts and combinations of different technological applications to increase health and learning, as well as motivational aspects suggested by the schoolchildren. The findings are discussed with health promotion and health education in mind.
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| 9. |
- Kostenius, Catrine, 1962-, et al.
(författare)
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Open letters about health dialogues reveal school staff and students’ expectations of school health promotion leadership
- 2022
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 122:3, s. 318-334
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This study explores to what extent health promotion policy in practice and leadership engagement is reflected in school actors’ experiences of health dialogues (HDs) and their ideas about promoting health and learning in schools. Design/methodology/approach: The 93 participants consisted of 44 school nurses, 37 students in grades 4, 7 or the first year of high school and 12 teachers, who shared their experiences with HDs by writing open letters. Findings: The qualitative content analysis resulted in four themes: Putting health on the agenda, Finding a common goal, Walking side by side and Pointing out a healthy direction. The participants’ expectations of school health promotion leadership are revealed in suggestions on how the HDs can fulfill both the educational assignment and promote student health. Practical implications: Based on the findings, we argue that for successful school health promotion leaders need to acknowledge the field of tension where leadership has to take place, anchor health promotion policy and administer “a Sandwich approach†– a top-down and bottom-up leadership simultaneously that facilitates school-based health promotion. Originality/value: When different school actors (school nurses, teachers and students) are given a voice, a collective picture of HDs can emerge and help develop health promotion practices.
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| 10. |
- Kostenius, Catrine
(författare)
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Student-driven health promotion activities
- 2013
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Ingår i: Health Education. - 0965-4283 .- 1758-714X. ; 113:5, s. 407-419
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Tidskriftsartikel (refereegranskat)abstract
- Purpose - The aim was to examine how students experienced creating, leading and praticipating in student-driven health promoting activities in cooperation with their teacher. Design/methodology/approach - Inspired by the PAAR method (participatory appreciative action research) 19 Swedish students, ages 10-11 participated in health promotion work in the classroom through creating, leading, participating in and evaluating their own and their peers’ health promoting activities.Findings - The analysis of the student’s health promoting activities resulted in three themes; (i) the friendly touch (ii) the outdoor run for fun (iii) the sounds of well-being, including health promotion tools such as music, massage, physical activity and the outdoors.Originality/value - The comprehensive understanding of how students experienced creating, leading and participating in student-driven health promoting activities in cooperation with their teacher, revealed three key points; i) When students were asked to choose health promoting activities, they were not only in line with existing research but were able to reflect on how to develop praxis, ii) Students are competent to lead health promoting activities with the support of their teacher and participating in health promoting activities lead by their peers, iii) The group assignment in this study offer one example of implementing health promoting activities in school to increase health literacy
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