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Smith LE, Gosselin V, Collins P, Frohlich KL. A Tale of Two Cities: Unpacking the Success and Failure of School Street Interventions in Two Canadian Cities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11555. [PMID: 36141827 PMCID: PMC9517135 DOI: 10.3390/ijerph191811555] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 09/06/2022] [Accepted: 09/07/2022] [Indexed: 06/16/2023]
Abstract
One innovative strategy to support child-friendly cities is street-based interventions that provide safe, vehicle-free spaces for children to play and move about freely. School streets are one such innovation involving closing streets around elementary schools to vehicular traffic to improve children's safety as they come and go from school while providing opportunities for children to play and socialize on the street. Launching these initiatives in communities dominated by automobiles is enormously challenging and little is known about why these interventions are successfully launched in some places but not others. As part of a larger research project called Levelling the Playing Fields, two School Street initiatives were planned for the 2021-2022 school year; one initiative was successfully launched in Kingston, ON, while the second initiative failed to launch in Montreal, QC. Using a critical realist evaluation methodology, this paper documents the contextual elements and key mechanisms that enabled and constrained the launch of these School Streets in these cities, through document analysis and key informant interviews. Our results suggest that municipal and school support for the initiative are both imperative to establishing legitimacy and collaborative governance, both of which were necessary for a successful launch.
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Affiliation(s)
- Laura E. Smith
- Department of Geography and Planning, Queen’s University, Kingston, ON K7L 3N6, Canada
| | - Veronique Gosselin
- École de Santé Publique (ESPUM), Centre de Recherche en Santé Pulique (CReSP), Université de Montréal, Montreal, QC H3N 1X9, Canada
| | - Patricia Collins
- Department of Geography and Planning, Queen’s University, Kingston, ON K7L 3N6, Canada
| | - Katherine L. Frohlich
- École de Santé Publique (ESPUM), Centre de Recherche en Santé Pulique (CReSP), Université de Montréal, Montreal, QC H3N 1X9, Canada
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Koester M, Bejarano CM, Davis AM, Brownson RC, Kerner J, Sallis JF, Steel C, Carlson JA. Implementation contextual factors related to community-based active travel to school interventions: a mixed methods interview study. Implement Sci Commun 2021; 2:94. [PMID: 34446091 PMCID: PMC8390274 DOI: 10.1186/s43058-021-00198-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Accepted: 08/06/2021] [Indexed: 11/12/2022] Open
Abstract
Background Active travel to school contributes to multiple physical and psychosocial benefits for youth, yet population rates of active travel to school are alarmingly low in the USA and many other countries. Though walking school bus interventions are effective for increasing rates of active travel to school and children’s overall physical activity, uptake of such interventions has been low. The objective of this study was to conduct a mixed methods implementation evaluation to identify contextual factors that serve as barriers and facilitators among existing walking school bus programs. Methods Semi-structured interviews guided by the Consolidated Framework for Implementation Research (CFIR) were conducted with leaders of low-sustainability (n = 9) and high-sustainability (n = 11) programs across the USA. A combination of quantitative (CFIR-based) coding and inductive thematic analysis was used. The CFIR-based ratings were compared between the low- and high-sustainability programs and themes, subthemes, and exemplary quotes were provided to summarize the thematic analysis. Results In both the low- and high-sustainability programs, three of the 15 constructs assessed were commonly rated as positive (i.e., favorable for supporting implementation): student/family needs and resources, implementation climate, and planning. Three constructs were more often rated as positive in the high-sustainability programs: organizational incentives and rewards, engaging students and parents, and reflecting and evaluating. Three constructs were more often rated as positive in the low-sustainability programs: student/family needs and resources - built environment, available resources, and access to knowledge and information. Four themes emerged from the thematic analysis: planning considerations, ongoing coordination considerations, resources and supports, and benefits. Conclusions Engagement of students, parents, and community members were among the factors that emerged across the quantitative and qualitative analyses as most critical for supporting walking school bus program implementation. The information provided by program leaders can help in the selection of implementation strategies that overcome known barriers for increasing the long-term success of community-based physical activity interventions such as the walking school bus.
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Affiliation(s)
- MacKenzie Koester
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA
| | - Carolina M Bejarano
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA.,Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA
| | - Ann M Davis
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA.,Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Ross C Brownson
- Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.,Division of Public Health Sciences, Washington University School of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Jon Kerner
- Canadian Partnership Against Cancer, Toronto, Ontario, Canada
| | - James F Sallis
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, California, USA.,Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - Chelsea Steel
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA
| | - Jordan A Carlson
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA. .,Department of Pediatrics, Children's Mercy Kansas City and University of Missouri Kansas City, Kansas City, Missouri, USA.
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