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Sweeting H, Thomson H, Wells V, Flowers P. Evolution of 'whole institution' approaches to improving health in tertiary education settings: a critical scoping review. RESEARCH PAPERS IN EDUCATION 2023; 38:661-689. [PMID: 37424522 PMCID: PMC7614732 DOI: 10.1080/02671522.2021.1961302] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 07/02/2021] [Indexed: 07/11/2023]
Abstract
In recent decades, 'whole school' approaches to improving health have gained traction, based on settings-based health promotion understandings which view a setting, its actors and processes as an integrated 'whole' system with multiple intervention opportunities. Much less is known about 'whole institution' approaches to improving health in tertiary education settings. We conducted a scoping review to describe both empirical and non-empirical (e.g. websites) publications relating to 'whole settings', 'complex systems' and 'participatory'/'action' approaches to improving the health of students and staff within tertiary education settings. English-language publications were identified by searching five academic and four grey literature databases and via the reference lists of studies read for eligibility. We identified 101 publications with marked UK overrepresentation. Since the 1970s, publications have increased, spanning a gradual shift in focus from 'aspirational' to 'conceptual' to 'evaluative'. Terminology is geographically siloed (e.g., 'healthy university' (UK), 'healthy campus' (USA)). Publications tend to focus on 'health' generally rather than specific health dimensions (e.g. diet). Policies, arguably crucial for cascading systemic change, were not the most frequently implemented intervention elements. We conclude that, despite the field's evolution, key questions (e.g., insights into who needs to do what, with whom, where and when; or efficacy) remain unanswered.
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Affiliation(s)
- Helen Sweeting
- Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | - Hilary Thomson
- Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | - Valerie Wells
- Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | - Paul Flowers
- School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
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Olfert MD, Barr ML, Mathews AE, Horacek TM, Riggsbee K, Zhou W, Colby SE. Life of a vegetarian college student: Health, lifestyle, and environmental perceptions. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:232-239. [PMID: 32343196 PMCID: PMC7903325 DOI: 10.1080/07448481.2020.1740231] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 01/08/2020] [Accepted: 02/29/2020] [Indexed: 06/11/2023]
Abstract
Objective To examine health behavior and environmental perception differences among vegetarian and nonvegetarian students. Participants: First-year university students (n = 1078) from eight United States universities. Methods: Data were obtained from base 2015 and followup 2016 assessments. Vegetarians and nonvegetarians were compared for anthropometrics, lifestyle behaviors, and campus environmental perceptions (CEPS). Results: Vegetarians had smaller waist circumference, lower systolic blood pressure, higher fruit and vegetable consumption, lower percentage of energy obtained from fat, and higher perceived stress. Vegetarians expressed a lower rating of perceptions of health policies on campus. Conclusion: A clear difference in indicators of physical health does not appear, however, vegetarian students show positive dietary patterns which can promote positive health outcomes. Further, vegetarians had lower perceptions of health policies on campus. Results can be used by administrators to ensure policies are in place to support health of students as currently vegetarian students see limitations in the environmental health policies.
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Affiliation(s)
- Melissa D. Olfert
- Davis College of Agriculture, Natural Resources, and Design, Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, West Virginia, USA
| | - Makenzie L. Barr
- Davis College of Agriculture, Natural Resources, and Design, Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, West Virginia, USA
| | - Anne E. Mathews
- Department of Food Science and Human Nutrition, University of Florida, Gainesville, Florida, USA
| | - Tanya M. Horacek
- Falk College, Department of Nutrition and Food Studies, Syracuse University, Syracuse, New York, USA
| | - Kristin Riggsbee
- College of Education, Health, and Human Sciences, Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Wenjun Zhou
- College of Education, Health, and Human Sciences, Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Sarah E. Colby
- College of Education, Health, and Human Sciences, Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
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Olfert MD, Barr ML, Hagedorn RL, Wattick RA, Zhou W, Horacek TM, Mathews AE, Kattelmann KK, Kidd T, White AA, Brown ON, Morrell JS, Franzen-Castle L, Shelnutt KP, Byrd-Bredbenner C, Tolar-Peterson T, Greene GW, Colby SE. eB4CAST Approach Improves Science Communication With Stakeholders in a College-Based Health Program. Front Public Health 2020; 8:158. [PMID: 32457864 PMCID: PMC7223159 DOI: 10.3389/fpubh.2020.00158] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Accepted: 04/14/2020] [Indexed: 11/13/2022] Open
Abstract
Communicating scientific results with community partners is often lacking in intervention programs, thus eB4CAST was developed to facilitate impact sharing. This article investigated using the eB4CAST dissemination tool to communicate impact from a campus-based obesity prevention program. Data from Get Fruved RCT university sites collected at baseline were used to generate eB4CAST reports. Experts (n = 13) and RCT sites (n = 15) were asked to provide feedback on eB4CAST reports based on appeal, understanding, and clarity. On all Likert items, participants rated above 7 on each (out of 10). Positive responses from open-ended questions included eB4CAST reports being clear, visually appealing, and aid in program understanding. Overall, eB4CAST was successful in relaying data and information for the Get Fruved program, thus a means for science communication that could be used in interventions. Utilizing infographics to report data and information is a feasible way to disseminate and communicate in a cost-effective, timely manner.
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Affiliation(s)
- Melissa D. Olfert
- Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, WV, United States
| | - Makenzie L. Barr
- Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, WV, United States
| | - Rebecca L. Hagedorn
- Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, WV, United States
| | - Rachel A. Wattick
- Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, WV, United States
| | - Wenjun Zhou
- Business Analytics and Statistics, University of Tennessee, Knoxville, Knoxville, TN, United States
| | - Tanya M. Horacek
- Department of Public Health, Food Studies, and Nutrition, Syracuse University, Syracuse, NY, United States
| | - Anne E. Mathews
- Food Science and Human Nutrition Department, University of Florida, Gainesville, FL, United States
| | | | - Tandalayo Kidd
- Department of Food, Nutrition, Dietetics and Health, Kansas State University, Manhattan, KS, United States
| | - Adrienne A. White
- School of Food and Agriculture, University of Maine, Orono, ME, United States
| | - Onikia N. Brown
- Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, AL, United States
| | - Jesse Stabile Morrell
- Department of Agriculture, Nutrition, and Food Systems, University of New Hampshire, Durham, NH, United States
| | - Lisa Franzen-Castle
- Nutrition and Health Sciences Department, University of Nebraska–Lincoln, Lincoln, NE, United States
| | - Karla P. Shelnutt
- Department of Family, Youth and Community Sciences, University of Florida, Gainesville, FL, United States
| | - Carol Byrd-Bredbenner
- Department of Nutritional Sciences, Rutgers University, New Brunswick, NJ, United States
| | - Terezie Tolar-Peterson
- Department of Food Science, Nutrition and Health Promotion, Mississippi State University, Starkville, MS, United States
| | - Geoffrey W. Greene
- Department of Nutrition and Food Science, University of Rhode Island, Kingston, RI, United States
| | - Sarah E. Colby
- Department of Nutrition, University of Tennessee, Knoxville, Knoxville, TN, United States
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McNamara J, Olfert MD, Sowers M, Colby S, White A, Byrd-Bredbenner C, Kattelmann K, Franzen-Castle LD, Brown O, Kidd T, Shelnutt KP, Horacek T, Greene GW. Development of an Instrument Measuring Perceived Environmental Healthfulness: Behavior Environment Perception Survey (BEPS). JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020; 52:152-161. [PMID: 31648882 DOI: 10.1016/j.jneb.2019.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 09/03/2019] [Accepted: 09/04/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To create a tool to measure college students' perception of the healthfulness of their environment. DESIGN (1) Item generation, (2) cognitive interview testing and exploratory factor analysis, (3) item refinement/modification, (4) factor structure validation, and (5) criterion validation. SETTING Ten college campuses. PARTICIPANTS Time point 1 (n = 120 cognitive interviews; n = 922 factor analysis); time point 2 (n = 2,676), convenience sample of undergraduate students. MAIN OUTCOME MEASURES Cognitive interviews and survey data were used to assess perceptions about the environment. ANALYSIS Exploratory factor analysis, structural equation confirmatory factor analysis, correlations, and regressions. RESULTS Item generation resulted in 93 items. Items were eliminated based on cognitive interviews, exploratory factor analysis of pilot data, and elimination of cross-loading or weak loading items. In confirmatory analyses, a 21-item, 5-factor structure was the best fit for the data (χ2 = 3,286.77, degrees of freedom = 189; comparative fit index = 0.840; root-mean-square error of approximation = 0.078). Environmental factors include physical activity (α = 0.68, 4 items), healthful eating (α = 0.86, 5 items), mental health (α = 0.85, 5 items), barriers to healthful eating (α = 0.70, 4 items), and peer influences (α = 0.73, 3 items). There were significant associations between scales and validation criteria (P < .05). CONCLUSIONS AND IMPLICATIONS The Behavior Environment Perception Survey is a novel instrument measuring perceptions of the healthfulness of the campus environment. Strengths include a development process involving 10 different universities, strong psychometric properties, and breadth of constructs.
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Affiliation(s)
- Jade McNamara
- School of Food and Agriculture, University of Maine, Orono, ME
| | - Melissa D Olfert
- Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV
| | - Morgan Sowers
- Department of Nutrition, University of Tennessee, Knoxville, TN
| | - Sarah Colby
- Department of Nutrition, University of Tennessee, Knoxville, TN
| | - Adrienne White
- School of Food and Agriculture, University of Maine, Orono, ME
| | - Carol Byrd-Bredbenner
- Department of Nutritional Sciences, Rutgers, The State University of New Jersey, New Brunswick, NJ
| | - Kendra Kattelmann
- Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD
| | - Lisa D Franzen-Castle
- Nutrition and Health Sciences Department, University of Nebraska-Lincoln, Lincoln, NE
| | - Onikia Brown
- Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, AL
| | - Tandalayo Kidd
- Department of Food, Nutrition, Dietetics, and Health, Kansas State University, Manhattan, KS
| | - Karla P Shelnutt
- Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL
| | - Tanya Horacek
- Department of Public Health, Food Studies, and Nutrition, Syracuse University, Syracuse, NY
| | - Geoffrey W Greene
- Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI.
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Olfert MD, Hagedorn RL, Barr ML, Famodu OA, Rubino JM, White JA. eB4CAST: An Evidence-Based Tool to Promote Dissemination and Implementation in Community-Based, Public Health Research. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E2142. [PMID: 30274249 PMCID: PMC6210924 DOI: 10.3390/ijerph15102142] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Revised: 09/25/2018] [Accepted: 09/26/2018] [Indexed: 11/17/2022]
Abstract
eB4CAST, evidence-Based forecast C-capture, A-assemble, S-sustain, T-timelessness (eB4CAST), framework was developed from existing dissemination and implementation (D & I) constructs as a dissemination tool to promote community-based program usability and future application in targeted populations. eB4CAST captures and transforms research findings into a dissemination report that shows program need and impact to endorse program continuation and expansion. This is achieved through direct and indirect data collection of community factors and program impact that can showcase the need for program sustainability and potential for future dissemination sites. Testimonials, individual feedback, and program process and outcomes contribute to the direct data while data collected from census, county, and state databases and reports allow for indirect information to be captured and analyzed. Capturing data in the two levels allow eB4CAST to forecast program need and highlight program impact through a footprint. eB4CAST framework for dissemination tool creation is organized into four sections: Capture, Assemble, Sustainability, and Timelessness. Capture encompasses the collection of indirect and direct data related to intervention goals. Assemble is the compilation of the data into a visually appealing and easily understood media. Sustainability encourages the use of dissemination tools to provide forecast of program need and footprint of program impact back to community participants, program leaders, and key stakeholders to endorse program sustainability. Lastly, timelessness encourages cyclic movement through these constructs to continue program monitoring and data sharing to ensure timeless program evaluation and conformation to change in needs. The eB4CAST framework provides a systematic method to capture justification of program need and impact of community-based research that can be modified to fit diverse public health interventions providing a necessary D & I tool.
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Affiliation(s)
- Melissa D Olfert
- Division of Animal and Nutritional Sciences, Natural Resources & Design, Davis College of Agriculture, West Virginia University, G016 Agricultural Science Building, Morgantown, WV 26506, USA.
| | - Rebecca L Hagedorn
- Division of Animal and Nutritional Sciences, Natural Resources & Design, Davis College of Agriculture, West Virginia University, G016 Agricultural Science Building, Morgantown, WV 26506, USA.
| | - Makenzie L Barr
- Division of Animal and Nutritional Sciences, Natural Resources & Design, Davis College of Agriculture, West Virginia University, G016 Agricultural Science Building, Morgantown, WV 26506, USA.
| | - Oluremi A Famodu
- Division of Animal and Nutritional Sciences, Natural Resources & Design, Davis College of Agriculture, West Virginia University, G016 Agricultural Science Building, Morgantown, WV 26506, USA.
| | - Jessica M Rubino
- Division of Animal and Nutritional Sciences, Natural Resources & Design, Davis College of Agriculture, West Virginia University, G016 Agricultural Science Building, Morgantown, WV 26506, USA.
| | - Jade A White
- Division of Animal and Nutritional Sciences, Natural Resources & Design, Davis College of Agriculture, West Virginia University, G016 Agricultural Science Building, Morgantown, WV 26506, USA.
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