Implementation strategies (SISTER strategy number) | Determinants targeted | Description of the strategy | Actors | Target |
---|---|---|---|---|
Conduct local consensus discussions (23) | 1. Program supported by guidelines and curriculum 5. Societal action and cooperation 8. Common goals and collaboration in school 10. Continuity in staffing and work routines 11. Leadership in school 12. Visible priority of health 23. Providers’ attitudes towards the program 27. Communication and collaboration within school 28. Sustainability of program | Introduction of the HSS to all school personnel with the help of material to create commitment and reach consensus | School principal | School personnel |
Distribute educational materials (42) | 8. Common goals and collaboration in school 24. Providers’ competence and self-efficacy | Order educational material at the beginnning of the new school year (manual, teachers manual, workbook for children, posters etc.) and distribute it | School health team | School personnel |
Listen to educational lectures posted on the HSS website at least once every school year whenever it fits with the schedule | School health team | School personnel | ||
Organize school personnel implementation team meetings (32) | 25. Providers’ experience of workload and responsibility 26. Time for planning and executing the program in school 27. Communication and collaboration within school regarding process | Form a health team including a teacher representative and appoint a coordinator to follow up and reflect on how to devide the practical work with the HSS, the implementation process, knowledge exchange, and how to support one another’s learning | School principal and health team | School health team |
Peer-assisted learning (13) | 3. Consensus on healthy lifestyle 4. Clarity of materials and instructions for use 8. Common goals and collaboration in school 23. Providers’ attitudes towards the program24. Providers’ competence and self-efficacy 26. Time for planning and executing in school 27. Communication and collaboration within school regarding process | Watch the introductory video to the classroom component, discuss a plan for implementation, how to engage parents in the home assignments | Teachers | Teachers |
Exchange of knowledge and experience in MI | School nurses | School nurses | ||
Internal and external meetings for inspiration, knowledge exchange and how to organise the work | School health team | School personnel | ||
Change/alter environment (54) | 6. Environmental factors 7. Local policies | Discussion regarding the possibility to make changes to support healthy lifestyle within and around the school | School health team | Community, school and after-school care |
Prepare families and students to be active participants (55) | 2. Involvement of parents 9. Communication and collaboration school-home 18. Family consensus on healthy lifestyle 19. Parents’ knowledge and skills 20. Socioeconomic and cultural factors, language 21. Parents’ perceived need and readiness 22. Parents’ engagement in the HSS | Announcement that the school is a health promoting school | School principal | Parents |
Introduction of the HSS at the first meeting with new parents through a film, giving the rational for the intervention, in basic Swedish and texted in other common languages | School personnel | Parents | ||
Information sent out in the newsletter to families of the start of the HSS. Encouragement to consult the HSS website for further information and material | School personnel | Parents |