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Table 2 Implementation strategies to be deployed by all schools (bundle 1)

From: IMplementation and evaluation of the school-based family support PRogram a Healthy School Start to promote child health and prevent OVErweight and obesity (IMPROVE) – study protocol for a cluster-randomized trial

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
  1. HSS Healthy School Start; MI Motivational interviewing