HealthKick: a nutrition and physical activity intervention for primary schools in low-income settings

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dc.contributor.authorDraper, Catherineen_ZA
dc.contributor.authorde Villiers, Annizaen_ZA
dc.contributor.authorLambert, Estelleen_ZA
dc.contributor.authorFourie, Jeanen_ZA
dc.contributor.authorHill, Jillianen_ZA
dc.contributor.authorDalais, Lucindaen_ZA
dc.contributor.authorAbrahams, Zulfaen_ZA
dc.contributor.authorSteyn, Neliaen_ZA
dc.date.accessioned2015-11-11T11:52:42Z
dc.date.available2015-11-11T11:52:42Z
dc.date.issued2010en_ZA
dc.description.abstractBACKGROUND: The burden of non-communicable diseases, including type 2 diabetes, is growing in South Africa. This country has a complex mix of over- and under-nutrition, especially in low-income communities, and concerning levels of physical inactivity in children and youth. This paper describes HealthKick, a school-based nutrition and physical activity intervention in primary schools in these settings aimed at reducing diabetes risk factors.METHODS/DESIGN:This study includes schools within historically disadvantaged, low-income communities from an urban area close to the city of Cape Town and from two rural areas outside of Cape Town, South Africa. The three Educational Districts involved are Metropole North, Cape Winelands and the Overberg. The study has three phases: intervention mapping and formative assessment, intervention development, and outcome and process evaluation. Sixteen schools were purposively selected to participate in the study and randomly allocated as intervention (eight schools) and control (eight schools).The primary aims of HealthKick are to promote healthful eating habits and increase regular participation in health-enhancing physical activity in children, parents and teachers, to prevent overweight, and reduce risk of chronic diseases (particularly type 2 diabetes); as well as to promote the development of an environment within the school and community that facilitates the adoption of healthy lifestyles.The components of HealthKick are: action planning, toolkit (resource guide, a resource box and physical activity resource bin), and an Educators' Manual, which includes a curriculum component.DISCUSSION:This study continues to highlight the key role that educators play in implementing a school-based intervention, but that developing capacity within school staff and stakeholders is not a simple or easy task. In spite of the challenges experienced thus far, valuable findings are being produced from this study, especially from Phase 1. Materials developed could be disseminated to other schools in low-income settings both within and outside of South Africa. Owing to the novelty of the HealthKick intervention in low-income South African primary schools, the findings of the evaluation phase have the potential to impact on policy and practice within these settings.en_ZA
dc.identifier.apacitationDraper, C., de Villiers, A., Lambert, E., Fourie, J., Hill, J., Dalais, L., ... Steyn, N. (2010). HealthKick: a nutrition and physical activity intervention for primary schools in low-income settings. <i>BMC Public Health</i>, http://hdl.handle.net/11427/14854en_ZA
dc.identifier.chicagocitationDraper, Catherine, Anniza de Villiers, Estelle Lambert, Jean Fourie, Jillian Hill, Lucinda Dalais, Zulfa Abrahams, and Nelia Steyn "HealthKick: a nutrition and physical activity intervention for primary schools in low-income settings." <i>BMC Public Health</i> (2010) http://hdl.handle.net/11427/14854en_ZA
dc.identifier.citationDraper, C. E., de Villiers, A., Lambert, E. V., Fourie, J., Hill, J., Dalais, L., ... & Steyn, N. P. (2010). HealthKick: a nutrition and physical activity intervention for primary schools in low-income settings. BMC Public Health, 10(1), 398.en_ZA
dc.identifier.ris TY - Journal Article AU - Draper, Catherine AU - de Villiers, Anniza AU - Lambert, Estelle AU - Fourie, Jean AU - Hill, Jillian AU - Dalais, Lucinda AU - Abrahams, Zulfa AU - Steyn, Nelia AB - BACKGROUND: The burden of non-communicable diseases, including type 2 diabetes, is growing in South Africa. This country has a complex mix of over- and under-nutrition, especially in low-income communities, and concerning levels of physical inactivity in children and youth. This paper describes HealthKick, a school-based nutrition and physical activity intervention in primary schools in these settings aimed at reducing diabetes risk factors.METHODS/DESIGN:This study includes schools within historically disadvantaged, low-income communities from an urban area close to the city of Cape Town and from two rural areas outside of Cape Town, South Africa. The three Educational Districts involved are Metropole North, Cape Winelands and the Overberg. The study has three phases: intervention mapping and formative assessment, intervention development, and outcome and process evaluation. Sixteen schools were purposively selected to participate in the study and randomly allocated as intervention (eight schools) and control (eight schools).The primary aims of HealthKick are to promote healthful eating habits and increase regular participation in health-enhancing physical activity in children, parents and teachers, to prevent overweight, and reduce risk of chronic diseases (particularly type 2 diabetes); as well as to promote the development of an environment within the school and community that facilitates the adoption of healthy lifestyles.The components of HealthKick are: action planning, toolkit (resource guide, a resource box and physical activity resource bin), and an Educators' Manual, which includes a curriculum component.DISCUSSION:This study continues to highlight the key role that educators play in implementing a school-based intervention, but that developing capacity within school staff and stakeholders is not a simple or easy task. In spite of the challenges experienced thus far, valuable findings are being produced from this study, especially from Phase 1. Materials developed could be disseminated to other schools in low-income settings both within and outside of South Africa. Owing to the novelty of the HealthKick intervention in low-income South African primary schools, the findings of the evaluation phase have the potential to impact on policy and practice within these settings. DA - 2010 DB - OpenUCT DO - 10.1186/1471-2458-10-398 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - HealthKick: a nutrition and physical activity intervention for primary schools in low-income settings TI - HealthKick: a nutrition and physical activity intervention for primary schools in low-income settings UR - http://hdl.handle.net/11427/14854 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14854
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-10-398
dc.identifier.vancouvercitationDraper C, de Villiers A, Lambert E, Fourie J, Hill J, Dalais L, et al. HealthKick: a nutrition and physical activity intervention for primary schools in low-income settings. BMC Public Health. 2010; http://hdl.handle.net/11427/14854.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentMRC/UCT RU for Exercise and Sport Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2010 Draper et al; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherType 2 diabetesen_ZA
dc.subject.otherNutritionen_ZA
dc.subject.otherPhysical Exerciseen_ZA
dc.titleHealthKick: a nutrition and physical activity intervention for primary schools in low-income settingsen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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