The School Environment Project was funded by the Centers for Disease Control and Prevention under Cooperative Agreement U48 DP000054.
Adapted Intervention Mapping: A Strategic Planning Process for Increasing Physical Activity and Healthy Eating Opportunities in Schools via Environment and Policy Change
Article first published online: 24 JAN 2013
© 2013, American School Health Association
Journal of School Health
Volume 83, Issue 3, pages 194–205, March 2013
How to Cite
Adapted intervention mapping: a strategic planning process for increasing physical activity and healthy eating opportunities in schools via environment and policy change., , , , , .
- Issue published online: 24 JAN 2013
- Article first published online: 24 JAN 2013
- Manuscript Accepted: 17 AUG 2012
- Manuscript Revised: 15 AUG 2012
- Manuscript Received: 10 APR 2012
- nutrition and diet;
- physical activity;
- program planning
School environment and policy changes have increased healthy eating and physical activity; however, there has been modest success in translating research findings to practice. The School Environment Project tested whether an adapted version of Intervention Mapping (AIM) resulted in school change.
Using a pair randomized design, 10 rural elementary schools were assigned to AIM or the School Health Index (SHI). Baseline measures were collected fall 2005, AIM was conducted 2005-2006, and follow-up measures were collected fall 2006 and 2007. Outcome measures included number and type of effective environment and policy changes implemented; process measures included the extent to which 11 implementation steps were used.
AIM schools made an average of 4.4 effective changes per school with 90% still in place a year later. SHI schools made an average of 0.6 effective changes with 66% in place a year later. Implementation steps distinguishing AIM from SHI included use of external, trained facilitators; principal involvement; explicitly stating the student behavior goals; identifying effective environment and policy changes; prioritizing potential changes based on importance and feasibility; and developing an action plan.
The AIM process led to environment and policy changes known to increase healthy eating and physical activity.