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Cited by 106Obesity, Physical Activity, DietSchool Health and Nursing EducationObesity and Health Practices

The views of stakeholders on the role of the primary school in preventing childhood obesity: a qualitative systematic review

Clarke, J., Fletcher, B., Lancashire, E., Pallan, M., Adab, P.·2013·Obesity Reviews
DOI 10.1111/obr.12058
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Abstract

Summary: Schools are increasingly recognized as an ideal setting for interventions to tackle childhood obesity. A better understanding of the views of key stakeholders would help to engage schools and inform the feasibility of such interventions in practice. This meta‐synthesis of 18 qualitative studies explores the views of parents, school staff, school governors, school nurses and students on the role of the primary school in preventing childhood obesity. Six categories emerged: ‘School as a key setting’; ‘What schools should be doing to promote healthy eating (HE)’; ‘What schools should be doing to promote physical activity (PA)’; ‘General barriers’; ‘Barriers to promoting HE at school’; and ‘Barriers to promoting PA at school’. Thirty‐seven finer‐level themes emerged within these categories. Stakeholders agreed on the key role of the primary school as a setting for obesity prevention, the importance of schools providing and promoting opportunities for HE and PA, and the need for schools to work with parents. Some perceived barriers could be overcome at school level, e.g. using unhealthy foods as rewards/fundraisers or withholding PA for bad behaviour. Leadership and guidance from government were considered to be needed to counteract other observed barriers, particularly regarding school canteens, support for parents and time for PA.

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  • An overarching synthesis of the empirical evidence identified 83 conditions to be important for successful implementation of interventions and policies promoting a healthy diet, physical activity, and a reduction in sedentary behaviour using the five domains of the RE-AIM evaluation framework.

    “An overarching synthesis of the empirical evidence [13] identified 83 conditions to be important for successful implementation of interventions and policies promoting a healthy diet, physical activity (PA), and a reduction in sedentary behaviour using the five domains of the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) evaluation framework [14, 15].”

    From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [14]

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Related

Authors
Clarke, J., Fletcher, B., Lancashire, E., Pallan, M., & Adab, P.
Affiliations
University of Birmingham (GB)
Corresponding author
Clarke, J.
ORCID
Venue
Obesity Reviews
Publisher
Wiley
Published
2013-07-12
Volume
14
Issue
12
Pages
975-988
ISSN
  • 1467-7881 (ISSN-L)
  • 1467-789X
DOI
10.1111/obr.12058
OpenAlex
W1942377940
Cited by
106
References
38
Citations by year
2026: 3 · 2025: 2 · 2024: 9 · 2023: 4 · 2022: 7 · 2021: 9 · 2020: 16 · 2019: 10 · 2018: 12 · 2017: 12 · 2016: 7 · 2015: 9 · 2014: 4 · 2013: 1
FWCI
1.00
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Obesity Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Funders
National Institute for Health and Care Research (06/85/11)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords
childhood obesity prevention, elementary school, stakeholder perspectives, healthy eating promotion, physical activity promotion, school canteens, school-family partnership, school leadership, school nurses, school governors
MeSH terms
Child, Child Nutritional Physiological Phenomena, Community-Institutional Relations, Female, Health Policy, Health Promotion, Humans, Leadership, Male, School Health Services, Schools, Nutrition Policy, Qualitative Research, Health Status Disparities, Pediatric Obesity

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