期刊
PUBLIC HEALTH NUTRITION
卷 24, 期 11, 页码 3460-3476出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1368980020003687
关键词
Head Start; Preschool; Teachers; Social ecological theory; Healthy eating; Physical activity
资金
- East Carolina University Engagement of Scholarship Academy
This study explores the interrelationship between teachers' personal and professional socio-ecological structures, highlighting the barriers that exist at all levels impacting their ability to improve personal health and facilitate positive behaviours among the children they serve. Teachers aim to improve health behaviours both personally and professionally, but face challenges in doing so.
Objective: Explore the interrelationship between teachers' personal and professional socio-ecological structures while examining Head Start (HS) teachers' experiences with (1) trying to eat healthy and engage in physical activity (PA) and (2) promote healthy eating and PA in their classrooms. Design: In-depth semi-structured interviews were collected from March through June 2017. Researchers designed the data collection and analysis methods using a phenomenological approach. All interviews were recorded using digital audio and transcribed verbatim. Setting: Seven HS centres in two rural eastern North Carolina counties. Participants: Teachers (n 15) who had recently participated in a healthy eating and physical activity intervention. Participants were 100 % female, an average age of 43 years (sd 9 center dot 6) and primarily Black/African American (93 center dot 3 %). Results: Eighteen primary themes were identified providing unique insight into individual, social and environmental determinants that may influence teachers' personal health behaviours and professional health promotion practices. Findings indicated that teachers want to improve health behaviours personally (individual/family health) and professionally (children/families served); however, barriers exist at all levels impacting their ability to improve their own health and facilitate positive behaviours among the children/families they serve. Many teachers observed connections between their personal and professional experiences, but not beyond the individual level. Conclusions: Study findings highlight the importance of considering and emphasising the potential relationship between personal and professional determinants of health when working with early childhood teachers. Findings from this study may be useful for informing the development, implementation and evaluation of future health promotion interventions using teachers as implementers.
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