Diffusion of an integrated health education program in an urban school system: planet health.
OBJECTIVE
Assessed the feasibility, acceptability, and sustainability of Planet Health, an interdisciplinary, integrated health education curriculum implemented in six public middle schools.


METHODS
Workshops on Planet Health implementation were attended by 129 teachers (language arts, math, science, and social studies) over three school years (1999-2000, 2000-2001, and 2001-2002). Questionnaires were administered post-implementation and in the fall and spring of each year. Outcomes were dose, acceptability, feasibility, and intent to continue use.


RESULTS
The average number of lessons taught per teacher per year was 1.7 to 3.1, compared to a goal of 2 to 3. Each year, teachers reported high acceptability and perceived feasibility of the intervention, and the majority indicated they intended to continue using the curriculum.


CONCLUSIONS
Planet Health was feasible and acceptable in a participatory research model involving a public school-university partnership, and it was also sustainable independent of the research effort.
Harvard School of Public Health, 677 Huntington Avenue, 7th Floor, Boston, MA 02115, USA. jwiecha@hsph.harvard.edu
Jean L
JL
Wiecha
Alison M
AM
El Ayadi
Bernard F
BF
Fuemmeler
Jill E
JE
Carter
Shirley
S
Handler
Stacy
S
Johnson
Nancy
N
Strunk
Debra
D
Korzec-Ramirez
Steven L
SL
Gortmaker
D001900:Boston; D003256:Community Participation; D004059:Diffusion of Innovation; D006266:Health Education / Q000379:methods / Q000458:organization & administration*; D006284:Health Plan Implementation; D006801:Humans; D009765:Obesity / Q000517:prevention & control*; D010865:Pilot Projects; D012572:School Health Services / Q000458:organization & administration*; D014505:Urban Population