title: Implementation of CDC's School Health Index in 3 midwest middle schools: motivation for change.
abstract: BACKGROUND
  The Centers for Disease Control and Prevention's School Health Index (SHI), a guide for completing a coordinated school-based program needs assessment relative to healthy eating, physical activity, a tobacco-free lifestyle, and prevention of other health risk behaviors and conditions, was used to assess current programming at 3 midwestern middle schools.
  
  
  METHODS
  Employing somewhat different procedures, data were collected from focus groups comprising school administrators, teachers, parents, community members, and students. Participants responded to SHI module questions and provided comments based on their perceptions. Both quantitative and qualitative data were recorded for each module, after which participants answered 3 planning questions intended to guide prioritization of actions to improve policies and programs based on importance, cost, time, commitment, and feasibility.
  
  
  RESULTS
  Each school developed recommendations and strategies based on highest priority needs related to community involvement, professional development, health screenings, and health education materials in classrooms.
  
  
  CONCLUSIONS
  The experience of completing the SHI in 3 different schools provided important insights about the data collection process as well as assessment results that have implications for the design and implementation of prevention programs.
authors.affiliation: Department of Applied Health Science, Indiana University, HPER 116, Bloomington, IN 47405, USA. csherwoo@indiana.edu
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Sherwood-Puzzello
authors.forename: Michelle
authors.initials: M
authors.lastname: Miller
authors.forename: David
authors.initials: D
authors.lastname: Lohrmann
authors.forename: Patricia
authors.initials: P
authors.lastname: Gregory
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D002487:Centers for Disease Control and Prevention, U.S.; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000592:standards*; D006293:Health Promotion / Q000592:standards*; D006304:Health Status; D006801:Humans; D008297:Male; D015146:Midwestern United States; D011315:Preventive Medicine; D016730:Program Development; D015397:Program Evaluation; D012572:School Health Services / Q000458:organization & administration*; D012574:Schools; D040241:Social Marketing; D014481:United States