LEA Implementation Survey

Healthy Schools Program Intensive Evaluation―LEA Implementation Survey Form Approved

OMB No. 0920-xxxx

Exp. Date XX/XX/20XX

Local Education Agency Implementation Survey

I. INTRODUCTION AND CONSENT

Your state’s education agency is funded by the Centers for Disease Control and Prevention (CDC) to implement the Healthy Schools Program to create healthier school environments and your local education agency (LEA) is one of the districts participating in this program. ICF is conducting an evaluation of the CDC’s 1801 Healthy Schools Program to understand how state and district level education agencies are supporting schools to create healthier environments. The purpose of this survey is to learn about LEAs’ strategies and activities to achieve healthy schools. Please note that in this survey, the term “school health” refers to a range of activities to improve nutrition, physical activity, and physical education environments, both during school and out-of-school time, as well as improved management of chronic health conditions.

This survey should take about 60-75 minutes to complete. The survey should be completed by the staff person within your agency who is most knowledgeable about your agency’s activities to promote school health infrastructure, training, and technical assistance at district and school levels. The person who completes the survey should reach out to other staff within your agency as needed in order to respond accurately to all of the questions in the survey.

Participation in this survey is voluntary and you may choose not to respond to any question. If you decide to not participate there will be no penalties of any kind. If desired, you may complete the survey over multiple sittings. After you begin, you may save, exit, reenter, and continue the survey where you left off. Your survey data will remain private throughout the entire project and your personal identifiable information will not be associated with any information that you share for the purpose of this evaluation. Taking part in this survey will cause no risk. As the responsible staff for completing the survey you will receive a $20 gift card in appreciation for your participation, which will be sent to your district via mail. The results of the survey will be used to improve support and implementation of school health programs.

If you have questions about this evaluation please contact the evaluation team lead, Isabela Lucas, at 404-592-2155 or [email protected]. For questions regarding your rights related to this evaluation you can contact ICF’s Institutional Review Board (IRB) representative at [email protected].

Please choose one of the options below and click “next” to confirm:

☐ I have read the above information and I voluntarily agree to participate in this survey

☐ I have read the above and I DO NOT wish to participate in this survey. (If you choose this option you will not be allowed to continue the survey.)

Next

II. SURVEY QUESTIONS

General Information

1. Agency/Organization name: __________________________________________________________

2. Job title: ______________________________________________________________________

In this survey, the term “school health” refers to a range of activities to improve nutrition, physical activity, and physical education environments during school and out-of-school time, as well as improved management of chronic health conditions.

3. Describe your role within the local education agency (LEA) as it pertains to improving school health. ____ (OPEN FIELD).

LEA Infrastructure

4. Does your LEA have a school health council? Y/N (SKIP TO QUESTION 11)

5. In what year was the school health council established? (Please provide a 4 digit year, such as 2010) _____ (OPEN FIELD)

6. What is the current status of the school health council?

   1. In early stages of development

   2. Partially established

1. Fully established

7. Which of the following stakeholder groups are represented on your district school health council? (Select all that apply).

1. Health and physical education staff

2. Nutrition service staff

3. Students or student organization representative

4. Parents or parent organization representative

5. District Administrators

6. School administrators

7. School nurses and other health-care providers

8. Religious and civic leaders

9. Community organizations

10. Other (please specify) ______________________________________________________

8. Select from the list below all the areas of expertise represented by members of the school health council. (Select all that apply).

   1. Nutrition

   2. Physical education/physical activity

   3. Management of chronic conditions

   4. Out of school time

   5. Professional development (PD)

   6. Technical assistance (TA)

   7. Evaluation

   8. Surveillance

   9. Community/parent engagement

   10. Teaching and instruction

   11. Other (please specify) ______________________________________________________

9. To what extent is each item a current priority for the school health council? (Scale of 1-4; 1 = not a priority; 2 = low priority; 3 = moderate priority; 4 = very high priority).

1. School nutrition/healthy eating

2. Physical education/physical activity

3. School health services and management of chronic health conditions

4. Health impacts on academic achievement

5. Childhood obesity

6. Integration of health promotion in out of school time

7. Others (e.g., social emotional learning, mental health, etc.) (please specify) _____________________________________________

10. Please indicate how much you agree or disagree with each of the following statements about supports available for your district to create and/or sustain a school health council. (Scale of 1-5; 1 = strongly disagree; 2 = disagree; 3 = neither disagree nor agree; 4 = agree; 5 = strongly agree).

    1. District level leadership/administrators are engaged and supportive

    2. There is sufficient awareness or buy-in among district staff

    3. District staff have adequate time to participate

    4. There is high retention or little turnover among council members

    5. Scheduling of meetings is feasible, members are available to attend

    6. Participation in council meetings is strong

    7. The school health council is well aligned with the district priorities

    8. District-level policies are in place to support school health councils

    9. Schools are interested in working with the district to improve school health

    10. School health council works well with school-based school health teams

    11. Other supports (please specify):________________________

11. What is the status of your LEA’s local wellness policy?

    1. No policy exists (SKIP TO QUESTION 15 in Professional Development and Training)

    2. Policy is under development

    3. Policy is in the process of being adopted

    4. Policy is partially implemented

    5. Policy is fully implemented

12. Has the LEA evaluated its local wellness policy?

    1. No, the policy has not been evaluated.

    2. Yes, the policy was evaluated using the WellSAT.

    3. Yes, the policy was evaluated using another tool.

    4. Other, please specify:________________________

13. Are you willing to share your district’s wellness policy with the evaluation team?

    1. Yes

    2. No

14. If so, please upload your LEA’s local wellness policy here

You may also email the policy directly to [email protected]

Professional Development and Training

15. Please indicate how much you agree or disagree with the following statement: My LEA uses the CDC’s Professional Development and Training Tools, Professional Development Practices (also known as CDC’s Professional Development Practices) to plan and deliver trainings to LEA and school staff. (Scale of 1-5; 1 = strongly disagree; 2 = disagree; 3 = neither disagree nor agree; 4 = agree; 5 = strongly agree).

16. Which of the following topics related to school health infrastructure are addressed by the LEA’s professional development and training offered to LEA and school staff? (Select all that apply).

    Topics of PD/Training	Offered to LEA Staff	Offered to Schools
    School Health Policies and Practices
    School Health Index	☐	☐
    Improving, implementing, and evaluating local wellness policies	☐	☐
    School staff involvement and wellness	☐	☐
    Other (please specify)_________________________	☐	☐

17. Which of the following topics related to creating supportive nutrition environments are addressed by the LEA’s professional development and training offered to LEA and school staff? (Select all that apply).

Topics of PD/Training	Offered to LEA Staff	Offered to Schools
Creating supportive nutrition environments
CDC’s Comprehensive Framework for Addressing the School Nutrition Environment and Services	☐	☐
Smart Snacks Standards	☐	☐
Smarter lunchroom strategies	☐	☐
Establishing standards for all competitive foods	☐	☐
Prohibiting advertising of unhealthy foods	☐	☐
Other (please specify)_________________________	☐	☐

18. Which of the following topics related to physical activity and physical education are addressed by the LEA’s professional development and training offered to LEA and school staff? (Select all that apply).

    Topics of PD/Training	Offered to LEA Staff	Offered to Schools
    Physical activity and physical education
    Assessing physical education curriculum through the Physical Education Curriculum Analysis Tool to ensure LEAs and schools have a quality physical education curriculum	☐	☐
    Comprehensive School Physical Activity Programs to improve physical education and physical activity in schools	☐	☐
    Other (please specify)________________________	☐	☐

19. Which of the following topics related to managing chronic health conditions are addressed by the LEA’s professional development and training offered to LEA and school staff? (Select all that apply).

    Topics of PD/Training	Offered to LEA Staff	Offered to Schools
    Managing chronic health conditions
    Establishing systems for the management and support of students with chronic health conditions	☐	☐
    Delivering disease specific education and awareness programs for students and school staff	☐	☐
    Coordinating health services with community health care providers to better manage emergency and routine needs of students identified with chronic health conditions	☐	☐
    Coordinating communication about care plans to ensure continuation of care between school and out-of-school settings	☐	☐
    Other (please specify)_________________________	☐	☐

20. Which of the following topics related to school health in out-of-school time/after and before school programming are addressed by the LEA’s professional development and training offered to LEA and school staff? (Select all that apply).

    Topics of PD/Training	Offered to LEA Staff	Offered to Schools
    School Health in Out-of-School Time and After and Before School Programming
    Physical activity before and after school	☐	☐
    The role of out-of-school time programs in supporting student health and academic achievement	☐	☐
    Healthy Eating and Physical Activity (HEPA) in Out-of- School Time Standards	☐	☐
    Policies and practices to address the needs of students with chronic health conditions during out-of-school time activities	☐	☐
    Other (please specify)________________________	☐	☐

21. Which of the following topics related to health education and curricula are addressed by the LEA’s professional development and training offered to LEA staff and schools? (Select all that apply).

Topics of PD/Training	Offered to LEA Staff	Offered to Schools
Health Education and Curricula
Importance of quality health education curriculum and instruction	☐	☐
Health Education Curriculum Analysis Tool	☐	☐
National Health Education Standards	☐	☐
Characteristics of an effective health education curriculum	☐	☐
Other (please specify)_________________________	☐	☐

Direct Support and Technical Assistance

22. Which of the following tools and resources does the LEA promote and disseminate to its stakeholders and use in school health programming? (Select all that apply).

    Areas of Focus	LEA Promotes/ Disseminates
    Comprehensive Framework for Addressing the School Nutrition Environment and Services	☐
    National Health Education Standards	☐
    Characteristics of an Effective Health Education Curriculum	☐
    Healthy Eating and Physical Activity (HEPA) in Out-of- School Time Standards	☐
    Parents for Healthy Schools	☐
    Physical Education Curriculum Assessment Tool (PECAT)	☐
    Professional Development and Training Tools, Professional Development Practices	☐
    School Health Guidelines to Promote Healthy Eating and Physical Activity	☐
    School Health Index (SHI)	☐
    Strategies for Recess in Schools	☐
    Recess Planning in Schools	☐
    Whole School, Whole Community, Whole Child (WSCC) Model	☐
    WellSat 2.0	☐
    Other (please specify)_________________________	☐

23. Which of the following tools or methods does the LEA use to promote school health and increase awareness and action among its stakeholders (e.g., parents, students, teachers, school administrators and other school staff)? (Select all that apply).

1. Media campaign(s)

2. Signage, promotional merchandise, marketing materials

3. Model policy

4. School health action plans

5. School improvement plans

6. State obesity plan

7. State-level policy

8. State Plan for Every Student Succeeds Act (ESSA)

9. Other (please specify)

24. Which of the following topics related to school health infrastructure are addressed by the LEA’s direct support/technical assistance offered to LEA and school staff? (Select all that apply).

    Topics of Direct Support/Technical Assistance	Offered to LEA Staff	Offered to Schools
    School health policies and practices
    Development and implementation of school health action plans	☐	☐
    Development and operation of district school health councils	☐
    Facilitate, monitor, and document the use of the School Health Index (SHI)	☐	☐
    Development and dissemination of model wellness policy language	☐	☐
    Other (please specify)_________________________	☐	☐

25. Which of the following topics related to creating supportive nutrition environments are addressed by the LEA’s direct support/technical assistance offered to LEA and school staff? (Select all that apply).

    Topics of Direct Support/Technical Assistance	Offered to LEA Staff	Offered to Schools
    Creating supportive nutrition environments
    Implementing federal nutrition standards for competitive foods consistent with Smart Snacks in School	☐	☐
    Ensuring foods and beverages sold or served outside of school meal programs are nutritious	☐	☐
    Prohibiting the use of foods and beverages as rewards	☐	☐
    Restricting marketing of foods and beverages that do not meet the Smart Snacks in School standards	☐	☐
    Promoting foods and beverages that support healthy diets through increased access to healthier food options	☐	☐
    Using verbal prompts on school lunch fruit and vegetable consumption to promote healthy eating	☐	☐
    Implementing point-of-purchase promotions	☐	☐
    Increasing access to free drinking water	☐	☐
    Other (please specify)_________________________	☐	☐

26. Which of the following topics on supportive environments for physical education and physical activity through of Comprehensive School Physical Activity Program (CSPAP) are addressed by the LEA’s direct support/technical assistance offered to LEA and school staff? (Select all that apply).

    Topics of Direct Support/Technical Assistance	Offered to LEA Staff	Offered to Schools
    Physical activity and physical education
    Process of developing CSPAPs (e.g., physical education, physical activity during recess, classroom and before/after school; staff involvement; family and community)	☐	☐
    Recess planning	☐	☐
    Classroom physical activity	☐	☐
    Quality physical education
    	☐	☐
    Physical activity before and after school	☐	☐
    Staff involvement in physical activity	☐	☐
    Family and community involvement in physical activity	☐	☐
    Evaluation of CSPAP	☐	☐
    Implementation of the Physical Education Curriculum Analysis Tool and other evidence-based resources for physical education and physical activity
    Other (please specify)_________________________	☐	☐

27. Which of the following topics related to managing chronic health conditions are addressed by the LEA’s direct support/technical assistance offered to LEA and school staff? (Select all that apply).

Topics of Direct Support/Technical Assistance	Offered to LEAs	Offered to Schools
Management and support of students with chronic health conditions in schools
Establishing a system for the management and support of students with chronic health conditions in schools	☐	☐
Selecting and providing disease specific education and awareness programs for students and school staff	☐	☐
Coordinating school, family, and community efforts to better manage emergency and routine care needs of students identified with chronic health conditions	☐	☐

28. Which of the following topics related to school health in before or after school programming are addressed by the LEA’s direct support/technical assistance offered to LEA and school staff? (Select all that apply).

    Topics of Direct Support/Technical Assistance	Offered to LEAs	Offered to Schools
    School health in before or after school programming
    Integration of health promoting activities in out-of-school time, such as increasing access to healthy foods and beverages, physical activity and care coordination for students with chronic condition	☐	☐
    Implementation of evidence-based policies and practices (e.g., HEPA standards)	☐	☐
    Assessment of current activities and development and implementation of an action plan that reflects local assets, constraints, context, and readiness	☐	☐
    Other (please specify)_________________________	☐	☐

29. What other types of resources and support are you providing to LEA and school staff to promote the implementation of school health policies and practices? (Select all that apply).

1. Equipment

2. Funding for schools (e.g., mini-grants)

3. Guidance documents/toolkits (e.g., model local wellness policies)

4. Promotional materials

5. Staffing

6. Other (please specify) ________________________________________________________

Implementation Facilitators and Barriers

30. Please indicate how much you agree or disagree with each of the following statements about supports available to implement school health strategies at the district level. (Scale of 1-5; 1 = strongly disagree; 2 = disagree; 3 = neither disagree nor agree; 4 = agree; 5 = strongly agree).

    1. Financial resources at the district level are sufficient

    2. District level leadership/administrators are engaged and supportive

    3. School level leadership/administrators are engaged and supportive

    4. Stakeholder buy-in and support is sufficient at the district level

    5. District staff have adequate time and capacity to implement strategies

    6. District staff have access to adequate resources, tools or guidelines

    7. District staff have access to technical assistance

    8. District staff have time and support to attend trainings and participate in technical assistance

    9. Necessary partnerships are in place at the district level

    10. District partners are supportive and have sufficient resources

    11. The statewide school health coalition is strong and supportive

    12. District level interest and support is sufficient

    13. State level policies are supportive of school health

    14. District level policies are supportive of school health

    15. School level policies are supportive of school health

    16. School facilities and environments are suitable to support school health strategies

    17. Other supports (please specify):_________________________

SEA Technical Assistance to LEAs

31. How satisfied are you with the TA you receive from the SEA and its partners to support your efforts to implement the healthy schools program? (Scale of 1-4; 1 = not satisfied; 2 = slightly satisfied; 3 = moderately satisfied; 4 = very satisfied).

32. For which of the following topics has the LEA received TA or direct support from its SEA or its partners? (Select all that apply.)

1. Health education

2. Media campaigns

3. Model policies

4. School health action plans

5. School health guidelines

6. School improvement plans

7. State obesity plan

8. State-level policies

9. State Plan for Every Student Succeeds Act (ESSA)

10. Other (please specify)

33. How much do you prefer each of the following modes of TA you receive from the SEA or its partners? (Scale 1-4; 1 = not preferred; 2 = slightly preferred; 3 = moderately preferred; 4 = highly preferred).

    1. In-person one-on-one consultation

    2. Peer-facilitated learning

    3. On-line communities of practice

    4. Site visits

    5. Routine monitoring via conference calls or virtual meetings

    6. Listservs

    7. State or regional meetings, conferences, or workshops

    8. Other (please specify) _____________________________________

This is the end of the survey, please click the submit button.

Thank you very much for taking the time to participate in this survey! Your responses will contribute greatly to the evaluation of the Healthy Schools Program. If you have any questions or concerns, or would like to add something after submitting the survey, please contact Isabela Lucas at [email protected] or 404-592-2155.

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