Methods

Good Practices (GPs) were collected in four main phases: 1) development of a definition and a set of criteria for Good Practices (GPs); 2) compilation of a questionnaire for collecting GPs; 3) collection of practices by WP6 partners; and 4) descriptive analyses.  

The work started with a literature review that resulted in a draft definition and a comprehensive set of 47 criteria which were clustered into three main categories: intervention characteristics, implementation, and monitoring & evaluation. A Delphi consultation followed the literature review to decide on the relevance and relative priority of the identified criteria. Experts from 11 WP6 institutions reached a consensus in two consecutive rounds on the criteria and definition of good practices as follows:

'A good practice is an initiative that has been proven to work well (i.e. process evaluation) and produce good results (i.e. output and outcome evaluation), and is therefore recommended as a model. It is a sustainable and efficient experience, with clear objectives and clearly defined target groups that is aimed to be empowered. Its activities use existing structures and it has a broad support among the target population, thus deserves to be shared so that a greater number of people can adopt it.'

The three highest ranking items per categories were decided to be considered as ‘core criteria’:

Intervention characteristics
·  The approach is proven to be successful and effective in practice (has had a positive impact on individuals and/or communities)
·  Objectives are clear and SMART
·  Target group is clearly defined (including age, gender and socio-economic status)
Implementation
·   Activities are using/integrating existing structures
·   Target group is aimed to be empowered (enhance their knowledge, skills and competences so that they can make decisions independently)
·   There is broad support for the intervention among the intended target populations
Monitoring and evaluation
·   Outcome/impact evaluation showed significant contribution to the target behaviour or its determinants
·   Most of the planned activities have been performed and most of the objectives have been reached
·   Financial and human resources are in place for evaluation

Deliverable 6.1 with more details is available at the JANPA website http://www.janpa.eu/outcomes/Deliverables/JANPA_Deliverable6-1.pdf 

 

The nine core criteria needed to be fulfilled in order to qualify a programme or policy as good practice. This set of criteria also served as a frame for the Good Practice Data Collection FormThe finalized data collection form was sent to the WP6 country representatives who started to gather data on national level. Country representatives were asked to identify and provide data of minimum two, maximum five interventions in their county. They were encouraged to collect programmes both from the area of nutrition and physical activity and were asked to search not only for national programmes but also for policies. After identifying a certain programme, country representatives were requested to contact and assist the programme coordinator in completing the data collection form and to make sure that relevant references (programme/policy reports, evaluations, website links and photos) were added. Verification of the content of the form as well as the assessment whether a certain programme fulfils all nine core criteria were the responsibility of the country representative.

To ensure a better understanding of the context in which the selected practices were implemented, we also demonstrate some data related to the school nutrition and physical activity environment in the participating countries. Country context profiles contain selected national demographic data followed by the prevalence of overweight and obesity in three age categories (under 5, primary school and adolescents). The profile provides brief information on the structure of the national education system and the nutrition environmental in kindergartens and schools. 

To assess which components of the healthy school environment were addressed, two experts from the WP6 coordination team independently categorized the collected GPs according to an agreed framework based on the EU Action Plan and the Components of Healthy School Environment. When opinions differed, consensus was reached through discussion. The collection of GPs was carried out by all 14 WP6 partners and two countries outside of the work package (Malta and Ireland) in April and May 2016.