journal - PHE Canada
Transcription
journal - PHE Canada
Published by/Publié par PUBLICATION MAIL AGREEMENT NO. 40064538 REGISTRATION NUMBER 09328 RETURN UNDELIVERABLE CANADIAN ADDRESSES TO CIRCULATION DEPT.: 2197 Riverside Drive, Suite 403, Ottawa, ON K1H 7X3 Tel./Tél. : (613) 523-1348 Fax/Téléc. : (613) 523-1206 E-mail/Courriel : [email protected] www.cahperd.ca Executive Director/Directeur général Guy Tanguay Editor/Rédactrice-en-chef Andrea Grantham © CAHPERD/ACSEPLD Published quarterly, individual subscription rate $65.00 + GST (Canada only) per year; $100 + GST for libraries and institutions per year. U.S. and International add $18.00 per year. Six month limit for claiming issues not received. Publication trimestrielle, tarif de l’abonnement individuel 65,00 $ + TPS (Canada seulement) par année; pour les bibliothèques et institutions 100,00 $ + TPS. États-Unis ou autres pays, ajouter 18,00 $ par année. Les numéros non reçus doivent être réclamés dans les six mois suivant la date de publication. Date of Issue/Date de publication : April/avril 2004 PHYSICAL & HEALTH EDUCATION JOURNAL VOLUME 70, N O .2 ISSN 1498-0940 FEATURES / ARTICLES VEDETTES 4 14 Health Promoting Schools – a Community Effort By Dr. Andy Anderson Production & Design/Conception graphique : Daren MacGowan Graphic Design For advertising information please contact: CAHPERD 2197 Riverside Drive, Suite 403, Ottawa, ON K1H 7X3 (613) 523-1348 ext. 224 [email protected] Publications Mail Registration no. 9328. Views and opinions are those of the authors and not necessarily those of CAHPERD. Indexed in the Canadian Magazine index and available on-line in the Canadian Business and Current Affairs Database. Upon application to CAHPERD, Canadian universities will be allowed to duplicate CAHPERD Journal articles for distribution to students. Courrier 2e classe no. 9328. Les opinions exprimées sont celles des auteures et auteurs et ne reflètent pas nécessairement celles de l’ACSEPLD. Les universités canadiennes qui désirent photocopier des articles du Journal de l’ACSEPLD pour les distribuer à leurs étudiantes et étudiants pourront le faire en envoyant une demande écrite à l’ACSEPLD. We acknowledge the financial support of the Government of Canada, through the Publications Assistance Program (PAP), toward our mailing costs. Board of Directors 2003/2004 Conseil de direction 2003/2004 A Student Driven, Service – Based High School Leadership Program By Dee Anne S. Vonde REGULARS / CHRONIQUES 2 A Word from the President 3 Mot du président 30 CAHPERD Health Resources 40 Clip and Copy 42 À découper IN THIS ISSUE / DANS CE NUMÉRO Nick Forsberg, President / Président Garth Turtle, President-Elect / Président-élu Harry Hubball, British Columbia & Yukon / Colombie-Britanique et Yukon Deanna Binder, Alberta & NT / Alberta et NT Lyle Brenna, Saskatchewan Representative / Représentant de la Saskatchewan Grant McManes, Manitoba & Nunavut / Manitoba et Nunavut James Mandigo, Ontario / Ontario Charlotte Beaudoin, Québec / Québec Fran Harris, New Brunswick / Nouveau-Brunswick Leta Totten, Nova Scotia / Nouvelle-Écosse Ray Brushett, Newfoundland / Terre Neuve John Munro, Prince Edward Island / Île-du-Prince-Édouard for an Active Healthy School 9 Principles Community Valley Health Promoting 18 Annapolis School Project 23 The Vancouver Island Race Health Committees: Making 27 School “Healthy Schools” Happen 32 teachingsexualhealth.ca - A New Resource 34 À l’école Le Trillium, ça marche! 36 Going International – Right To Play 44 Positively Powerful! Children’s Advertisers – 46 Concerned Community Approach to School Health 48 Healthy School Profiles SPRING • PRINTEMPS 2004 1 A WORD FROM THE PRESIDENT Making a Difference: A Shared Responsibility T his special issue of the PHE Journal focussing on “health-promoting schools” is timely given the realities we are faced with in education and society today. Health-promoting schools create health by enabling young people to care for themselves and others, to help them make decisions and have control over their health and life circumstances, and to ensure that the society in which they live creates the attainment of health by all of its members. Health-promoting schools not only realize the need for a symbiotic relationship of school and community but, more importantly, the need to continually nurture the relationship. The extent to which a nation’s schools become “health-promoting schools” will play a significant role in determining the well-being of the next generation. CAHPERD is making many efforts to increase awareness of the need for health promoting schools by advocating and promoting comprehensive, holistic approaches and by providing the tools that educators and communities need to make them happen – in fact, this is the basis of our Quality School Health (QSH) initiative. Clearly, QSH is making a difference in the number of school communities that are adopting the health promoting schools approach. As educators we are key to this process. I believe that each of us must also look at ourselves in the mirror at the end of each day and ask: “Did I make a difference in the life of a learner today?” CAHPERD works through a similar exercise given that our primary mission is to “influence the healthy development of children and youth by advocating for quality, school-based physical and health education.” This special issue of the PHE Journal portrays health promotion as a way to improve student learning, improve school effectiveness, and enrich community life. Health promotion is an opportunity to build critical thinking skills, encourage leadership at school and in the community, foster a deeper sense of shared effort, and to redefine oneself in terms of achievement and accomplishments, dignity and hope instead of despair and problems. Health promotion is indeed a resource, a way to renew, revitalize and rejuvenate efforts to provide young people with opportunities for them to reach their potential through acts of ‘care actor’. It is also an effective way to demonstrate to children the power they have in making a difference in the lives of others. As my term as CAHPERD President comes to a close and I write my last President’s Message I am drawn to a reflective moment and in particular a quote by Aldous Huxley, “Experience is not what happens to a person, It is what a person does with what happens.” These words have resonated with me for close to twenty years. During this time, I have come to learn that the real essence of “experience” lies not in the present encounter, but rather in what an individual does in the future as a result of the encounter. Understanding “experience” in this fashion compels me to realize that inherent in “experience” is a responsibility; a responsibility to do something more; a responsibility to make a difference later. As I close the chapter on being President, I welcome the work associated with being Past-President and my professional work beyond that. I will ensure that I make a difference by continuing to assume a proactive role in advocating and promoting 2 PHYSICAL AND HEALTH EDUCATION healthy, active lifestyles for all children and youth. For I believe it is only through understanding “experience” in this context that I will really come to know the “experience” of my being President of CAHPERD. The opportunity to serve the profession in this capacity has been truly rewarding. Whether it is at Board of Directors, Council of Provinces/ Territories, Council of University Professors and Researchers, or Program Advisory Committee meetings, I consider myself privileged to have had the opportunity to work with some of the most caring, passionate and dedicated individuals in our profession. They are volunteers who believe in CAHPERD’s mission, and work hard to bring about positive change to ensure healthy, active lifestyles for all children and youth. The same can be said about the national office staff under the very capable leadership of our Executive Director - Guy Tanguay. They are truly remarkable people, who set high standards, possess the skills and abilities to obtain these standards, and embody the essence of commitment. The association is very fortunate to have them in our fold. You have all made a difference. I am a better person for having known all of you. The work associated with being President does not come without a price. It has demanded time away from my family and my work at the university. I can recall being absent from family functions, school field trips, and sporting events. I am indebted to my wife Kelly and our children Nakia, Joshua and Kieran for their support and understanding. From the heart I say, “THANKYOU”. I am also grateful to the administration in the Faculty of Education at the University of Regina for valuing my professional contribution to CAHPERD and to the lives of Canadian children and youth. As I stated in my first President’s Message, the future for CAHPERD is exciting and promises to be full of possibilities. We must continue to work collaboratively and strategically but above all with passion and seize the opportunity to make a difference. I look forward to working with Garth Turtle as he assumes the role of President and will support him in any way possible as he brings life to CAHPERD’s raison d’etre. As always, I welcome your thoughts and ideas and encourage you to contact me at any time. Nick Forsberg, CAHPERD President [email protected] M O T D U P R É S I D ENT Faire une différence : Un projet commun C e numéro spécial du Journal de l’éducation physique et l’éducation à la santé consacré aux écoles « axées sur la promotion de la santé » vient à point, compte tenu des enjeux éducationnels et sociétaux qui nous confrontent actuellement. Les écoles axées sur la santé sont des écoles qui favorisent la santé en encourageant les élèves à s’occuper d’eux-mêmes et des autres, à poser des gestes éclairés et à prendre en charge leur santé et leurs circonstances de vie, et en favorisant des milieux de vie qui permettent à tous d’aspirer à la santé. En plus de faciliter une relation symbiotique entre l’école et la collectivité, les écoles vouées à la promotion de la santé s’efforcent sans cesse de renforcer ce lien. De fait, le bien-être de la prochaine génération tient, dans une large mesure, à l’aptitude des écoles canadiennes à bien jouer leur rôle de « promoteurs de la santé ». L’ACSEPLD investit beaucoup d’efforts en vue de sensibiliser la population à l’importance de se doter d’écoles pleinement axées sur la promotion de la santé. En ce sens, elle encourage le recours à des approches holistiques globales et fournit au personnel enseignant et aux collectivités des outils utiles pour concrétiser cet objectif. Ces efforts sont à la base même de notre projet de Santé de qualité dans les écoles (SQE), qui a fait une réelle différence en incitant un plus grand nombre de collectivités scolaires à promouvoir la santé dans les écoles. En tant qu’éducateurs et qu’éducatrices, il faut constamment nous demander si nous avons réussi à faire une différence dans la vie des élèves. L’ACSEPLD se pose sans cesse la même question, d’autant plus que notre mission consiste à « promouvoir et revendiquer l'exécution de programmes d'éducation physique et d'éducation à la santé au sein de milieux scolaires et communautaires propices ». Les auteurs de ce numéro spécial du Journal de l’éducation physique et l’éducation à la santé perçoivent la promotion de la santé comme une façon d’améliorer l’apprentissage des élèves, d’accroître l’efficacité des écoles, d’enrichir la vie communautaire, de susciter la pensée critique, d’encourager le leadership au sein des écoles et des collectivités, d’engager les gens à déployer des efforts communs et de se redéfinir en fonction des réalisations, de la dignité et de l’espoir plutôt que du désespoir et des difficultés. La promotion de la santé constitue clairement une ressource, une façon de se renouveler et de rajeunir les efforts engagés pour aider les jeunes à réaliser leur plein potentiel en posant des gestes actifs. Il s’agit également d’une façon efficace de démontrer aux enfants qu’ils ont la capacité de faire une différence dans la vie des autres. Au terme de mon mandat, alors que j’écris mon dernier message à titre de président de l’ACSEPLD, je me permets de citer la réflexion suivante de l’auteur Aldous Huxley, « l’expérience, ce n’est pas ce qui arrive à quelqu’un, c’est ce que quelqu’un fait avec ce qui lui arrive » Ces mots m’obsèdent depuis près de vingt ans. Au fil des ans, j’en suis venu à conclure que l’essence même de nos « expériences » ne tient pas à ce qui survient au moment présent mais à ce qu’il en advient au fil des ans. Cette façon de percevoir une « expérience » m’incite à déduire que cette dernière s’accompagne nécessairement d’une responsabilité : responsabilité de faire plus; de continuer de faire une différence par après. Même si je tourne la dernière page du chapitre de ma vie dédié à la présidence, j’anticipe avec plaisir mes fonctions « d’ancien président » et les défis professionnels qui m’attendent. J’entends continuer de faire une différence en étant proactif, en m’efforçant de revendiquer et de promouvoir des modes de vie sains et actifs au niveau de tous les enfants et adolescents. Plus que jamais, j’ai la ferme conviction que c’est en interprétant ainsi le concept « d’expérience » que j’arriverai à « internaliser » mon expérience à titre de président de l’ACSEPLD. L’occasion qui m’a été offerte de mettre ma profession au service d’une telle cause s’est avérée fort enrichissante. Qu’il s’agisse de siéger au sein du conseil d’administration, du Conseil des provinces et territoires et du Conseil des professeurs et chercheurs universitaires ou encore, de participer aux réunions des comités consultatifs des programmes, ce fut un privilège de travailler aux côtés de collègues aussi attentifs, passionnés, dévoués et compatissants. Ces bénévoles exceptionnels croient fermement en la mission de l’ACSEPLD et déploient sans cesse des efforts pour instaurer des changements positifs et pour mettre les enfants et les jeunes sur la voie d’une vie saine et active. Cette affirmation vaut aussi pour le personnel du bureau national de l’ACSEPLD sous l’habile et compétente direction de son directeur général, Guy Tanguay. Ces individus exceptionnels ont placé très haut la barre. De fait, ils ont les compétences et les habiletés requises pour atteindre les objectifs très élevés qu’ils se sont fixés et témoignent chaque jour de leur grand engagement. L’ACSEPLD est très chanceuse de pouvoir compter sur une équipe de si grande qualité. Chacun et chacune d’entre vous a réussi à faire une différence. En outre, à vous côtoyer, je suis devenu une meilleure personne moi aussi. La fonction de président a aussi son prix. Pour bien accomplir mes tâches, j’ai dû délaisser quelque peu ma famille et mon travail à l’université. Je me souviens d’avoir souvent brillé par mon absence lors de fêtes familiales, de sorties scolaires et d’événements sportifs. En ce sens, je suis fort reconnaissant à mon épouse, Kelly, et à mes enfants Nakia, Joshua et Kieran, de leur appui sans faille et de leur compréhension et je tiens à les en REMERCIER du fond du cœur. Je tiens aussi à rendre hommage à l’administration de la Faculté de l’éducation de l’université de Regina qui a su valoriser ma contribution professionnelle à la cause de l’ACSEPLD et au bien-être des jeunes du Canada. Comme je l’affirmais dans mon premier message du président, l’avenir de l’ACSEPLD s’annonce palpitant et riche en possibilités de toutes sortes. Nous devons continuer de collaborer et de travailler stratégiquement en injectant d’une dose de passion toutes nos actions. Nous devons aussi profiter de toutes les occasions qui s’offrent de faire une réelle différence. J’aurai grand plaisir à travailler avec Garth Turtle qui assumera le rôle de président et je l’appuierai de toutes les façons possibles pour l’aider à enrichir et amplifier la raison d’être de l’ACSEPLD. Comme toujours, j’accueillerai avec grand plaisir vos commentaires et suggestions. En ce sens, je vous encourage à me joindre, en tout temps, pour me faire part de vos observations. Nick Forsberg, président de l’ACSEPLD nick.forsberg@uregina. SPRING • PRINTEMPS 2004 3 Health Promoting Schools – a community effort By Dr. Andy Anderson A Health Promoting School is defined as a school that is “constantly strengthening its capacity as a healthy setting for living, learning and working” (WHO 1997). The Health Promoting School concept was conceived as a unique way to: Dr. Andy Anderson is an associate professor at the Ontario Institute for Studies / University of Toronto. His research over the last several years has focused on the relationship between health promotion and school improvement. His latest international initiative involves the development of a network of health promoting schools in the Eastern Caribbean. The ‘Scotiabank Champions for Health Promoting Schools’ will serve as a lighthouse project throughout the Caribbean and Central America. a) Harmonize education and health b) Build bridges between schools and communities c) Promote active involvement of students in curricular and school life d) Integrate health across the curriculum e) Incorporate health within school culture and governance f ) Relate health promotion to school improvement plans Health Promoting Schools (HPS) strive to prepare young people to take better care of themselves and others by working collaboratively with community partners to improve the integration of health and educational services; coordinate health initiatives with school goals, values and mandates; and create school environments that foster genuine opportunities for students to play active roles in school governance and program initiatives throughout the school. The realization of health promotion initiatives in schools brings into focus new thinking about the relationships, resources, and structures (and their underlying programs and policies) for raising competent, connected and successful children and youth. With HPS, young people are considered as resources to be developed, not problems to be solved. From this perspective, health promotion is a whole-life, schoolwide, community-wide effort to harmonize health and learning. In particular, HPS afford a wide array of opportunities to build ‘communities’ within the school, across disciplines of study, and with community partners. Mutual 4 PHYSICAL AND HEALTH EDUCATION relationships have the potential to reshape and expand beliefs about improvements in health and education, expectations for learning and achievement in schools and beyond, and the supports needed for health promotion to function as an integral part of school reform. As a resource, health promotion has much to offer schools, students, and communities – both in the present and in the future. A resource, according to the ‘old’ French interpretation, means to revitalize, renew, or inspire. This issue of the PHE Journal describes the various and innovative ways health promotion can, through community development, revitalize schools. Thinking the world together Health-minded educators acknowledge the experience of interdependence expressed as a community – a community of scholarship (multidisciplinary study of issues), a community of care providers (multisectoral provision of services and supports), and a community of truth. Health promotion – as a community of truth – involves exploration of the world from the point of view of multiple realities, or as Palmer (1998) suggests, “thinking the world together”. Health promotion in schools offers students, teachers and community partners a unique opportunity to develop, as a community, a richer sense of what can be done to make life better. With health in mind, the study of subject matter is enlivened, school culture is nurtured as a critical part of students’ educational experience, and community partners (the entire staff, care/service providers) work hand-in-hand to optimize opportunities for learning. In this article, the notion of ‘community’ is presented as a way to integrate health promotion into the school/learner development process. Health issues offer robust opportunities to interpret topics of current interest and debate such as legalization of marijuana, vending machines in schools, or bullying from a multi-disciplinary perspective (Anderson 1999). Accordingly, students engage in the study of subject matter (e.g., science, mathematics, media studies) as part of ‘collective’ efforts to make sense of the world. The debate about marijuana use from a scientific perspective will render different views from those who observe the issue as an economic opportunity. Examined historically and across different cultures, marijuana use yields yet another story. Using cross-curricular methods to La promotion de la santé en milieu scolaire donne aux élèves, au personnel enseignant et aux partenaires communautaires l’occasion unique de découvrir ensemble les mesures à poser pour rehausser sa qualité de vie. Lorsqu’on prend en compte les questions de santé, l’étude des matières scolaires devient plus dynamique, la culture de l’école s’enrichit pour devenir partie intégrante de l’expérience pédagogique des élèves et les partenaires communautaires (l’ensemble du personnel et des fournisseurs de services et de soins) travaillent main dans la main pour optimiser les possibilités d’apprentissage des jeunes. Dans cet article, on a recours au concept de « communauté » pour intégrer la promotion de la santé au processus de développement de l’école et de l’apprenant. SPRING • PRINTEMPS 2004 5 explain, describe and express insights and interpretations offers students a wide array of choices for ‘knowing and showing what they know’ about the topic. Building bridges between academic text and real life dilemmas enables students to deploy subject matter knowledge as part of an inquiry process and as a way to incorporate the meaningfulness of these experiences (e.g., links between feelings of shame, anxiety, hopelessness and destructive and anti-social behaviours). Validating the subjectiveness of youth encounters with the world makes the ‘small – big’, and their intimate lives a matter of interest and importance within academic study. Under these conditions, students reflect on and value insights and experience as a way to actively participate in the construction of knowledge. A constructivist view can be distinguished by means of its implications for a qualitative change in the learner - ‘rather than a quantitative change in the amount of knowledge someone possesses’. The qualitative change is in the understanding that the learner constructs. Personal understanding and knowledge occur within a set of guidelines embodied within the discipline; however, thinking does not exist separately from what learners make of it. Similarly, Eisner (1991) promotes the notion that humans 6 PHYSICAL AND HEALTH EDUCATION do not simply have experience; they have a hand in its creation and the quality of their creation depends upon the ways they employ their minds. On this view, the meaning that a learner constructs is an element that has been selected out of larger possibilities and, in this sense, education can be regarded as ‘a mindmaking experience’ (Eisner, 1991) - or perhaps more accurately, a ‘mindmaking’ opportunity. Health-minded teachers look for opportunities to relate the study of subject matter to the lives of their students. In this way, the subject matter is enlivened because it is meaningful and applicable to students’ lives beyond school. The more connected students feel to the content and the ways it contributes to their daily lives, the more likely they are to feel their lives are taken seriously. For example, game/play literate students know how to play (can demonstrate the mechanics and tactics of game play) and how to manage the conditions that interact with their day-to-day opportunities to play. Activity literate students read the world or realities with which they are expected to contend to create time and places for play at home, in the neighbourhood, and at school. Globalization of subject matter study Education about health focuses on the attainment of key health concepts, skills, and bodies of knowledge particular to the study of health as a distinct field of study. Education through health addresses the development of the personal, social, and intellectual competencies associated with making judgements about the choices and chances people have to lead healthy active lives. Said differently, through the study of health, educators feature the development of habits of mind associated with participation in a democratic society (e.g., inclusionary practices which include respect for alternative ideas, beliefs, and values; active listening/ observation for a more complete understanding of how others experience/ participate in the world; link cultural diversity with asset development). Through the study of health, students are better equipped to reason practically and reflect critically on their own beliefs and behaviours. Wolfgang (2001) argues: People who have sufficiently developed the capacity for formal operational thinking are able to reason in the abstract, can be objective about their own subjective thoughts, and are aware that when seeking solutions to problems they need to explore alternative possibilities that are not solely based on lived experience. (p.7) In this way, Wolfgang proposes, students foster a deeper sense of affiliation that is dependent on, …shared values and empathetic understanding of others’ orientations to meaning. People who have sufficiently realised the capacity for affiliation would have mutually satisfying reciprocal interactions and attachments with others and, consequently, would experience a sense of belonging and [would] feel socially supported. They would also be in a position to create a socially valued identity through, for example, being involved in socially valued decision making. This, in turn, promotes the development of characteristics such as self-esteem. This statement recognises that characteristics such as self-esteem are socially constructed, rather than solely derived from the individual. This interpretation of the realisation of the capacity for affiliation resonates with Erikson’s view that a key developmental task during adolescence focuses on the development of a well defined sense of identity which involves defining social roles within different contexts (Erikson 1968). Cooper, Grotevant & Condon (1983) reported that developing a strong sense of identity is most likely to occur when self assertion and freedom (separateness) are encouraged within an atmosphere of responsiveness to the needs of others and sensitivity and respect for others (mutuality). (p.7) “You pursued learning because this is how you asserted yourself as a free person; how you claimed your humanity. You pursued learning so you could work for social uplift, for the liberation of your people. You pursued education so you could prepare yourself to lead your people.” Theresa Perry, Author, Young, Gifted and Black: Promoting High Achievement Among African-American Students Disciplinary study can prepare students to examine contemporary issues broadly, deeply and epistomologically, (i.e., think about their conceptual roots –biomedical and disease orientation, social marketing campaigns presented through the media, or ethno-cultural norms and traditions). However, there is much to be learned about health and human behaviour through the practice of health. Mobilizing student involvement within communities of concern communicates important messages about the role of individuals in society and, in turn, the impact society has in individual life. Mobilizing student involvement Current brain research indicates that learning is optimized in a high-challenge, low-threat environment that is a safe and orderly place open to the expression of young people’s questions, thoughts, and feelings. If this type of environment is created, students are more likely to experience the condition of “relaxed alertness” that maximizes learning (Caine & Caine, 1997). Instructional methodologies and school governance practices that make learning environments safer, more caring, better managed, and more participatory have been shown to increase student attachment to school. In turn, students who are more engaged and attached to school have better attendance, higher graduation rates, and fewer at-risk behaviours such as drug use, drop out/non attendance, and conduct problems (Hawkins, Catalono, & Miller, 1992). Birch & Ladd, (1997) found that a sense of ‘closeness’ to the school – the teachers, other students, and activities – relates significantly to school bonding, self-directed behaviour, and levels of cooperation in the classroom. Providing students with opportunities for participation may also increase students’ intrinsic motivation to behave in pro-social ways, thereby decreasing school crime and other forms of deviant behaviour sometimes found in the school setting (Csikszentmihalyi and Larson, 1980). Participation in health promotion initiatives can be a powerful way to express interest and skills related to leadership and health citizenry. Involved in determining and initiating health projects, young people demonstrate their ability to act in relation to their concerns, values and beliefs, while making evident their willingness and ability to be involved in the creation of a community that cares. Through service-oriented projects that address the physical, social, mental, and spiritual health of students, young people are more likely to form ‘identities of achievement’, a sense that together we can make changes happen. Too often labels are used to define students - ‘at risk’, ‘learning disabled’. Labels limit expectations because as McMahon (2002) argues, “the use of the term ‘at risk students’ implicitly reinforces the belief that failure and risk reside within the student rather than the relationships between the students and the institutions or in the institutions themselves. Furthermore, the global nature of the depiction and implicit sense of finality contained in the notion of ‘at risk students’ conveys a message that the ascription of at risk is somehow all encompassing and terminal, whereas ‘students at risk’ more readily identifies the situational nature of what we are describing.” When students are thought of as resources to be developed, programmers redirect their efforts to allocate and concentrate resources on building students’ gifts and talents towards their potential – self-actualization. More importantly a strong message is communicated to students that who they are (capable of becoming) as people (their acts of conscience and care) is more important than what they are. Building communities of care Caring, according to Noddings (2001), implies a continuous drive for competence. “In the virtue sense, it refers to a person who continually strives for the competence required to respond adequately to the recipients of care; in the relational sense, it refers to situations regularly displaying the kinds of interaction in which both parties are growing. For teaching, both senses are captured by Milton Mayeroff when he writes: ‘To care for another person, in the most significant sense, is to help him grow and actualize himself (1971)’. In health-minded schools, care means aligning health aspirations and initiatives with the core values and goals of the institution. Accordingly, health SPRING • PRINTEMPS 2004 7 promotion is an integral part of student achievement and school improvement – not an add-on. For example, health promotion initiatives make apparent important messages about the role and purpose of education, such as preparing young people to play active roles in society today and beyond (i.e., to ‘inherit the world’). Educators should be “the seed of the world”, those who prepare the ground and plant the seeds of the future (Civil Rights Leader – Victoria AdamsGrey). In health-infused classrooms, students are urged to relate what they learn to better living, to relate lived experience to their understanding of the world, to accept that they can make a difference in people’s lives. Theresa Perry (2003), in Young, Gifted and Black: Promoting High Achievement Among African-American Students, points out that even though there was no expectation of being rewarded for advanced education in the same ways as white people in the larger society, African Americans pursued educational achievement with a vengeance for its own inherent rewards. She poses several interesting questions. Among them: Why should one make an effort to excel in school if one cannot determine if the learning will ever be valued, seen, or acknowledged? Why should one focus on learning in school if that learning will not affect, inform, or alter one’s status as a member of an oppressed group? Perry concludes, “For African Americans, from slavery to the modern Civil Rights movement, the answers were these: You pursued learning because this is how you asserted yourself as a free person; how you claimed your humanity. You pursued learning so you could work for social uplift, for the liberation of your people. You pursued education so you could prepare yourself to lead your people”. Health promotion initiatives invite opportunities to build ‘care-actor’ (i.e., engagement in learning with character – as a way to demonstrate care for self and others, as a way to participate in the 8 PHYSICAL AND HEALTH EDUCATION promotion and protection of a just society, to experience generosity and civility). The health promotion initiatives portrayed in this issue of the PHE Journal showcase ways students exercise leadership, initiate and participate in campaigns for social justice, serve as activists and protectionists for human dignity, and demonstrate citizenry. Accordingly, HPS foster a rich sense of what it means to be part of community that embodies and expresses certain beliefs and values about human rights and entitlements. Conclusion Through meaningful engagement in school life and their communities, youth are more likely to feel like they belong (Benson 1997), that their efforts (ideas, service initiatives) are taken seriously, and that they can make a difference. This issue of the PHE Journal demonstrates that the notion of the Health Promoting School (HPS) is presented as a conceptual framework that: • Legitimates and intensifies student involvement in learning for citizenry; • Links health promotion and the school improvement process; • Encourages coordination of a wide spectrum of services and supports; • Serves as a tool for inquiring about the various environmental factors that interact with health and learning opportunities which ultimately result in an improvement in the quality of life of students as well as their direct involvement in the creation and sustained commitment to this process at school, in their neighbourhoods, and throughout society; • Acknowledges engagement in health promotion initiatives as part of a study of and participation in change agentry – anywhere. ■ R EFE RENCES Anderson, A. (1999). Using health education to develop literacy. Research for Educational Reform, 4, (1), 21-33. Birch, S.H. & Ladd, G.W.(1997). The teacherchild relationship and children’s early school adjustment. Journal of School Psychology, 35, 61-79. Benson, P. (1997). All kids are our kids: What communities must do to raise caring and responsible children and adolescents. San Francisco: Jossey-Bass. Birch Caine, R.N., & Caine, G. (1997). Education at the edge of possibilities. ASCD: Alexandria VA. Csikszentmihalyi, M. & Larson, R. (1980). Intrinsic rewards in school crime. In K. Baker and R.J. Rubel (Eds.), Violence and crime in the schools. Lexington, MA: D.C. Health. Eisner, E.(1991). The Enlightened Eye: Qualitative Inquiry and the Enhancement of Educational Practice. New York: MacMillan. Hawkins, J.D., Catalano, R.F., & Millar, J.Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64-105. Palmer, P. (1998). The Courage to Teach. JosseyBass Inc. San Francisco, CA. Perry, T. (2003). Up from the parched earth: Toward a theory of African-American achievement. In T. Perry, C. Steele, & A. Hilliard, III (Eds.), Young, gifted and Black: Promoting high achievement among African American students (pp. 1-108). Boston: Beacon. McMahon, B. (2002). Beyond a discourse of deficit: The role of Educational Administrators in Conceptions of Risk and Resiliency. Paper delivered at the 7th annual Values and Educational Leaderhip Conference, Toronto, Canada, October 3-5, 2002. Noddings, N. (2001). The caring teacher. In Handbook of Research on Teaching 4th Edition. (pp. 99-105). Washington D.C.: The American Educational Research Association. Perry, T. (2003). Young, Gifted and Black: Promoting High Achievement Among AfricanAmerican Students World Health Organization Regional Office for Europe (1997). The Health Promoting School – an investment in education, health and democracy. Conference Report (Greece, May 1-5, 1997). Wolfgang, M.A. & Aveyard, P. (2001). A new theory of health promoting schools based on human functioning, school organisation and pedagogic practice. Paper presented at the Partners and Health Conference in the Netherlands, 2001. Principles for an Active Healthy School Community By: Barb Ronson (Center for Health Promotion – University of Toronto), Jack Jones (World Health Organization), Colleen Stanton, (Independent Consultant) [email protected] A s new ideas and projects are developed, attention to key principles offer decision-makers both an interpretive lens and critical tool for making judgements about their initiative. Principles help to center on the fundamental or core values claimed to be upheld in our work. Principles enable us to avoid educational evangelism and quick fix remedies. Anchored in principles, we are better able to hold ourselves accountable to a higher standard. PRINCIPLE #1 Active Healthy School Communities have a school culture that understands health and uses it as an effective strategy for student achievement. An Active Healthy School Community aims to improve student achievement and understands that health status is a resource for achievement. The concept of an Active Healthy School Community is based on the premise that health and learning are inextricably interconnected and that increasing focus on health, especially physical activity and nutrition, will create the conditions our students need for successful learning. The WHO Collaborating Center to Promote Health Through Schools and Communities (Boston) has reviewed substantial research that shows the relationships among health, cognition, school participation, and academic achievement. Their Education For All 2000 report reveals the following key findings: The following principles for Active Healthy School Communities have been identified based on: 1) An international literature review of promising school health promotion practices, 2) Research that analyzes a systems-based approach to healthpromoting schools, 3) Successes observed in local Ontario initiatives, and 4) Consultation with the World Health Organization (WHO). 1. School-based nutrition and health interventions can improve academic performance. 2. Students’ health and nutrition status affects their enrolment, retention, and absenteeism. 3. Education benefits health. 4. Education can reduce social and gender inequities. 5. Health promotion for teachers benefits their health, morale, and quality of instruction. 6. Health promotion and disease prevention programs are costeffective. 7. Treating youngsters in school can reduce disease in the community. 8. Multiple, coordinated strategies produce a greater effect than individual strategies. However, multiple strategies for any one audience must be targeted carefully. 9. Health education is most effective when it uses interactive methods in a skills-based approach. 10. Trained teachers delivering health education produce more significant outcomes in student health knowledge and skills than untrained teachers. 1 SPRING • PRINTEMPS 2004 9 PRINCIPLE #2 2 Active Healthy School Communities have a school culture that values physical activity. Physical activity increases cerebral blood flow, glucose uptake, and metabolism. Physical activity enhances the development of sophisticated perceptual and cognitive behaviours, heightens levels of alertness, increases capacity for improved concentration, increases self-efficacy and self-esteem, improves stress management, reduces disruptive behaviours, and improves math, reading and writing scores. Advocacy efforts for quality physical education and physical activity programs call for: • All students to be active for most, if not all, of the scheduled physical education class; PRINCIPLE #3 • • • • • • More time slots for compulsory physical education; More emphasis on a variety of lifelong, accessible and enjoyable activities such as aerobics and dance; A balance between competition and sport specific skill development, with time for free play, active games, and noncompetitive supervised recreational activities; Opportunities to participate in a variety of individual and team oriented physical activity programs both in competitive and non-competitive formats. Research shows that noncompetitive physical activity and recreation may generate the most gains for chronic disease prevention and citizenship skills; Greater coordination with recreation service providers to address issues related to space, supervision, and liability; and Enhanced after school activities for students, parents and staff. 3 Active Healthy School Communities have a school culture that values healthy nutrition. Nutritional interventions such as micronutrient supplements and the treatment of intestinal worms have also been shown to increase students’ attention, cognitive problem solving, and test scores. Poor diet is linked with reduced attention span, reduced shortterm memory, reduced concentration, reduced reflective and analytical abilities, and low self-esteem. Evidence from around the world shows that treating nutritional and health conditions in school can improve academic performance. In Benin, children in schools with food services scored significantly higher on secondgrade tests than did those in schools without food services. In Jamaica, providing breakfast to primary school students significantly increased attendance and arithmetic scores. In the United States, low-income children (before they participated in a school breakfast program) scored significantly lower on achievement tests than higher-income children. After the students began participating in the school breakfast program, their scores improved more than the scores of the non-participants. Nutrition should be an important part of the school environment that includes: • A comprehensive health curriculum; • Nutrition services, breakfast programs, and healthy cafeteria menus; • Student involvement in addressing their own nutritional health; • Cross-curricular programs, such as Biology classes that provide an opportunity for learning about the link between nutrition and disease, the chemical content of foods, and the specialty requirements of diabetics, hyperactive children, and people with allergies of various kinds. Home Economics classes that teach recipes for various health conditions; and • Student led projects that contribute to the nutritional health of the student body and the community. PRINCIPLE #4 4 Active Healthy School Communities have a culture that values democracy, participation, inclusion, and equity. Among the ten fundamental principles of the European Network of Health Promoting Schools, democracy is listed first. Their conference report explains: “The Health Promoting School is founded on democratic principles conducive to the promotion of learning, personal and social development, and health.” The next two fundamental principles are: Equity and Empowerment and Action Competence. Equity ensures that schools are free from 10 PHYSICAL AND HEALTH EDUCATION oppression, fear and ridicule. “The health promoting school should provide equal access for all to the full range of educational opportunities, enabling each individual to attain his or her full potential free from discrimination.” The principle of empowerment and action competence ensures that schools try to improve young people’s opportunities to value and act upon their own ideas for positive change. “It provides a setting within which [students], working together with their teachers and others, can gain a sense of achievement. Young people’s empowerment, linked to their visions and ideas, enables them to influence their lives and living conditions now and in the future. This is achieved through quality educational policies and practices, which provide opportunities for participation in critical decision making.” PRINCIPLE #5 PRINCIPLE #6 6 5 7 8 Active Healthy School Communities have a sense of ‘shared responsibility’ for children and youth. Leadership in promoting and supporting collaboration may come from within the school itself or from the larger school community of stakeholders and partners that includes public health, community recreation, and community service providers. An Active Healthy School Community team is an ideal way to engage planning and ensure coordination among stakeholders. Keep in mind, however, that the team is not complete without inclusion of students themselves. Every effort must be made to consider their needs and ideas, include them in decision-making, work in their long-term interest, and empower their leadership. As stated (by a youth participant) in a research study on youth empowerment conducted by the Coalition of Ontario Agencies for School Health - “Nothing About Us, Without Us!” Active Healthy School Communities have a school culture that supports professional development and provides a healthy work setting. An Active Healthy School Community understands that while the school is an institution for learning, it is also a workplace for approximately one fifth of the Canadian population. In order for the school environment to be a healthy setting for children to learn, it also needs to be a healthy setting for educators to work. Health promoting schools are mindful of the health of students, as well as the health of educators and school staff. PRINCIPLE #7 Active Healthy School Communities have a school culture that values evidence-based decision-making and evaluation. An Active Healthy School Community thrives in a culture where there is a continuous quest for information and insights to guide its development. When possible, decisions must be made based on measurable data, research, and feedback that enable an understanding of how to improve services and become cost-efficient and effective. As work processes are examined, all of the assumptions upon which people base their thinking must be questioned in light of all the relevant data and information. Evaluation and monitoring must be ongoing initiatives. PRINCIPLE #8 Active Healthy School Communities have a school culture that supports and encourages ongoing, lifelong learning and adaptation based on a holistic “systems approach”. The term “lifelong learning” is increasingly significant today. This notion applies not only to student learning, but also to the school community at large. Schools as institutions can and should continually learn and adapt to changing needs and responsibilities. Communities and organizations that interact with schools must also adapt in order to maintain effective school relationships and partnerships as schools change to meet emerging demands. According to Stanton (in press), the term capacities can be viewed as “the combination of knowledge, skills and attitudes required to accomplish or attain a certain process/outcome”. Stanton identified eleven core elements or capacities that need to be considered to successfully initiate, implement and sustain a holistic integrated approach to health-promoting schools: • An appreciation and understanding of an integrated holistic approach to health • An appreciation and understanding of system change and integrated planning processes • Development of a common and shared vision/meaning • A focus on people and relationship building • Design/creation of an organizational infrastructure • Design/implementation of a multi-strategic approach • Brokering/leveraging resources • Identification, design and delivery of professional development, education and training • Accountability and governance structures • Evaluation and monitoring mechanisms • An environment that supports and encourages ongoing learning and sustainability SPRING • PRINTEMPS 2004 11 H U M A N P OT E N T I A L “Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness, that frightens us. We ask ourselves, who am I to be brilliant, gorgeous, talented and fabulous? Actually, who are you not to be? You are a child of God. Your playing small doesn’t serve the world. There’s nothing enlightened about shrinking so that other people won’t feel insecure around you. We were born to make manifest the glory of God that is within us. It’s not just in some of us. It’s in everyone. And as we let our own light shine, we unconsciously give other people permission to do the same. As we are liberated from our own fears, our presence automatically liberates others.” Nelson Mandela’s inaugural speech, 1994 Margaret Wheatley explains that if we want to create a healthier system “we need to connect it more to itself.” An organization can learn from itself, bringing people within the system together to address complex issues and problems. This ability of individuals and organizations to learn contributes to the growth and development of the individuals, the organization, and its long-term sustainability. Principle-centered decision-making focuses attention on the values and commitments that undergird individual and organizational development. Principles make apparent the philosophy and foundations upon which thinking and reasoning about health promotion is guided. In relation to these key principles, all health promotion initiatives can be tested, evaluated, revised, and sustained. REFERENCES Anderson A (2003) Better Health, Better Schools, Better Futures. OISE/UT. Anderson A, Kalnins I, Raphael D & McCall D (1999). Partners for health: Schools, communities and young people working together, Toronto: University of Toronto. Battistich V, Solomon D & Watson M (1998). Sense of Community as a Mediating Factor in Promoting Children’s Social and Ethical Development. Paper presented at the meeting of the AERA, San Diego CA, APR. Beedy, JP (1997). Sports plus, positive learning using sports: developing youth sports programs that teach positive values. Hamilton, MA: Project Adventure. (from SIRC SportQuest) Hichwa J (1998). Right fielders are people too: an inclusive approach to teaching middle school physical education. Champaign, Ill:Human Kinetics. Jarousse JP & Mingat A (1991). “Assistance a la formulation d’une politique nationale et d’un programme d’investissement dans le secteur de l’eduacation au Benin.” Projet UNESCO/ PNUD Benin/89/001. Paris: UNESCO. As cited in Whitman et al., 2000. Kane MJ (1998). Fictional denials of female empowerment: A feminist analysis of young adult sports fiction. Sociology of Sport Journal 15. 231-262. Kirk D, (1998). The Myth of the Sporting ‘Legend’: Physical Education and the New Physical Culture. Lecture Oct. 1998 Buenos Aires. Retrieved from the World Wide Web at www.efdeportes.com/efall/kirk.htm Levinger B (1994). Nutrition, Health and Education for All. Newton, Mass./New York: Education Development Center/United Nations Development Programme. Simeon DT & Grantham-McGregor S (1989). Effects of missing breakfast on the cognitive functions of school children of differing nutritional status. American Journal of Clinical Nutrition, 49, 646-53. As cited in Whitman et al., 2000. McKee CL & DeWitt DJ et. al. (2002). School Culture Project: Longitudinal Descriptive Report, Toronto. Centre for Addiction and Mental Health. Simons-Morton BG, Crump AD, Haynie DL & Saylor KE (1999). Student-school bonding and adolescent problem behavior. Health Education Research, 14(1), 99-107. Meyers AF, Sampson AE, Weitzman M, Rogers BL & Kayne H. (1989) School Breakfast Program and School Performance. American Journal of Disabled Children, 143, 1234-1239. As cited in Whitman et al., 2000 Stanton, C. (2003). A Systems Approach to Health Promoting Schools, Applied Research Paper for Completion of MBA. Alberta: Athabasca University. Minister of Health & Welfare Canada. (1996) Guide to Project Evaluation: A Participatory Approach Nokes C, Grantham-McGregor SM, Sawyer AW, Cooper ES, Robinson BA & Bundy DAP (n.d.) Moderate to High Infections of Trichuris Trichura and Cognitive Function in Jamaican School Children. London: Wellcome Trust Research Centre for Parasitic Infections, Department of Biology, Imperial College. As cited in Whitman et al., 2000. Pitavsky (1997). Insight: Website of the Inclusive Education Service, Inclusive Education Resources. http://www.qesnrecit.qc.ca/insight/ resources/in_res_charc_ed.html 12 PHYSICAL AND HEALTH EDUCATION Schultz EW et. al. (1987). Healthful School Climate: Psychological Health and Well Being in Schools. Journal of School Health, 57(10). Wheatley, M. (1999). Leadership and the New Science: Discovering Order in a Chaotic World. Berrett-Koehler Publications Inc. Whitman LV, Aldinger C, Levinger B & Birdthistle I (2000). EFA2000 Assessment Thematic Study on School Health and Nutrition. WHO and EDC Inc. WHO Regional Office for Europe (1997). The Health Promoting School – an investment in education, health and democracy. Conference Report (Greece, May 1-5, 1997). Cophenhagen, WHO. SPRING • PRINTEMPS 2004 13 A Student Driven, Service-Based High School Leadership Program – Enabling students to make a difference By Dee Anne S. Vonde Dee Anne S. Vonde earned a Ph.D. in Family Ecology from Michigan State University, and has taught in several universities in California. She implemented a successful Leadership program at Lord Beaverbrook High School in Calgary, Alberta, where she continues to teach. In recognition of this achievement, she received the Prime Minister of Canada’s Award for Teaching Excellence in 2002, and the Pan Canadian Student Choice Award in 2000 and 2001. Dee Anne has published several books and journal articles, and can be reached at [email protected]. 14 PHYSICAL AND HEALTH EDUCATION L ord Beaverbrook High School (LBHS) in Calgary, Alberta, a Grade 10-12 high school with 2700 students, implemented a Leadership program in the 1998-99 school year. The program is unique in Canada. Based on a model of “service-based, student-driven leadership”, it started with an enrollment of 15 students, and has grown to 150 students per year. The program is targeted at students who desire volunteer opportunities, and wish to develop their leadership, mentoring, communication, organization, and time management skills. Students in the program identify needs in their school or community, develop ideas for projects, and work together as a team to accomplish their goals. A class generally works on five or six projects a year. The leadership resource manual used in the program can be viewed at calgaryurbanvibe.ca/leadership. Generally, students enter the Leadership program in Grade 10. There are three levels as follows: Leadership 10/CALM 20 6 credits Prerequisite: Admission interview Leadership 20 5 credits Prerequisite: Leadership 10/CALM 20 Leadership 30 5 credits Prerequisite: Leadership 20 The program is approved by Alberta Learning and counts as a class for university entrance. Evaluation is based on classroom participation and volunteer work. For the Grade 10 program, students also complete the key Career & Life Management (CALM) units including Careers, Sexuality, Relationships, and Well-Being. In addition to six class hours per week, students must commit to a minimum of two volunteer hours per week (after school or on weekends). Many students devote as much as 15 volunteer hours per week because they are so committed to the project. To enter the program, students must complete a leadership application form and provide a confidential reference. national and international attention. There are two more schools in the Calgary area that have now implemented a similar program. Nick Fox, retired principal of LBHS, states: “I have never seen a program change the culture of a school the way Leadership has at Lord Beaverbrook High School.” Leadership Program Model: Student-Driven and Service-Based At LBHS, the driving force behind the Leadership program is the students’ desire to serve. The students, not the teacher, initiate meaningful class assignments. The students identify needs, establish goals, and plan strategies. They give their time and energy in service of a project they deem important. As students expend their time and energy, they grow as persons, emotionally and socially. When they observe firsthand how their efforts are benefiting the school and community, the students develop a new sense of empowerment. From school to school, the program and activities will vary. Depending on the interests of the students, the project could have a community focus, a national focus, or provide aid to a foreign country. Some of the programs at LBHS have included: • Organizing a tea for senior citizens at an elementary school assisted by the elementary school students; • Raising money for famine relief; • Initiating programs to reduce violence and alienation in the school. Leadership Program: How it Works The teacher plays a key role in the leadership program, acting as a facilitator, coach and mentor, rather than the initiator and director of the program. The class might best be described as experiential learning, or an on-the-job The Leadership program has had a positive impact on the school community at LBHS, and received Lord Beaverbrook High School (LBHS) in Calgary, Alberta, a Grade 10-12 high school with 2700 students, implemented a Leadership program in the 1998-99 school year. The program is unique in Canada. Based on a model of “service-based, student-driven leadership", it started with an enrollment of 15 students, and has grown to 150 students per year. The program is targeted at students who desire volunteer opportunities and wish to develop their leadership, mentoring, communication, organization, and time management skills. Students in the program identify needs in their school or community, develop ideas for projects, and work together as a team to accomplish their goals. This article provides an outline of the program, how it works, and gives a sample of the various initiatives that students have developed. L’école secondaire Lord Beaverbrook de Calgary, en Alberta, qui compte 2 700 élèves de la 10e année à la 12e année lançait, au cours de l’année scolaire 1998-1999, un programme de Leadership étudiant unique au Canada. S’inspirant d’un modèle de leadership « axé sur les services et géré par les élèves », ce programme a débuté avec 15 élèves. Depuis, il n’a cessé de croître et accueille aujourd’hui 150 jeunes désireux de faire du bénévolat et de perfectionner leurs habiletés en matière de leadership, de mentorat, de communication, d’organisation et de gestion du temps. Dans un premier temps, les élèves identifient des besoins au sein de leur école ou de leur collectivité. Ils trouvent ensuite des idées de projets et s’organisent par équipes pour atteindre leurs objectifs. L’article décrit le fonctionnement du programme et fournit des exemples de projets en découlant. SPRING • PRINTEMPS 2004 15 training program, with grades determined based on progress and results of the specific leadership project, rather than an academic understanding of leadership. Assistant Principal, Gordon Marconi states, “We set the parameters, frame the journey, and then get out of the way.” At the beginning of each semester, the teacher facilitates a student brainstorming session, ensuring an environment in which everyone feels safe to express themselves. Everyone is seated in a circle, allowing for good eye contact. The students share their ideas for projects. No ideas are judged as good or bad. For example, a student might suggest, “I want to write a book for teens who are experiencing depression.” The group reviews this idea, and a team forms to examine it further. The team conducts appropriate literature reviews, seeks expert assistance from various community agencies, contacts book publishers, and secures the necessary funding. The setting of the Leadership program is one where the Socratic method of questioning is at its best. The teacher’s role is to ask penetrating questions about issues that students may be dealing with for the first time. Teachers seek to develop the qualities and potential within each student, encouraging them to reach out beyond their existing comfort level while they plan and implement their projects. Some programs involve significant costs and so an external source for funding must be identified. Some programs are quite involved and may require several years to accomplish. There are always some risks to success (i.e., not receiving funding), so flexibility is necessary. Projects may eventually fail due to lack of interest or funds, time limitations, or mounting complexities. The students themselves decide when a project will be discontinued. By pursuing complex and long-term goals, students learn the importance of teamwork and tenacity. The teacher ensures that all members of the group are 16 PHYSICAL AND HEALTH EDUCATION participating actively. The shy, introverted student that comes into the class is often hesitant to speak out, but perhaps has computer skills to contribute. This class provides a setting where every student can contribute, and students learn that it takes many people with many different skills to make any project successful. During the course of their projects, students also learn how to connect with people and organizations that can help them accomplish their goals. Organizations such as Calgary Health Region, Calgary Family Services, Developmental Disabilities Resource Center, and Leadership Calgary have provided valuable guidance, technical information and finances to the leadership program. Three Projects: A Closer Look “Challenge Day” Students identified the need for a Challenge Day event that would help students develop communication skills, encourage healthy emotional expression, and identify the roles and responsibilities of mentors. However, the $15,000 cost was a major impediment. An abbreviated program was proposed to train 25 mentors and deliver the program to 100 students, but that would not achieve the results the students wanted. For this reason, Challenge Day was deferred until they could do it right. At last, students wrote a successful proposal, assisted by staff from Developmental Disabilities Resource Center, and the event took place in October 2003. In a workshop facilitated by representatives from the Challenge Day organization based in California (see www.challengeday.com), 100 students and teachers received training as mentors. These mentors then acted as facilitators in follow-up training sessions and roundtable discussions. The entire event lasted five days and involved over 680 students, staff, and community workers. The impact of the Challenge Day program was profound, and there is a new sense of community in the school. The LBHS Leadership program received a Volunteer Award from the City of Calgary for this initiative. Some comments from the participants were: • “I am a new person. I will never look the other way when someone is attempting to put another person down. I will speak up.” • “I have a completely new attitude about school. I now feel that I belong here. I am accepted.” • “I never got involved in school events before, but now I am joining a group to reduce racism.” Grade 6 Mentorship In an ongoing project, female students in the Leadership program deliver a Health In Perspective (HIP) program to Grade 6 girls in four nearby elementary schools. The HIP program includes several units including: Move That Body, Good Stress-Bad Stress, Media Madness, and How to Become Smoke Free. The mentors address many health and lifestyle issues, and are often shocked by the questions the younger girls ask. Teachers in the elementary schools see the value of involving the high school students as mentors: • “The elementary students in my class listen to what I say, but when the high school students come over, they hear every word.” • “I got a great deal of satisfaction that I was doing something good for my community and myself and I will carry this forward forever.” • “Leadership taught me a new sense of responsibility for my well-being and pride in everything I do.” The LBHS school nurse (provided by Calgary Health Region, and covering several elementary and Junior High schools in the area) has been extremely helpful to the leadership students. The nurse frequently accompanies the high school girls in these mentoring sessions, strengthening connections between the high school and elementary school students, and supporting the mentors as they try to answer serious questions. A Book for Teens, By Teens Students discussed problems faced by their peers who were experiencing various forms of depression. Wishing to tackle this problem, the students reviewed books written by professionals about teen depression, and found that none were written by teens themselves. They decided to write their own book entitled “I’m A Teen Too.” They clarified their goals, and solicited the help of staff from Developmental Disabilities Resource Center. They, through their own efforts, secured funding from outside agencies to write and publish the book. They are now interviewing students (assisted by trained professionals) who have experienced depression in order to better understand the specific problems faced by teens. The Leadership students have a strong sense of commitment to this project, which will take another year to complete. Conclusion These are some typical comments from student mentors: • “I like being a mentor. I can see how much I have grown and that I have a lot to give.” • “I never thought of myself as a role model before, but now I think about the decisions I am making in my life, not just when I am at the elementary school, but always.” A HIP program for boys is not available. However, for the past three years, the young men in the Leadership program have been delivering a program similar to HIP to Grade 6 boys in four elementary schools. The Leadership students are assisted and supported by a social worker from Calgary Family Services (CFS), and they jointly plan their weekly mentoring sessions. The Leadership students have received a grant from Social Venture Partners (a Calgary philanthropic group) to write and publish a resource manual to help in delivering this successful mentoring program. To accomplish this task, the students have enlisted additional participation from Developmental Disabilities Resource Center, Calgary Heath Region Tobacco Reduction Branch, the Calgary Health Region School Nurse, and Calgary Family Services. Going Forward to Make a Difference Many students who have participated in the program have been recognized for their leadership abilities, and have won provincial and national awards and scholarships. After graduation, Leadership students continue to serve, utilizing the skills they learned in high school. Some have returned to help run events like Challenge Day; others are assisting in writing a Health in Perspective book for boys. One of the graduates is starting a HIP program in the city where she is attending university. Here are some of the comments of those who have participated in the Leadership program: • “This class provided me with a chance to find out who I really am.” There are no limits to what students can accomplish. In a student-driven, servicebased Leadership program, high school students work on projects that have an impact on the school, community, nation, and the world. Students experience the mental anguish and frustrations in trying get the resources they need to complete their projects. Their sense of community is broadened as they work with each other, and with business and community leaders and community agencies to acquire resources required to accomplish these goals. Students become increasingly passionate about completing the projects, and as they reach their goals, they also feel the exhilaration of a job well done. Not all LBHS Leadership students will go to college or become student leaders in college or university. The program is not designed to train gifted students, nor is it designed solely as a college preparatory course. The purpose of the Leadership program is to provide students with training for life, helping them to develop leadership and personal communication skills that can be utilized in their future endeavors. ■ REF ERENCES Greenleaf, R.K. The Servant as Leader. (1991). Robert K. Greenleaf Center. Indianapolis, Indiana. See also: www.greenleaf.org/ See www.challengeday.org. Canadian Intramural Recreation Association. ( 1999) Health In Perspective. A Youth-Led Approach to Healthier Lifestyles. Health Canada, Ottawa, Ontario. SPRING • PRINTEMPS 2004 17 Annapolis Valley Health Promoting School Project - OUR STORY by Janet Edwards, Ismagh Bligh, and Sheila Munro When students were asked: “Given no barriers, what activities would you most like to do in a day and what foods would you most like to eat for lunch”, they chose healthy food and physical activities most often. This is good news considering the rising rates of obesity and sedentary living in our youth. It also shows us that the issue is not: ‘How to interest our youth in healthy eating and physical activity?’ Rather, ‘how schools can make it easy for all of us to be engaged in these health promoting behaviours.’ With school boards, administrators, school staff, parents and the community working together, this can be a reality. When students are heard and involved in the process of making their schools a healthier place, amazing things can happen. The Annapolis Valley Health Promoting School Project is using population health approaches to work with and support eight schools and their students in making the healthy choice the easy choice at their school. T he Annapolis Valley Health Promoting School Project (AVHPSP) is a two and a half year initiative (October 2001 to March 2004) currently funded through the Canadian Diabetes Strategy, Health Canada. It evolved from a grass roots movement in 1997 involving parents and teachers at Port Williams Elementary School. At that time, they had initiated changes in the school menu from ‘fast food’ to include more nutritious food. This resulted in the establishment of a school food program and the drafting of a school board food policy. The grass roots movement was eventually incorporated into the “Port Williams Nutrition for Health Association”. The mandate was expanded to link healthy eating and health maintenance with physical activity to ensure a holistic approach to health and 18 PHYSICAL AND HEALTH EDUCATION well-being. Building on its success, and wishing to support and strengthen the development of similar programs in the additional elementary and middle schools in Annapolis Valley Regional School Board (AVRSB), the Port Williams Nutrition for Health Association received funding in 2001 from the Canadian Diabetes Strategy. The AVHPSP is about making healthy choices easy choices for children. It supports schools in their efforts to create school environments that offer, encourage, and value healthy eating and physical activity. Through multi-sector partnerships, and using a population health approach in a school setting, the program builds capacity in schools to offer healthy nutrition and physical activity opportunities to students. This approach ensures a healthy environment that provides students with skills to develop healthy food and activity behaviours for life, ultimately contributing to a reduced risk for developing chronic diseases. Eight schools (five elementary and three middle schools) participated in the Health Promoting School (HPS) project. Other schools in the Annapolis Valley Regional School Board are also keen to develop similar opportunities for their school. The HPS project involves many multisector partnerships working with and supporting schools. Project partners, such as Active Kids/Healthy Kids (AK/HK) and Breakfast for Learning, create links with other groups to share best practices and to obtain alternate sources of funding. Regional efforts of the AK/HK strategy have provided funding support to schools to enhance physical activity. They serve as a valuable link to the HPS project as it continues to build capacity. Multiple strategies are being implemented with support from the partnership including policy, education, awareness, leadership development, program implementation, advocacy for supportive long term funding, multi-sectoral partnership development, project evaluation. The Current Situation It is important to note that the AVRSB is the only school board in Nova Scotia to have a healthy eating policy. However, many schools in AVRSB do not have cafeterias, lunchrooms or appropriate facilities to prepare healthy foods. In several schools, volunteers and teachers coordinate and implement the programs. The greatest challenge facing the schools is financial sustainability of their food service. For a school nutrition program to be universally accessible, foods must be offered at reasonable costs. To ensure a reliable, quality program, well trained and adequately paid staff are also required. The school board is unable to subsidize nutritious foods and food services staff, as this would have a negative impact on academic programs. With respect to physical activity opportunities, a board physical education policy is being developed. However, there are several schools within AVRSB who are operating their physical education program in a multi-purpose room because their school lacks gym facilities. Most of the AVRSB schools are predominately in rural areas where community recreation facilities and opportunities are limited. Transportation to recreation facilities can be challenging for many families. Many schools within the AVRSB offer sports after school hours, which requires parents to provide transportation. Teachers are also required to support these programs without pay. Our Structure A Project Advisory Committee with representation from many sectors, including the school board, schools, public health, food service organizations, parents, sport and recreation, and other health organizations, meets regularly to discuss the project’s implementation and direction. At the school level, health promotion teams with membership from administrators, teachers, school staff, parents and students, identify their school specific health promoting needs and develop plans to meet these needs. Students are involved by providing input through formal/informal surveys, student leadership, student implementation of projects, focus groups, student council, and student representation on their school health promoting committee. What Has Happened in the Project? What have we learned? An early finding showed that student preference for physical activity and food was primarily healthy. When students were asked to pick the four foods they would most like to eat for lunch from a range of healthy and unhealthy food options, the top two choices were pizza and fruit. In addition, 75% of students prefer to drink water, juice or milk over pop. Similarly, given a choice from inactive and active activities, when asked what four activities they would most like to do in a day, the students’ preference was for “active” activities. Biking, swimming and team sports were ahead of computer, video games and watching TV. This preference declines after age eleven, particularly for females. The schools are now focussing on and planning initiatives that will benefit all students and families in their schools. The root causes of inactivity and obesity, as well as the barriers to participation in physical activity and healthy eating are being addressed. From the parent survey, the most common barriers to participation in physical activity were: cost, lack of available activities, child not interested, the time required of parents, lack of facilities, and transportation. Barriers to healthy eating cited by parents were: child not interested, inadequate time to eat, and cost of healthy foods. A collection of examples from the project schools on some of the ways they have enhanced their healthy eating initiatives includes: • Champlain Elementary School includes a healthy snack with their after school activity program. • MCS students have explored a range of foods through special events: Grocery Store Fruit Sampling, making Smoothies, visit to the Dairy Farm to Celebrate World Milk Day; How to Make Shivers – a frozen 100% juice popsicle. • Somerset & District School sends home their school policy on healthy eating with the school menu. The SPRING • PRINTEMPS 2004 19 • • • • Home & School Association organizes an annual craft fair to subsidize the Healthy School Food Program. Coldbrook & District School held a Health Fair that included healthy food taste testing. Some students were exposed to foods that they had never tasted before. All students gave feedback and menu changes were made. New Minas Elementary School changed the looks and placement of their fruit & veggie cups. They are now sold out every day. Port Williams Elementary School took the opportunity to incorporate physical activity and healthy eating on a school wide trip to a Corn Maze. After the active part of making it through the maze, each student had a corn on the cob. This will become an early fall menu item. Evangeline Middle School has a team of students called ‘Select Foods’ to work on improving and promoting 20 PHYSICAL AND HEALTH EDUCATION the healthy food options on their school menu. • Wolfville School surveyed their students and held focus groups to make nutritional improvements to their school menu. They continued with building skills in students around making their own healthy snacks and incorporated more skill building into the grade nine family studies class. Some examples of how the schools have enhanced their physical activity opportunities include: • Champlain Elementary School teaches older students how to introduce and lead new playground games during recess. These games are reinforced to the parents by sending home the game rules in a weekly newsletter. The games can be played alone or with others and require no equipment. • Margaretville Consolidated School has a Kids Teaching Kids coaching clinic so that older students can teach different physical activities to younger students. This is very beneficial to a school that only has a physical education teacher 10% of the time. • Somerset Elementary School has a student leadership program requiring all grade five and six classes to be active leaders for their noon hour activity program. Students can take part in a wide range of physical activities. • New Minas Elementary School has peer leaders that promote the benefits of physical activity during special events to students. The peer leaders also coordinate the availability of physical activity equipment during recess and lunch. • Port Williams Elementary School has focussed on the family and has implemented several initiatives to support the whole family’s participation in physical activity; for example Walk Across Canada, Snow Shoe Making Workshop, Participation in Harvest Valley Half Marathon, Family Skating, Corn Maze, Cross Country Ski Sale, and more. • Evangeline Middle School offers daily physical education classes and encourages physical activity at home with their Fitness Shoe. In addition to a wide range of physical activities such as rope courses, their no-cut policy allows all students to participate in extracurricular activities. • Coldbrook & District School found a way to encourage families to their school by offering Healthy Active Nights led by grade eight students and local university athletes. • Wolfville School held Healthy and Active Days for their middle school students and offered a range of physical activities that were noncompetitive, inexpensive, required little equipment and could be done at home. Students evaluated the session and the two most popular activities were offered at no cost to the students after school. Teachers have been trained and changes have been made to the school schedule so that daily For more information, contact: Janet Edwards, Project Coordinator Annapolis Valley Health Promoting School Project (902) 765-3851; [email protected] Ismay Bligh, Project Chair Annapolis Valley Health Promoting School Project (902) 542-6310; [email protected] Sheila Munro, Active Healthy Living Consultant, AVRSB (902) 538-4600; [email protected] physical education is part of their school day. ■ In addition to all of these great examples, the project has offered workshops and sharing opportunities to build skills and leadership. Newsletters were distributed to all parents and to other schools. The partners and schools are creating a sustainability plan to identify priority areas and strategies to continue the momentum after the funding from Canadian Diabetes Strategy has ended. ■ How are we doing? The Annapolis Valley HPS Project is working with the Population Health & Research Unit, Dalhousie University to evaluate the project and has developed a comprehensive evaluation framework. Baseline information has been collected from the current eight project schools. Results show: ■ Given no barriers, children would choose healthier foods and more ‘active’ activities. However, after age eleven, preference for healthier foods and active activities begins to decline. ■ 95% of parents and teachers are very supportive of schools playing a major role in promoting health at school. ■ 64% of parents and teachers believe that it is primarily the family’s responsibility to promote healthy eating and physical activity. Children were also surveyed in the fall and winter months to find out what their food and activity behaviour was at school and after school. ■ Less than half of the students who completed the survey had fruits or vegetables for lunch. If the lunch was brought from home, the student was more likely to have fruit/vegetables. ■ More involvement in “active” activities at school and much less involvement after school. ■ Top in-school activities were playing with friends, gym, and sports. Top after-school activities were TV, reading/homework, listening to music ■ There was a link between fruit/ vegetable consumption and physical activity. The foods students reported eating at lunch and after school were consistent from fall to winter. The number of ‘active’ activities that students reported doing declined slightly in the winter. Information is also being gathered during the fall and winter of each school year on: ■ the types and quantities of food available and sold in school snack/ lunch programs ■ the physical activity opportunities available to students during the school day and out of school hours ■ evaluation of initiatives implemented.The lessons learned and evaluation results from this project will be incorporated into ‘How To Guides’ that will further illustrate our story from the Annapolis Valley Health Promoting School Project. These will be available in March 2004. Continuing Our Project One of the lessons learned from the project partners and schools is that change takes time, but a series of small changes over a period of time and collaboration with others does bring you closer to the goal. The involvement of students, parents, school, partners and the community contribute to a richness in the quality of the progress made so far. Health policy and funding are essential to provide direction and program support, but in order for meaningful, sustainable change to take place, leadership and collaboration in each school must be facilitated to identify the strengths, resources and opportunities to become a Health Promoting School. Healthy lifestyles should not be dependent on discretionary funding and volunteers available; rather, the requirement is for secure, sustainable funding. The project has applied for future funding so that this important work can be continued. ■ SPRING • PRINTEMPS 2004 21 Developing a School Food/Nutrition Policy or Guidelines By Christine Preece, Quality School Health Program Advisory Committee Chair S chool food and nutrition policies provide guidelines for dealing with food and nutrition issues in schools. They help to create an environment where children can practice healthy eating habits and demonstrate a commitment to student health. Effective food and nutrition policies set out the type and procedures for food and beverage provision at school. Including: • What types of food will be served in schools; in other words, the nutritional quality of the foods and beverages being served. • At what times foods are served in schools. • The individuals/organizations responsible for providing food and beverages. • Whether foods are used for fundraisers, and if they are, the foods that are appropriate. • How food and nutrition education is included in the curriculum. Sample Food Policy Good nutrition is important for growth, development and learning. The school (or school board) has a responsibility to foster and support healthy eating practices by: • Providing a minimum of 30 minutes per week of nutrition education for all children of all grades. • Substituting unhealthy fundraising events such as chocolate bar sales with healthier products such as cheese, berries, citrus fruit sales. • Offering healthy foods for all food-related activities in schools (e.g., replacing hot dog day with smoothie day). • Ensuring that teachers are educated and trained on nutritious foods for fundraisers and healthy eating curriculum resources. • Working with the local health department to provide training to parent council members on the importance of nutritious foods and their relationship to optimal learning and childhood development. 22 PHYSICAL AND HEALTH EDUCATION • Ensuring the promotion of nutritious foods. • Providing special events that focus on fun and nutritious activities combined with other healthy lifestyle events (e.g., selling apple grams to promote healthy eating and healthy relationships). • Removing foods with little nutritional value from vending machines and replacing them with healthy snacks such as granola bars, apples, 100% fruit juices, water, etc. • Providing nutritious breakfast and snack programs that follows Canada’s Food Guide for Healthy Eating. • Offering nutritional food choices in the school cafeteria that will allow students to have healthier choices. • Working with the student health council to promote healthy eating in our school. • Working with local dietitians to provide programs that support healthy eating. The Vancouver Island Race: A Collaboration Between the Saanich Peninsula Diabetes Prevention Project and Saanich Adult Education Centre By: Joan Wharf Higgins, Ph.D., Trina Rickert, BA, and Megan Rutherford R ates of diabetes among Aboriginals in Canada are three to five times higher than those of the general Canadian population (Health Canada Aboriginal Diabetes Initiative, 2003). Aboriginal children are now being diagnosed with type 2 diabetes, a disease that was formally predominant in older individuals. The proximal risk factors for diabetes - obesity, inactivity and poor eating habits - are also more common among Aboriginal populations (Kriska, Saremi, Hanson et al., 2003). Recent evidence indicates the significance of lifestyle interventions, particularly culturally sensitive interventions, in reducing incidence of type 2 diabetes in high-risk groups (Molitch, Fujimoto, Hamman, & Knowler, 2003; Segal, Dalton, & Richardson, 1998). Because of the recent epidemic of diabetes in North America, the economic burden of treating the disease, and the promise of behavioural interventions to prevent or delay its onset, there have been calls for the primary prevention of diabetes (Narayan, Boyle, Thompson et al., 2003; Satterfield, Volanksy, Caspersen et al., 2003), as well as for participatory action research (Satterfield, Volanksy, Caspersen et al., 2003) in well-defined communities (Harris & Zinman, 2000) to ensure cultural relevance of interventions (Macaulay, Commanda, Freeman et al., 1999). This article will share our experience with the “Vancouver Island Race,” a successful walking program with First Nations students, designed to promote a supportive, culturally sensitive environment for the uptake of physical activity. The Saanich Peninsula is located on South Vancouver Island. It is composed of three municipalities (Central Saanich, North Saanich, Sidney) with a total population of approximately 40,000, and four First Nations communities (Tseycum, Pauquachin, Tsartlip, Tsawout) with a total population of about 2,500. The Saanich Peninsula Diabetes Prevention Project (SPDPP) initiated the “race” that takes place on Vancouver Island with the Saanich Adult Education Centre (tribal school for Aboriginal adults). SPDPP is three-year, participatory action research project funded through Health Canada’s Diabetes Prevention Strategy. It is composed of eight inter-sectoral and multi-disciplinary partners that aim to strengthen community services that are supportive of diabetes-healthy living. The partners include representatives from academia, public recreation, community organizations that serve persons with low incomes, persons with disabilities, seniors, First Nations bands, Canadian Diabetes Association, and the regional health authority (nutrition, health promotion, Aboriginal Health, diabetes education). Over two and a half years of the project’s implementation, fourteen additional community partners have SPRING • PRINTEMPS 2004 23 joined to collaborate on specific activities, events and services. The SPDPP embraces a health promotion approach to chronic disease prevention that engages multiple stakeholders in population-based recreation interventions (Shera, 2002) to address multiple levels of influence on health behaviours (Smedley & Syme, 2000). It has a “population health view” to the prevention of type 2 diabetes to recognize that social, economic, and environmental factors all contribute to health, thus avoiding the solely “lifestyle” interventions. The Precede/Proceed framework (Green & Kreuter, 1999) is a health promotion and health education planning and evaluation model. The SPDPP used this theoretical framework to guide its planning, implementation and evaluation. In February 2003, the SPDPP worked with numerous partnering organizations to facilitate an Open House at the regional First Nations’ sport facility (Figure 1). The purpose of this event was to showcase various healthy living programs and services that are available to people of the First Nations bands on the Saanich Peninsula, as well as to perform an informal needs assessment to be used in the creation of other programs. In the interest of sustainability, and based on the needs assessment and previously identified barriers to activity gathered through the SPDPP’s research efforts, it was decided that the project would support existing or developing programs by providing incentives, transportation, and financial support to help these programs expand and improve. The Vancouver Island Race At the Open House the project made contact with a teacher from the Saanich Adult Education Centre, a school servicing First Nations adults (high school equivalency). The teacher expressed an interest in partnering with the project to develop a school-wide active living program. Throughout the 24 PHYSICAL AND HEALTH EDUCATION Figure 2 – Vancouver Island racers with pedometers and map of Vancouver Island. month of March 2003, project staff met with two teachers from the school to discuss the creation and implementation of a walking program that would be part of the school’s intramural program. In April 2003, a four-week program called the “Vancouver Island Race” was launched (Figure 2). The “Vancouver Island Race” involved half of the student/teacher population at the Education Centre - four teams of students, teachers and administrative staff - tracking their steps with pedometers. A kick-off event included an introduction of the SPDPP and the Vancouver Island Health Authority Aboriginal Health Team, healthy living and diabetes prevention education, a game of Diabetes Jeopardy, and an introduction to the Race. Project staff provided native food guides, physical activity guides, activity logbooks, team cameras, and pedometers to the participants. Information on diabetes and First Nations people and healthy eating was also posted in the school. An incentive program was developed and prizes were distributed to: ■ Teams reaching certain mileage points (water bottles to each team that accumulated 200km, t-shirts to each team that accumulated 350km, and the first team to reach 460km kept their pedometers), ■ Individuals that contributed the most mileage to each team (recreation centre drop-in passes), and Figure 1 – First Nations Open House ■ The most enthusiastic walker (grocery store gift certificates). The goal of the race was to walk the length of Vancouver Island, a distance of 460 km from Victoria to Tlatlasikwala, a native village on the northern tip of the island. The progress of each team was recorded on a map of Vancouver Island, which also displayed locations of First Nations villages. Incredibly, the students not only achieved their goal of “walking” the length of the Island, they actually surpassed it by “walking” the length of the island two-and-half times. Successes and Lessons Learned A pre- and post-race questionnaire assessed students’ knowledge of diabetes, their self-rated level of health, and their primary health concerns. Following the race, a focus group with students and interviews with teachers were also conducted to capture their perspectives, insights, and recommendations about the program. The beneficial outcomes of the Vancouver Island Race are best described by the students/teachers themselves who reported that walking helped to increase the positive aspects of their lives, as well as decrease the negative aspects by providing a break from routines, alleviating stress, and providing time to think and relax. One student stated that the race provided a “concrete demonstration of how simple it is to incorporate a walking routine into my daily lifestyle.” Students in the focus group said the program helped them to become more aware of healthy eating, and balancing rest and exercise. The majority of participants reported feeling better about themselves. One student said “walking helped me to slow down and notice the beauty of the surroundings and enjoy the outdoors.” Ninety percent of race participants reported enjoying the competitive aspect of the program; however ten percent of students said that the walking “race” format did little or nothing to encourage more physical activity. We learned that logbooks and cameras did not work well as data collection tools since students stated that documenting their activity in logbooks “felt like homework”. Recommendations for future programs include expanding the variety of physical activities, incorporating regular educational workshops, and increasing the duration of the program to eight or more weeks. The Power of the Pedometer A simple tool that motivated, enabled and reinforced students’ and teachers’ physical activity levels was the pedometer that was provided to each participant of the “Vancouver Island Race.” This gave students and teachers a benchmark of how their daily routine translated into physical activity, and encouraged them to do a little more each day. Most participants became aware of how little physical activity was integrated into their day, while a few were surprised at how active they already were. One student stated, “I can’t believe a little thing like a pedometer can make someone walk a lot more than before. It works though. We should definitely do this again.” One teacher mentioned that “the fact that participants could see their steps was motivating and it was reinforcing to see the numbers [of steps] go up. The walking program wouldn’t have worked without the pedometers.” The use of pedometers (Alberta Centre for Wellbeing, 2003) and the creation of walking “clubs” (Nguyen, Gauvin, Marineau, & Grignon, 2002) for increasing physical activity levels, particularly among the populations with high rates of sedentary behaviour (Simpson, Serdula, Galuska et al., 2003), is supported in the literature. Our findings add to this evidence-base that interventions should offer simple, lowtech and enduring tools and social support to enhance capacity for healthful living. The Team Format The team format worked as a motivating factor for individuals and in nurturing connections among students and teachers. It also created an environment in which doing healthy activities was perceived as “fun” - a word used consistently by students and teachers to describe the program. Teachers reported that the program broke down barriers between classes, teachers and students, and strengthened relationships. The “subtle” competition between four “teams” of students and teachers created a shared goal and mutual sense of accomplishment. One student mentioned that “the team approach …where others were working just as hard towards mutual goals” was motivating. Sustainability and Expansion of the “Race” The success of the “race” has not been limited to teacher and student accumulation of steps/kilometers. The “race” format was continued and expanded in January 2004 to an eightweek walk across Canada. The physical activity component will be augmented by nutritional and other health information sessions for each month of the walk. As well, based on the success of the program in the adult school, one of the Saanich Indian School Board Administrators who was present at the Race kick-off recommended that a similar program be implemented at the LauWelNew Tribal School (preschool to grade nine). Thus, a school-wide three-month walking program entitled S’tenist Tolw, translated from Coast Salish as “Move Us Forward”, was developed as a collaborative effort between teachers, administrators, the school nurse, the regional Aboriginal Health Team, and project staff. The program goal is to “walk” across Canada in three months and was implemented in September 2003 with the participation of staff, students and family members. Students receive bonus mileage for involving family members and an equivalency chart has been created so students can obtain mileage for activities other than walking (e.g. swimming, biking, and paddling). Conclusion There is growing evidence that a modest investment in recreation can save health and social costs to society (Browne, 2003). The investment in the “Vancouver Island Race” amounted to approximately $15.00 per participant; the large majority of which (purchase of pedometers) will be reinvested and reused in the upcoming walk across Canada. Through a review of project meeting minutes and an analysis of annual questionnaires with our partners, we have found that an additional outcome of the “Vancouver Island Race” has been the enhanced understanding by project partners of the work and influence that each has in the community. Frequently isolated in their disciplinary ‘silos,’ many were unaware of the duplication or gaps in service for the First Nations community. Through the coordination and collaboration of activities during the planning and dissemination processes, community services on- and off-reserve are being strengthened due to combined assets, individual program cost savings, and a more seamless network of resources available to students, teachers, and family SPRING • PRINTEMPS 2004 25 members. Our experiences with planning and implementing the “Vancouver Island Race” suggest that respecting the community’s own pace and style of work, rather than catering to the priorities and timelines of our own agendas, has enabled us to honour a community development orientation to planning. Indeed, unless stakeholders work together, strategies to address the burden of diabetes will not be successful (BC Ministry of Health Planning, 2002). Now in its final year, the SPDPP is focusing on evaluating its impact on the lives of participants and mapping partnerships in hopes of embedding additional intersectoral collaboration and activities. We know that without such integration into the local mainstream infrastructure, SPDPP activities are unlikely to be sustained (Freeth, 2001). For more information about the project please see our website: www.healthypeninsula.ca. ■ UPDATE UPDATE UPDATE Due to the success of the Vancouver Island Race, there was great interest in beginning a new initiative - Steps Across Canada - a virtual walk across the country. The program was named after the Step Games school intramural program and also referred to the steps that would be taken in the program. Steps Across Canada began in late fall 2003 as a friendly competition involving four teams comprised of staff and students doing physical activity to accumulate mileage. It was intended to be offered for eight weeks, however at the eight week mark staff and students had reached Ontario (5127km) and wanted to work together to finish their journey to Newfoundland (10 648km). Over time, the school noticed attendance attrition rates since students began attending First Nations traditional Long House activities. Therefore in February 2004, the program merged four teams into two and kept on moving toward the finish line. In March 2004, the program had twenty-five committed participants and decided to unite as one team to work together to complete their journey across the country. When the team reaches their goal there will be a closing celebration including prizes, and nutrition and diabetes education activities. Formative evaluations with students and teachers found that the pedometers, map of Canada (to track mileage), and the competition, teamwork and involvement of friends and family both motivated and reinforced walking activity. REFERENCES Alberta Centre for Wellbeing. (2003). Watch your step: Pedometers and physical activity. WellSpring,14(2). Alberta: University of Alberta. British Columbia Ministry of Health Planning & Ministry of Health Services. (2002). Responding to diabetes. Retrieved April 13, 2003, from h t t p : / / w w w. h e a l t h p l a n n i n g . g ov. b c . c a / cpa/publications/index/html Browne, G. (2003). Making the case for youth recreation. Ideas that Matter, 2(3), 3-8. Freeth, D. (2001). Sustaining interprofessional collaboration. Journal of Interprofessional Care, 15(1), 37-46. Green, L.W., & Kreuter, M.W. (1999). Health promotion planning, an educational and ecological approach. Mountain View, CA: Mayfield. Harris, S., & Zinman, B. (2000). Primary prevention of type 2 diabetes in high risk populations. Diabetes Care, 23, 879-881. Health Canada Aboriginal Diabetes Initiative (2003). Diabetes among Aboriginal (First Nations, Inuit and Metis) people in Canada: The evidence. Retrieved September 10, 2003, from h t t p : / / w w w. h c - s c . g c . c a / f n i h b / c p / a d i / publications/the_evidence.htm 26 PHYSICAL AND HEALTH EDUCATION Kriska, A., Saremi, A., Hanson, R., Bennett, P., Kobes, S. et al. (2003). Physical activity, obesity, and the incidence of type 2 diabetes in a high risk population. American Journal of Epidemiology, 158(7), 669-675. Satterfield, D., Volansky, M., Caspersen, C., Engelgau, M., Bowman, B. et al. (2003). Community-based lifestyle interventions to prevent type 2 diabetes. Diabetes Care, 26(9), 2643-2652. Macaulay, A., Commanda, L., Freeman, W., Gibson, N., McCabe, M. et al. (1999). Participatory research maximizes community and lay involvement. British Medical Journal, 319, 774-778. Segal, L., Dalton, A.C., & Richardson, J. (1998). Cost-effectiveness of the primary prevention of non-insulin dependent diabetes mellitus. Health Promotion International, 13(3), 197-209. Molitch, M.E., Fujimoto, W., Hamman, R.F., Knowler, W.C. (2003). The diabetes prevention program and its global implications. Journal of the American Society of Nephrology. (14), S103-107. Narayan, K.M.V., Boyle, J. P., Thompson, T.J.; Sorenson S., & Williamson, D. (2003). Lifetime risk for diabetes mellitus in the United States. Journal of the American Medical Association, 289(14), 1817. Nguyen, M-N, Gauvin, L., Marineau, I., & Grignon, R. (2002). Promoting physical activity at the community level: Insights into health promotion practice from the Laval walking clubs experience. Health Promotion Practice, 3(4), 485496. Shera, D. (2002). Improving chronic disease management: A compelling business case for diabetes, Report from the Diabetes Working Group. BC: Sierra Systems. Simpson, M., Serdula, M., Galuska,D., Gillespie, C., Donehoo, R. et al. (2003). Walking trends among U.S. adults. American Journal of Preventive Medicine, 25(2), 95-100 Smedley, B.D., & Syme, L. (2000). Promoting health: Intervention strategies from social and behavioral research. Washington, DC: Institute of Medicine, National Academy Press. School Health Committees: Making “Healthy Schools” Happen “It’s like not having a dishwasher, and all of a sudden you get one.” By Carol MacDougall ([email protected]) Carol MacDougall has a Bachelor of Science in Nursing from McGill University and is currently completing her MA in Curriculum Studies at OISE/UT. She has worked for 12 years as a Public Health Nurse in Toronto schools (three years with school health committees), and is now the School Health Consultant in Planning and Policy with Toronto Public Health. She has been involved in provincial advocacy for Comprehensive School Health since 1990, and is Co-chair of the Ontario Healthy Schools Coalition (see www.opha.on.ca/ohsc). M uch is written in the health and education literature on the need for school administrators, teachers, parents, students, and local community partners to collaborate to create healthy schools and optimal conditions for learning. Successful collaboration often occurs around specific initiatives, such as physical activity fundraising events and Walk to School Days. Is there a way to solidify collaboration for health? Is there a way to facilitate collaboration so that it is ongoing rather than sporadic? Is there a way to make the concepts of Comprehensive School Health (CSH)/ Health Promoting Schools (HPS)/ Coordinated or Comprehensive School Health Program (CSHP) more concrete for all school stakeholders? Numerous sources recommend school health committees as a means of operationalizing partnerships to promote healthy schools (Allensworth & Institute of Medicine (U.S.) Committee on Comprehensive School Health Programs, 1997; Canadian Association for Health, Physical Education, Recreation and Dance, n.d.; European Commission, World Health Organization Europe, & Council of Europe, 1999; World Health Organization, 1996, 1997). Through participation in these committees, schools build their capacity to take action to promote the physical, mental, social and spiritual health of their school community. In addition, through participation in these committees, schools come to understand the somewhat nebulous concept of a “healthy school”- they learn by doing. Numerous sources also document positive findings when schools mobilize health committees, workgroups or teams. These findings have included more comprehensive planning, enhanced linkages between health and education for policies, programs, health activities and coordination of health services, improvements in student health, and a wide range of health-related school changes. So how does a school go about setting up a school health committee? Are there lessons to be learned from public health staff who have worked with these committees? Five public health staff involved with a combined total of 35 school health committees (18 elementary and 17 secondary) shared their experiences as part of this author’s Masters thesis research. Telephone interviews were conducted with the four public health nurses and health promoter who work in three southern Ontario public health units. Twenty-four of their committees have been in existence from 3-13 years. This article will share some of the relevant findings on the realities of school health committee work. Who are the members of school health committees and how are these committees started? School health committees can be newlyformed committees or sub-committees of existing ones such as school councils or student councils. In elementary schools, the principal and representative staff, parents, students (approximately grades 3-4 and up), and public health form the core membership of school health committees. In some cases, other outside agencies are also included, depending on the issue being addressed. In secondary schools, not surprisingly, the core membership is primarily students, staff SPRING • PRINTEMPS 2004 27 and public health, although public health cannot attend every meeting. Principals or vice-principals attend meetings for some secondary school committees, while other committees liaise with principals on an ongoing basis. Parent involvement varies at the secondary level, as committees are primarily student initiatives and fewer parents tend to be involved at this level. Recruitment of members can occur in a tremendous variety of ways. Communication between public health and principals to secure principals’ support is key to kick-starting the process. Personal contact is most successful, such as when principals involve key department heads or staff, or facilitate public health access to staff, school councils and students. One informant described gaining student commitment through a regional leadership conference. Student representatives from local secondary schools formed a regional student wellness committee and set up school wellness councils in each participating school. Some of these secondary students spoke at assemblies in the neighboring elementary schools to spur interest in setting up elementary school health committees. Other possible approaches to recruitment include teachers enlisting student participation, school newsletter notices, and recruitment letters. It is important to ensure that student (and parent) members are truly representative of the school population and that they view member turnovers as a normal occurrence. Continual recruitment keeps the committee open and inclusive (not elitist) and keeps new energy and ideas flowing. School health committee partnership agreements can be either informal or formal. What do school health committees do? School health committees follow a very straightforward process of: • Taking stock of the health-related strengths and needs of the school community • Prioritizing issues to be worked on 28 PHYSICAL AND HEALTH EDUCATION • • • • Planning action Implementing the plan Evaluating the outcomes, and Celebrating successes It is interesting to note that commitment to a vision of a healthy school grows gradually as successes are experienced. The four components of the Comprehensive School Health model serve as an excellent guide to the areas to examine. How effectively is our Health and Physical Education curriculum being delivered? Are we aware of and able to access services from the board and local community to promote the health of students, staff and families in the school community? Does our school have a supportive social environment? How healthy is the physical environment of the school? These assessments of the health of a school can be done very informally as a discussion within the school health committee itself, or more formally through surveys (such as the Health Canada “Voices and Choices” tool or a self-designed questionnaire), interviews, focus groups, and suggestion boxes. In some cases, the school knows immediately what issue needs to be tackled, such as increasing the physical activity levels of the students. Once again, the four elements of the CSH model can serve as a guide to action. Is there adequate time for and are teachers comfortable with teaching the Health and Physical Education curriculum? Can we connect with local recreation agencies to increase access to physical activity services and opportunities? Can we organize events for families and/or extracurricular options for younger students and/or more “active living” rather than competitive team activities (e.g. Ultimate Frisbee) that will foster a supportive social environment for physical activity? Is our physical environment safe, e.g. safe playground and physical education equipment? Once a priority health issue is identified, and creative energies are encouraged to flow, innumerable activities can be brainstormed and planned. Activities can range from PA announcements and short-term events to year-long awareness campaigns and policy changes. Some schools have expanded Walk to School Days to weekly walking clubs or to monthly whole-school walks. Students have been instrumental in improving cafeteria selections and organizing food events such as BYOB (Bring Your Own Banana). Bullying prevention campaigns have been much more comprehensive and included not just instructional elements, but also training for students in conflict resolution and peer mediation; “Act of Kindness” days and parent information nights to promote a supportive social environment; and school rules to create a safe physical environment. Where and when do these committees meet? School health committees tend to meet on school premises and schedule meetings at times that work best for the majority of members. Most committees meet during the lunch hour to ensure significant student involvement. Some principals allow occasional use of class time (e.g. if students have different lunch hours). After school meetings sometimes work for elementary schools; evening meetings are more rare. In some cases, information is relayed from students and staff who meet together in the day, to parents who meet at night. Communication with parents can also occur via e-mail. Committees vary in frequency of meetings, with the average being monthly to every two months, with work being done between meetings. Some committees meet weekly or every two weeks, and others only meet three times per year. What are the pitfalls to avoid with school health committee work? Issues of power or turf protection can occasionally arise among the members of the committee. It is important to agree from the outset that input from all members will be equally respected and that optimal solutions or compromises will be sought. Some power struggles may also arise between the committee and other school committees or staff. It is important to secure broad support within the school for the school health committee from the start, and keep other school committees and staff informed of plans on an ongoing basis. In order to avoid or reduce student turnover, consider having older students recruit junior students to come on board and/or giving credit towards community service hours for health committee work done on their own time (lunch hours, after school). Above all, be sure to publicize and celebrate successful initiatives so the members will experience positive reinforcement for their work, the impact on health awareness in the school will be significant, and the school identity as a healthy setting will be strengthened. In terms of workload, successful committees minimize the paperwork and focus on action and early successes. Leadership is an important issue to clarify. Ideally, schools need to assume ownership of these committees, with public health and other community agencies as resources and partners. This will strengthen school-wide commitment to health. Use the full capabilities of all members, for example, many committees have students who do most of the work and develop their leadership skills. Other committees have parent chairs. Consider including the school health committee on the sign-up list of activities requiring staff advisors such as teams to coach, but be sure the contact person is a willing volunteer. What benefits can my school expect if we establish a school health committee? Some of the benefits have included: • Enhanced school awareness about health — a change in the culture of the school where health issues are more • • • • • • visibly addressed and there is greater recognition that health is important Enhanced student voice and student leadership development — students feel their voices are heard and actions result Enhanced accountability for health — here is a place for health issues to be tabled and a “mega-team” to plan actions together as opposed to individual principals, parents, teachers, students or public health trying to solve problems alone; health impacts are taken into account when decisions are made Healthier school environment Enhanced access to community resources Community-building Enhanced learning In case you are still hesitant, you will be comforted to know that “overcoming fear” was an identified finding in this research. The fear generally revolved around concern that nothing would happen once the school health committee was formed. The range of activities schools engaged in allayed these fears very quickly. As one public health staff stated: “Students have insight into the issue[s]. They’re very much there, they’re in the schoolyard, they’re in the lunchroom, they’re at the parties if it’s secondary. So they have an insight that’s particular to what’s happening in their school, in their community, into the culture of their peers and to that school.” Another public health staff who had initially chaired a school health committee stated, “I no longer chair it. Parents co-chaired it for two years since. It’s still going on… [The principal] just thinks it’s unbelievable. He sits in awe and so do I, with what happens there.” Perhaps more schools will consider providing opportunities for the voice of students and all school partners to be heard through school health committees. Then schools may more widely harness the incredible power that exists in collaboration. ■ The author wishes to gratefully acknowledge the valuable contributions of the public health participants in my Masters research, the support of my thesis advisor, Dr. Andy Anderson, and the grant from the Community Health Nurses Initiatives Group [CHNIG] of the Registered Nurses Association of Ontario [RNAO]. REF ERENCES Allensworth, D. D. (1994). The research base for innovative practices in school health education at the secondary level. The Journal of School Health, 64(5), 180-187. Allensworth, D. D., & Institute of Medicine (U.S.) Committee on Comprehensive School Health Programs. (1997). Schools & health : our nation's investment. Washington, D.C.: National Academy Press. Canadian Association for Health Physical Education Recreation and Dance. (n.d.). Quality School Health: CAHPERD's position. Retrieved August 22, 2003, from the World Wide Web: http://www.cahperd.ca/e/ qsh/research.htm European Commission, World Health Organization Europe, & Council of Europe. (1999). The European Network of Health Promoting Schools: The ENHPS indicators for a health promoting school. McBride, N. (2000). The Western Australia School Health Project: Comparing the effects of intervention intensity on organizational support for school health promotion. Health Education Research, 15(1), 59-72. Mitchell, I., Laforet-Fliesser, Y., & Camiletti, Y. (1997). Use of the Healthy School Profile in the Middlesex-London, Ontario, Schools. Journal of School Health, 67(4), 154-156. Stokes, H., & Mukherjee, D. (2000). The nature of health service/school links in Australia. Journal of School Health, 70(6), 255-256. World Health Organization. (1996). The status of school health (WHO/HPR/HEP/ 96.1). Geneva: WHO. World Health Organization. (1997). Promoting health through schools: Report of a WHO expert committee on comprehensive school health education and promotion (WHO Technical Report Series 870). Geneva: WHO. SPRING • PRINTEMPS 2004 29 C A H PE R D R E S O U RC E S - NEW - Healthy Bodies (Lions-Quest Canada) In response to provincial curriculum requirements that call for specific areas to be addressed in the subject of health, Lions-Quest Canada has developed the Healthy Bodies units. The units are grade-specific from Grade One to Five, with five lessons at each grade level addressing topics ranging from the senses, nutrition, body systems, puberty and injury prevention. (Available in English only) HE-HB1-E Healthy Bodies – Grade 1 member & non-member $15.00 HE-HB2-E Healthy Bodies – Grade 2 member & non-member $15.00 HE-HB3-E Healthy Bodies – Grade 3 member & non-member $15.00 HE-HB4-E Healthy Bodies – Grade 4 member & non-member $15.00 HE-HB5-E Healthy Bodies – Grade 5 member & non-member $15.00 Happy Heart HE-HHM-E member & non-member $13.50 Feel the Beat HE-FTB-E member & non-member $13.50 (Regional Municipality of Ottawa-Carleton) Happy Heart and Feel the Beat promote heart health for children aged 6 to 12 and 13 to 18 by educating them about heart healthy living through fun and interactive learning activities. Children and youth will learn about the four heart health messages of making healthy food choices, being physically active, being a non-smoker, and managing stress in a healthy way. 2000, Paperback (Aussi disponible en français également) HIP - Health In Perspective - 2nd Edition A Youth-Led Approach to Healthier Lifestyles (Health Canada, CIRA) Member Prices HE-HIP-E One set of two (2) Guides $22.50 168 +73 pages HE-HAG-E Additional Peer Leader’s Guides $11.70 Non-Member Prices HE-HIP-E One set of two (2) Guides $25.00 168 + 73 pages HE-HAG-E Additional Peer Leader’s Guides $13.00 The HIP Program is a peer-lead active learning program designed to help young females aged 10-15 years develop healthy and active lifestyles. It focuses on smoking prevention and cessation through active living, respect for the environment, and an understanding of positive ways to deal with stress. Peer Leaders deliver the program under the guidance of a Facilitator and sponsoring organization or school. The HIP Program includes a Facilitator’s Guide and a Peer Leader’s Guide. The Facilitator’s Guide includes background information on the program, suggestions for program delivery, and a resource list on tobacco-prevention and cessation resources. The Peer Leader’s Guide contains seven units. Each unit includes background information, discussion questions, and games/activities to teach healthy lifestyles and critical life skills. (Aussi disponible en français) Éducation à la santé (Cuerrier, Belisle, Deshaies) HE-EAS-F membre et non-membre 45 $ Un guide d'activités integrant l'éducation à la santé et l'éducation physique, applicable en classe comme en gymnase, pour les jeunes de 5 à 12 ans. Sont inclus : objectifs, éléments d'apprentissages, mises en situation, mots-clefs, feuilles-support et autres. Papier, 460 pages (disponible en français seulement) Éducation physique et à la santé (Éditions C. & C.) HE-EPS-F Membre et Non-Membre 35 $ Ce guide d’activités pratiques est le complément du livre “Éducation à la santé” (2001) par la présentation de plus d'une quarantaine de jeux en milieu de gymnase et applicables auprès des jeunes de 5 à 12 ans; les jeux intègrent les connaissances essentielles en matière de santé aux activités motrices appréciées par ces jeunes. 2001, 256 pages (disponible en français seulement) NOUVEAU - Des choix… Pour la vie! (Campbell) De présentation vivante et colorée, cette collection offrent des renseignements utiles et des dossiers captivants pour faciliter la prise de décision à divers moments de la vie adolescente. Un guide d’enseignement accompagne chaque titre (disponible en français seulement) Bien en santé • S’intéresse aux conséquences de la croissance et au passage à la vie adulte. • S’intéresse à la nutrition, à la condition physique, à la gestion du stress, à la consommation de drogues, aux abus sexuels et aux maladies transmissible sexuellement. HE-BES1-F Bien en santé – Manuel 27,72 $ HE-VES2-F Bien en santé – Guide de l’enseignant 150,00 $ Order online and save! 30 PHYSICAL AND HEALTH EDUCATION www.ex celway.ca SPRING • PRINTEMPS 2004 31 TEACHING SEXUAL HEALTH teachingsexualhealth.ca — A new resource By Arlene Breadner and Dee Anne S. Vonde S o you’re about to teach sexual health. You have taken time to set the stage and to assess the needs of the students in your classroom. Teachers need up-to-date information and resources in order to teach sexual health education effectively. Recognizing this, the Calgary Health Region worked with partners in education and health to develop a website resource to enhance teachers knowledge, comfort and skills in teaching sexual health: www.teachingsexualhealth.ca. Whether you are teaching at the elementary or high school level, you will find the website to be a valuable resource. When teaching sexual health, it is common that many students are waiting for the opportunity to ask questions, while others remain silent. Teachers need to be able to establish a climate where students can ask questions within a safe environment. The relationship of trust and safety established in the room is much more than just having the chairs in a circle. You want to connect with your students to allow for an exchange of knowledge and ideas on a sensitive topic. www.teachingsexualhealth.ca contains many great ideas, strategies and techniques that will help you prepare for this challenge. This website has been developed based on results of a survey conducted with teachers in the Calgary area in l998, with the help of provincial funding and three years of work. The survey showed that teachers would like access to information and resources 24 hours a day, seven days 32 PHYSICAL AND HEALTH EDUCATION a week. Research also showed that only nine to 16% of teachers receive any training specific to sexual health education in their post-secondary education (McKay, A. and Barrett, M. l999; Tappe, M.K., Galer-Unti, R.A., & Bailey, K.C, l977). The website was developed with the support and expertise of representatives from the Calgary Health Region, the Calgary Board of Education, Headwaters Health Authority, the Foothills School Division, and the Calgary Birth Control Association. The commitment from each of the agencies made this project successful. Representatives came from urban and rural areas, parents, teachers, and health care professionals who were dedicated to making this resource a valuable tool for teachers everywhere. The project also included a project coordinator, an independent evaluator, and a website designer. A conceptual framework model was used in the design that included the Comprehensive School Health model, Resiliency theory, and Social Learning theories. Figure 1 – Collaborative Partnerships Education Health Urban – Calgary Board of Education -Health Curriculum Consultants -Teachers -Students Rural – Foothills School Division - Health Curriculum Consultant - Teachers - Students Provincial – Alberta Learning - Education/Curriculum leader Urban – Calgary Health Region -Project Manager - Sexual Health Program Manager - Sexual health nurses and educators - clerical support Rural – Headwaters Health Authority - Sexual health program manager - Sexual health nurse Provincial – Alberta Health and Wellness - 3 year funding Community Urban – Calgary Birth Control Association - Executive Director Urban and Rural - parents Independent Evaluator Website Designer The website offers four key areas: • How to Teach (curriculum and policies, rational and background information about sexual health, teaching strategies, myths and misconceptions, preparing parents and students for the sexual health curriculum) • Lesson Plans (ready-to-use lesson plans by grade and by topic, reproducible handouts/activities, diversity tips) • Resources (school board and health resources, links to other relevant websites, teacher in-service schedules, fact sheets, glossary) • Teacher’s Lounge (lesson swap, examples of student questions/ answers, responding to sensitive issues) Teachers that visit the site will also have access to an online sexual health professional (the Project Coordinator) who can assist them with questions about preparation and resources for the class. Additionally, the online sexual health professional will give direction to the teacher concerning student questions or issues that arise from the classroom. The email questions are answered within five working days. Because the website partners believe in the shared responsibility of parents, schools, and the community in providing children with effective sexual health education, it also offers sub-sites for parents and students. Parents and students visiting the site are given information, resources, and links to supplement their understanding and knowledge of health sexuality. Since the launch in November 2002, we have received comments such as: “This is a goldmine”, “This is an excellent resource.... the best I’ve seen since teaching sexuality 20 years ago.” We would like to hear from you, too! For more information: [email protected] [email protected] Acknowledgements The authors wish to acknowledge the visioning and leadership of Janet Wayne, Project Manager and Jillian Brodeur, previous Project Coordinator. We would like to thank the Calgary Health Region for their initiative and support, and the many people and agencies who dedicated their time and talents to the project. REF ERENCES McKay, A. & Barrett, M. (1999). Pre-service sexual health education training of elementary, secondary, and physical education teachers in Canadian faculties of education. The Canadian Journal of Human Sexuality, 8(2), 91-101. Tappe, M.K. Galer-Unti-R.A. & Bailey, K.C., (1995) March-April. Evaluation of trained teachers implementation of a sex education curriculum. Journal of Health Education, 28(2), 103-8. Figure 2 – Timeline for Sexuality Website Project Development Prefunding Phase: Nov. 2000 – July 2001 Phase 1 – Research: July 2001 – Sept. 2001 Phase 2-Development: Sept. 2001 – Nov. 2001 Phase 3 Implementation: Nov. 2003 – Dec. 2003 Teacher survey reassessed Partnership established Proposal for funding submitted Funding received (March) Steering Committee developed Project Coordinator and Website Evaluator hired Stakeholder collaboration and visioning Literature, web and resource scan Theoretical framework development Website designer hired Focus groups Working resource groups Content development Teacher, parent and student pilots Official launch Marketing and promotion Sustainability Evaluation SPRING • PRINTEMPS 2004 33 À l’école Le Trillium, ça marche! Par Danielle Proulx-Laniel and Claudine Pedneault Danielle Proulx-Laniel, Enseignante à l’école publique Le Trillium depuis plus de six ans au niveau du curriculum santé. Baccalauréat en éducation physique, baccalauréat en éducation, maîtrise en éducation physique. Claudine Pedneault, infirmière en santé publique à la Ville d’Ottawa au niveau du partenariat École en santé à l’école Le Trillium depuis plus de deux ans.Baccalauréat en sciences infirmières. Le comité École en santé de l’école élémentaire publique Le Trillium résulte d’un partenariat entre l’école, le département de santé publique de la Ville d’Ottawa, le département des sciences infirmières de l’Université d’Ottawa, les parents et le coordonnateur de la Maison des jeunes. Au printemps 2000, le Comité menait un sondage et une campagne auprès des parents, des élèves et du personnel pour souligner l’importance d’améliorer la condition physique des élèves, de les sensibiliser à une saine alimentation et de rehausser leur estime de soi. Le comité École en santé a toujours cherché à mobiliser les élèves et le personnel de l’école pour les inciter à la pratique d’activités physiques communes peu coûteuses ou gratuites, avec peu ou pas d’équipement, et ne requérant aucun transport. C’est ainsi, par exemple, qu’une fois par mois, les 353 élèves, le personnel enseignant, la direction, des parents et des invités de marque (comme M. et Mme Olsen, un couple d’Ottawa qui a parcouru le Canada à pied!) font une marche d’une heure. Cette activité se déroule dans une ambiance de détente ponctuée de rires! Avec les années, d’autres activités se sont ajoutées, comme le club de marche du dîner, les activités sportives du midi au gymnase, les marches familiales, le club de cyclisme et de raquetteurs, le badminton du matin des enseignantes et enseignants, ainsi qu’une participation à diverses activités communautaires qui bougent, dont certaines découlent de suggestions d’élèves! L’école encourage 34 PHYSICAL AND HEALTH EDUCATION Cette activité se déroule dans une ambiance de détente ponctuée de rires! aussi de saines habitudes alimentaires en publiant des articles sur la santé dans le bulletin mensuel Le Trillium en route..., en organisant des stands d’information à l’intention des parents et en vérifiant régulièrement le contenu des boîtes à goûter des élèves. Grande nouveauté cette année : la mise en oeuvre du programme Promotions des conduites pacifiques qui incite les élèves à résoudre leurs conflits de façon non violente. Pour faire connaître ses activités dans le milieu, l’école fait appel aux médias écrits et visuels. C’est ainsi que, lors de la marche intergénérationnelle du 1er octobre 2003 organisée dans le cadre de la semaine Au pas Ottawa, la télévision, la radio et la presse écrite locales étaient de la partie. D’année en année, le taux de participation des élèves augmente et les jeunes en demandent toujours plus. Ils font preuve d’initiative en suggérant d’augmenter la fréquence des marches du midi et en proposant de nouvelles activités comme le club de cyclisme. En outre, les membres de la communauté veulent être tenus au fait des activités à venir et les parents sont fiers d’envoyer leurs enfants à une école qui a tant à cœur la santé des jeunes. Au fil des ans, l’activité physique est devenue un véritable mode de vie à l’école. Plus on bouge, plus on veut bouger! Que recommander à ceux et celles qui rêvent de lancer un projet École en santé? Engager la participation de tous les éléments de l’école, trouver des partenaires co mmmunautaires qui valorisent vraiment la santé des élèves et répartir équitablement les tâches. Plus encore, savourer et célébrer tous les succès et ne jamais perdre de vue qu’il faut débuter modestement et viser grand! SPRING • PRINTEMPS 2004 35 GOING I N T E R N AT I O N A L Right To Play Sarah Clappison, Senior Officer Athlete Relations, [email protected] R ight To Play is an athlete-driven, humanitarian, non-governmental organization (NGO) committed to improving the lives of the most disadvantaged children and their communities through Sport for Development. Sport for Development evolved out of the growing evidence that strengthening the right of children to play enhances their healthy physical and psychosocial development, and builds stronger communities. Right To Play works with refugee populations, war affected children, and children who have been orphaned by HIV/AIDS. Programs also address the rights of women, girls, and the disabled. Programs have been implemented in Afghanistan, Angola, Belize, Benin, Eritrea, Ethiopia, Ghana, Guinea, Israel, Kenya, Mali, Mozambique, Nepal, Pakistan, Palestine, Rwanda, Sierra Leone, Sudan, Tanzania, Thailand, Uganda, and Zambia. Right To Play delivers its programs through a unique volunteer system that includes sending teams of volunteers to introduce and initiate programs and to train local adults to assume ownership and management of the programs over the long term. This transfer of skills and knowledge to committed local members ensures greater opportunity for sustainability. A wide network of Olympic and professional athletes donate their time to Right To Play in order to give back through sports. These athletes inspire children, help raise our profile at the local and international levels, and help to attract potential program supporters. The Right To Play President and CEO is Johann Olav Koss, a four time gold medallist. Athlete Ambassadors include Wayne Gretzky, Silken Laumann, Dikembe Mutombo, Marion Jones, 36 PHYSICAL AND HEALTH EDUCATION A wide network of Olympic and professional athletes donate their time to Right To Play in order to give back through sports. Daniel Igali, Haile Gebrselassie, Tegla Loroupe, Ian Thorpe and many more. Right To Play partners with many international organizations and local community agencies to ensure a collaborative effort and to pool all available resources. This includes the UN High Commissioner for Refugees, UNICEF, UNESCO, the International Labour Organization, WHO, Global Alliance for Vaccines and Immunization, CARE International, The Vaccine Fund, American Red Cross, and the Global Measles Initiative. Right To Play’s Programs Currently, Right To Play implements two programs: SportWorks and Sport Health. These programs are largely funded by a number of governments including the Canadian International Development Agency (CIDA), the US Department of State USAID, the Netherlands Ministry of Foreign Affairs, the Royal Norwegian Ministry of Foreign Affairs, and the Swiss Agency for Development and Cooperation. The SportWorks Program SportWorks’ aims to: (a) Enhance healthy child development through specially designed sport and play activities, (b) Develop individual and community capacity by establishing community structures and building local community ownership. Child Development SportWorks was developed in recognition that well designed sport and play programs put children on a positive path to healthy development. Specifically, the programs help foster three key protective factors in the well-being of children: resilience, a meaningful connection to adults, and a sense of safety and security. SportWorks also teaches important values and life skills including self-confidence, teamwork, communication, inclusion, discipline, respect and fair play. Community Development In the field of international development, we have learned that communities can often generate the best responses to local problems. For this potential to come to fruition, community members need to develop a range of skills, self-confidence, as well as connections among their community members, both adults and children. SportWorks integrates coaching, leadership, and project management training for local adults and emphasizes local participation in, and commitment to, assuming ownership of the programs to ensure sustainability. In addition, the SportWorks program, promotes the development of sporting infrastructure including sport councils, leagues, facilities and equipment production. These initiatives help achieve development goals as people learn to take charge of their own future and understand the positive impact they can have on the community at large. The SportHealth Program The Right To Play SportHealth program has the same objectives as SportWorks, while using the convening power of sport to provide health education and encourage healthy lifestyle behaviours at the national level -- specifically to teach the importance of vaccinations, HIV/AIDS, TB and malaria prevention. SportHealth was established in 2002 after a successful test launch in Accra, Ghana in 2001. SportHealth volunteers are based in urban centers and, in addition to running sport and play programs through schools, youth groups and other outlets, are responsible for implementing a social mobilization campaign around important national health issues. When we look at the strong links between health, development and sport, we see the opportunity to address health priorities of vaccinations, nutrition, hygiene, malaria, HIV/AIDS, maternal care and to improve overall health and well-being. In partnership with local and international government and non-governmental agencies, these social mobilization campaigns are centered on delivering health messages using the convening and carrying power of sport and play. Volunteers leverage the love of sport and the draw of local sports heroes working with Right To Play to draw attention to important health messages, encourage behaviour change, and increase participation at special sport and health–centered events. These events could include sports festivals with immunization clinics (in cooperation with a national immunization campaign) and play days that include HIV/AIDS education. Reaching our Goals in Child and Community Development – Stories from the Field A Focus of Building Community Capacity – A Story from Benin The SportWorks Program was initiated in Kpomasse Refugee Camp in September of 2001. After 18 months of Right To Play program implementation, there are promising indicators of increased community capacity and sustainability that are reflected in the high levels of activity and community ownership which have become the foundation of the sport and play program in Kpomasse Refugee Camp. Right To Play’s training program for local volunteers in Kpomasse has been designed to enhance community capacity in areas of coaching, project management, equipment/facilities maintenance and fiscal responsibility. A Project Management Course also began in August of 2002 with the purpose of imparting the skills that would be required by the local coaches to design and manage their own sport and play programs. This course has met with tremendous success, with graduates now given organizational and budgetary responsibilities for special events and particular program activities. With the support of Right To Play, the refugees of Kpomasse have learned to become self-sufficient through skills and leadership training, income-generating activities, and small business endeavors. Among Kpomasse’s many sport and play activities, two specific initiatives have gained great community momentum – the Women’s Program and the Red Ball Child Play House League. The Women’s Program originally began as a means for the women of the camp to meet and discuss any issues related to health, children, family and physical recreation, and is now running independently of Right To Play, with only intermittent attendance by a Right To Play project coordinator. The women now meet twice a week to stretch, talk, laugh, relax and share their stories and experiences with each other, and are regularly encouraging more and more women to join the group. The Red Ball Child Play House League has inclusion as its guiding principle. All children in the camp between the ages of five and 18, regardless of gender, ability or race, have been assigned to one of five teams. Participants can win points for their respective teams through sport and play activities, with team spirit and cooperation playing a major role in all activities. This League has created a strong sense of community among the children of Kpomasse. Focus on Inclusion - A Story from Pakistan When Right To Play arrived in Kacha Gari, Pakistan, girls in the area were unable to participate in play and sport activities because they were not allowed to show themselves in public while playing or exercising. At the same time, there were no schools for these girls. In response, Right To Play and Insan Foundation-Pakistan (IFP) set up a system of tents (on land donated by the local community) that enabled the establishment of both a girl’s school, where they could receive formal instructions, and a place where they could participate in sport and play activities. Right To Play’s SportWorks program was introduced as part of the school curriculum with a strong focus on teaching basic hygiene and personal health. SPRING • PRINTEMPS 2004 37 Stories from the Field Focus on Sustainability - A Story from Guinea Right To Play programs are transferred to local volunteers who, once trained by Right To Play volunteers, sustain programs over the long term. The success and sustainability of the programs was recently highlighted by dedicated Liberian refugees in Danane, Cote d’Ivoire. Due to the conflict in Cote d’Ivoire, many Liberian refugees were displaced, a great number to UNHCR refugee camps in the N’Kerekore area of Guinea. A group of Right To Play trained Liberian coaches carried with them, on the long trek to their new home (51 km by foot), the training and program materials Right To Play had given them. Upon arrival, they immediately set about connecting with local Right To Play volunteers and coordinating programs for the children and the community. Today, these same coaches are leading workshops to train more coaches, organize play days, and work with the children on a day-to-day basis ensuring the benefits of sport and play continue to be offered to their refugee community. Focus on Knowledge Transfer – A Story from Tanzania The success of Right To Play volunteer project coordinators in creating an atmosphere that encourages participation and engages the interest within Lukole A + B refugee camps has been evident during 2002. Throughout the year, Right To Play implemented various programs that provided training for teachers, and sport and play activities for children. In preparation for a major Play Day that was staged in all schools in both refugee camps, a group of 30 teachers were trained by Right To Play to help facilitate the activities. With close to 24,000 children participating between the two camps, the Play Day paved the path for the inclusion of play sessions to occur within the schools regularly between April and June. In addition, Right To Play volunteers sent 15 teachers to Kibondo to participate in the Red Ball Child Play teacher training course. During 2002, Specialized Coach Training witnessed a graduation of 117 coaches (52 females) in Athletics, Football and Netball. The camps have benefited from various organized sport events including an inter-school football league between June and July held for 520 children and Track and Field Carnival for almost 200 children. The best job in the world By Right To Play Volunteer Project Coordinator: Gregory McDonald I stepped into the Mwange Refugee Settlement in Mporokoso, Zambia on Saturday, November 23rd 2002. From the moment I drove down the 2 km road leading to the entrance I felt like I was back where I belong. Nine months earlier, I had finished a volunteer position with Right To Play in Kasulu, Tanzania. This first glimpse into a refugee camp has changed my life. Every minute I was back in my safe, lavished confines of Canada, among friends and family inquiring about the many stories of my experiences in Tanzania, I felt homesick for the community I had left. I was constantly longing for the day I could return to this amazing continent. This was strange, as 38 PHYSICAL AND HEALTH EDUCATION Canada had always been my home. But in my short six months in Africa, it also became a home to me. It’s hard to explain how I have changed after being a Right To Play volunteer, except to say I rediscovered why I loved being a coach and helping others (which I seemed to have lost in my busy life of University). The opportunity to start over again, transferring the years of knowledge I have been taught through my experiences as a student, player, teammate and coach, was almost as exciting as the first time. From the first moment I saw the “watoto” (Swahili for children), I knew I was back where I could make a difference. The children are generally afraid of the Mazungo (Swahili for white foreigner), and to be a person that can gain their trust and have them jumping along beside you is one of the greatest moments you could ever experience. This is especially true when you consider that trust is something most of the adults still have not given to any individual in the three years they have been living as refugees in the safe confines of Zambia. After one short week of being in the camp, I could not drive or walk in the village without having kids saying ‘hello, good morning’. These simple moments make me realize the importance of my volunteer position. These children are the key to the community’s survival and will hopefully become the leaders of a peaceful reconstruction of their homeland, the Democratic Republic of Congo. After one short week of being in the camp, I could not drive or walk in the village without having kids saying ‘hello, good morning’. These simple moments make me realize the importance of my volunteer position. “Our car is here, our car is here!” Each morning as we enter the camp, the children begin to chant to us. Most of them are not used to having a ‘Mazungo’ focusing on them. They all come running and start to cling to us. It is quite hard to walk when you have four kids on each arm and a couple hanging onto your legs. The surrounding adults just laugh when they see the kids all over us. They know that we are here for their children, as well as the whole community. It is always hard to leave the camp each day. Even though at times you are so exhausted that when you get home and are too tired to eat, you realize you have had the privilege of contributing to and witnessing the development of the children you are helping. There is nothing like having a 7-year old boy beating a group of adult teachers in the game of Memory. Every day there is something new; nothing is ever the same, and each day that passes is another day of knowledge being transferred. It is a great feeling to pass on knowledge. It is the feeling that you are making a difference in people’s lives. doing in the camp. We were promoting the idea of volunteerism, something that was totally foreign to many of his Congolese brothers. He said that the kids absolutely loved us here - as he looked at the ten children peaking through the window. He spoke of how much Right To Play had made a difference in Mwange. He told me that I have shown other youth in that camp that age means nothing and that we are role models not only for the children but also the adults in the camp. By this time I was holding back my tears, and then he let out the most profound statement I have ever heard: “I am an old Congolese and have seen many ‘Mazungo’ in my country. Many have I seen, and they only come for our diamonds and gold. You have come to Mwange for OUR diamonds” he then slowly pointed his old finger to the children in the window. “You are our Rafiki (friend in Kiswahili), you are my brother Gregoire.” Now every time I need a source of motivation, I think of the old Bwana and his words keep me focused and energized. His words have become my mission statement “our children, the Congolese Diamonds”. Working in refugee camps you hear or witness some of the most tragic and heartbreaking stories of people losing homes, family and a sense of community. Then a small child reaches up to hold your hand as you walk down the street, not saying a word but with the biggest smile on his face. This is what being a Right To Play volunteer is all about. I have the best job in the world! I do not know if anything will ever compare to this for the rest of my life. I can only hope so… Right To Play’s international headquarters is located in Toronto, Canada and has national offices in the United States, Norway, the Netherlands, and Switzerland. Right To Play is a leader in the world of children’s sport and play. In addition to its child development programs, Right To Play is an international During my time in the Mwange Refugee Settlement, I was called into a private meeting with the head refugee of the camp. This meeting was the surprise of my life. He started by telling me that he really appreciated everything that we were advocate on behalf of every child’s right to play and is actively involved in research and policy development in this area. Our aim is to engage leaders on all sides of sport, business and media to ensure every child’s right to play. Visit www.righttoplay.com. SPRING • PRINTEMPS 2004 39 Positively Powerful! By Christine Preece – Student Wellness Councils Christine Preece is a Health Promotion Officer at the Community Health Services Department at the County of Lambton. She works in the area of school health and has served as a staff advisor for the past 12 years to the Lambton County Student Wellness Committee. Her expertise is with youth engagement and youth empowerment. [email protected] Y outh engagement can be a valuable tool for health promoting schools and when students are given the opportunity, they can be positively powerful! For many school-aged children and youth, being involved with school health and being allowed to make decisions that affects them is very important. Students not only want to be heard, they want to be able to take action. Lambton County students have been able to do just that thanks to individual student wellness councils that are directly linked to a community group called the Lambton County Student Wellness Committee. In 1994, the Lambton County Student Wellness Committee (LCSWC) was formed because the students involved in the local wellness councils wanted an opportunity to network and share ideas with other schools. They also cited the desire “to meet at a non-competitive level.” LCSWC consists of representatives from most of the area secondary schools, and has been instrumental in bringing new ideas about health promotion strategies in the schools. It serves as an effective mechanism to brainstorm and share ideas for action plans within the school and community. LCSWC has taken on other projects such as advocating for a community youth action centre, hosting Christmas parties for needy children, and providing focus tests for a provincial campaign targeting heavy youth drinking. 44 PHYSICAL AND HEALTH EDUCATION Back row, left to right: Kolby Pugh, Jessica Ireland, Tamara Eyre. Front row, left to right: Kathleen McTavish, Aaron Core. At the school level, the student wellness council makes the healthy school become a reality. It is a student led council that includes one teacher advisor, a health unit representative, and a parent. Together, this Council works to promote healthy behaviours and to develop a healthy school environment. Each council assesses the health needs of its school community, identifies priorities, and then plans health promotion strategies and activities that build skills and knowledge. The teacher advisor is a critical component of a successful Student Wellness Council. The teacher acts as a liaison between the student wellness council and the school administration, but more importantly guides the students in setting goals, objectives, and strategies. Those involved with wellness councils report it as a positive experience. Whether it is advocating for a community smoke free by-law, assisting with the development of a healthy eating policy for their school, evaluating an annual conference, working towards a safer school environment or incorporating a common physical activity time for all children to be active, these initiatives have allowed the students to use important skills such as decision-making, conflict resolution, organization, and evaluation. Sena Agadouwa, the Chair of the 20022003 Lambton County Student Wellness Committee and Chair of the Northern Collegiate Student Wellness Council, states: “we have been given the opportunity to deal with health issues that are important to us, not to what adults think they should be, and we can make meaningful decisions that are put into action.” Anita Lathia, a past wellness council member states: “after being on my student wellness council and the Lambton County Student Wellness Council, I realized just how important health is and the part it plays in our lives, and that is why I am working towards the goal of becoming a pediatrician.” The LCSWC and the individual school wellness councils have implemented many creative projects over the past ten years. In new te si b e w the fall of 2003, students developed a creative activity that would highlight the importance of wellness during the first part of the school year. As a result, the first Lambton County Student Wellness Week was developed. Seventeen schools registered for the event and were supplied with a resource kit, supplies, and incentives to run the week long event. A media conference was held with local dignitaries (including many politicians) to highlight the importance that school health plays in our community. The media conference involved a healthy breakfast launch that was held at one of the local secondary schools. The students led the participants through various activities that reflected the themes of each day: healthy eating, physical activity, anti-bullying, environment, and the importance of sleep. Student wellness councils have now become part of the area schools infrastructure in Lambton, and are well known in Sarnia-Lambton. This is thanks to the student leaders and the passionate staff advisors that have made it happen. The councils work closely and effectively with many outside community agencies. They were recently awarded the Community Building Asset Award for their quality work in this area. It has been said, many times, that young people need to be empowered in order to make a difference in our lives, especially when it pertains to their health. They learn best from their peers and are influenced by their peer’s actions. Young people, when organized and equipped with a vision for change, are a powerful force. When they correspond together and organize, they can change their conditions and can understand their own power as effective leaders. Organization by youth can both change young people’s understanding of their own role in the health of society, as well as change their health conditions. Of course young people continue to need adults, but the nature of that need is evolving in a way that makes possible a more equitable youth/adult partnership. This partnership has happened in Lambton County, and these positively powerful youth will continue to do wonderful things for health promoting schools. ■ A Snapshot of Great Canadian Ideas Along with homes and communities, schools are an important site for influencing the nutrition and physical activity habits of students. In response to increased concern about the health status of young people and the connections between student's physical health and academic achievement, interest is growing in strategies used by schools to promote student health. Researchers at the University of New Brunswick in partnership with Health Canada have launched a website which was designed to provide interested individuals and/or groups with valuable resources to facilitate their efforts to improving physical education, physical activity and/or healthy eating in schools. Please visit www.unb.ca/spans SPRING • PRINTEMPS 2004 45 A COMMUNITY APPROACH TO SCHOOL HEALTH Corporations, Collaboration and Cooperation – A model that works! By Linda Millar, Vice President, Education, Concerned Children’s Advertisers I t seems like not a day goes by when we aren’t bombarded by new information that presents yet another area of concern for our children. More than ever before, our kids are becoming the center of attention for impending health crises. Take the following headlines, for example: ‘Kids in Crisis’ ‘Childhood Obesity on the Rise’ ‘Designer Drugs Take on New Status With Young People’ ‘Childhood Stress Reaches All Time High’ Not that many years ago, headlines like these were few and far between. Today, they appear to be everyday ‘news.’ Whose job is it to address these issues? As educators, an important question to ask ourselves is “what is expected of us in relation to these issues considering the extensive time we spend with children on a daily basis?” ■ ■ ■ Is it our job to educate all children to the dangers of certain lifestyles and habits? Is it our job to provide all children with realistic goals and targets for a safe and healthy future? Is it up to us to provide children with actionable tips and tools to help them to navigate their way through the challenges they face as they grow? Yes, as educators, we are responsible for providing the best possible education for all children that will help them grow to 46 ÉDUCATION PHYSIQUE ET SUR LA SANTÉ be healthy, contributing citizens. Yes, we have more access to children than their parents and health care professionals, and that does carry with it some added responsibility. Yes, by the very nature of our jobs, we want our students to be healthy, safe and responsible. Do we need to do all this alone? No. The healthy growth and development of our children is a shared responsibility. In addition to our diligent efforts within the four walls of the classroom, we need the support and the resources from parents, caregivers, communities and all those who play a role in a child’s support system. How do we engage this help? Increasingly, communities and corporations are answering the call on their own. Federal, provincial and municipal governments are establishing policies and setting up task forces to address areas of concern. Parent Councils are identifying ways to support program development within their school community. Police officers, public health experts, and other community service groups are offering their services as resource people. All of this is important, but does it work? Leading By Examplea success story Established in 1990, Concerned Children’s Advertisers (CCA) is a nonprofit organization that consists of 25 Canadian companies that market their products, services and programs to Canadian children and their families. CCA is a unique consortium that is the only one of its kind and came together with the following mission statement: ‘To be the credible, caring and authoritative voice of responsible children’s advertising and communications as part of a shared social responsibility to provide Canadian children and their families with the tools to be media and life wise’. By using the collective resources, skills and influences of members, governments, educators, issue experts, broadcasters, agencies, and production houses, CCA creates and implements initiatives that will educate empower and benefit the children of Canada. Since 1990, CCA has worked with issue experts such as Health Canada, the National Crime Prevention Center, Canadian Heritage, and individual experts such as Barbara Colorosso, Dr. Wendy Craig and Dr. Debra Peplar to identify the key issues affecting our children. CCA then engages advertising agencies to produce Public Service Announcements (PSAs) directed to Canadian children. Broadcasters across Canada air these PSAs regularly during their TV programming. The best part is that all of this is done for free. CCA goes a step further by developing comprehensive lesson plans for are right for them” and “talks to kids about things that really matter in their lives” • 95% of kids thought CCA “helps kids a lot” What is the Next Initiative? Kindergarten to Grade 8 students on each of the issue topics as well as tips, tools and strategies for parents. Bilingual CD ROMs are distributed to educators and parents during keynotes and workshops that take place right across Canada, as well as on the CCA website. The lesson plans are endorsed by the Canadian Teacher’s Federation, the Canadian Home and School Federation, and the Canadian Association of Principals, and are designed to align with provincial curriculum objectives in the areas of health, language, and media literacy. What’s it all about? Since 1990, CCA has produced over 40 child directed PSA’s and accompanying teacher and parent materials on the following topics: • Substance Abuse Prevention • Child Abuse Prevention • Girl’s Self Esteem • Boys’ Self Esteem • Active Living • Physical Bullying • Psychological Bullying • Media Literacy Why is CCA doing this? The interesting point about this model, and what makes it such a great example of how several organizations can work together towards a common goal, is that the partners are involved for all of the right reasons. They have a passion for children. They have a concern for the health of children. Most importantly, many of them are parents themselves, and see the need to join forces to contribute in whatever way they can to ensure the healthy and safe development of our kids. No marketing products go into the schools and no company names reach the kids. CCA is the only affiliated association, and is recognized by their exclamation mark logo. How do we know that it works? As with any attitudinal based issue, the long-term results derived over the next few years will tell the tale. CCA has engaged research firms to determine if the ads are resonating with kids. They determine if kids understand the issues and feel a ‘call to action’. So far, the results are very re-affirming! Over the past two years of research: • 86% of kids report having seen at least one CCA TV commercial • 73% of kids thought that the CCA “helps kids with problems/choices/ safety” and/or “educates kids about drugs, smoking, bad stuff” • 94% of kids said the CCA “talks to kids about how to make choices that Presently, CCA is engaged with a series of educator, parent and community partners, including CAHPERD, to address the issue of childhood obesity and related chronic, preventable disease. Having identified physical activity, healthy eating and media literacy as the three key ‘pillars’, this project will be a multi-faceted, multi-year program that will provide Canadian groups with actionable strategies to help promote healthy living initiatives with our young people. A PSA will be launched in early fall of 2004. The classroom, parent, and community materials will be available in Fall 2004. CCA will participate in comprehensive workshops and plenarys at provincial or regional professional development days to help audiences use the materials more effectively. Conclusion Concerned Children’s Advertisers is not the only example of a cooperative partnership between educators, parents, corporations and community, but it does serve as an example of how effective and helpful community-based partnerships can be. As educators, we care about our students and want to provide them with all of the tools possible to help them achieve their personal bests. With more responsibility but less time, resources and money, educators will the programs produced by CCA to be effective, easy to use, and extremely helpful to ‘reach’ and ‘teach’ and our children. For more information on Concerned Children’s Advertisers or to book a workshop, please contact: Linda Millar, Vice President, Education, [email protected] or visit our website at: www.cca-kids.ca SPRING • PRINTEMPS 2004 47 HEALTHY SCHOOL PROFILE A Testament of Comprehensive School Health Success, Alberta Many initiatives have started in Calgary because of the Comprehensive School Health (CSH) approach that was first introduced to the region in 1993. CSH is a partnership between the Calgary Board of Education, Calgary Catholic School District, Rocky View School Division, and Calgary Health Region. It provides opportunities within schools for all stakeholders (students, staff, parents and community) to work together to help address health issues that prevent learning and to promote the health and wellness of the school community. Action plans are developed within the framework of the three-fold CSH model (Fig 1). 1 Curriculum: to strengthen and enrich the curriculum through the integration of meaningful health instruction and enhanced teaching resources. 2 Healthy School Environment: to develop a health-supporting environment within the school and its community to enable and reinforce the promotion of health-enhancing behaviours. 3 Health & Community Services: to form strong partnerships with the whole community to ensure optimal physical, social and emotional development and access to needed prevention, protection and intervention services. 48 PHYSICAL AND HEALTH EDUCATION Figure 1. Comprehensive School Health (CSH) Model Healthy School Environment Health & Community Services Working Together Curriculum Each CSH school puts the model into practice by adapting the model to what already works in their school and identifying strengths and desired next steps. One CSH elementary school has demonstrated its commitment to school health. During the first year, a needs assessment clearly showed three areas to focus on: Mental/Emotional Wellbeing, Nutrition, and Active Living. In response, an Active Living Council, various nutrition programs, and anti-violence/ anti-bullying programs were initiated. This school has also focussed on enhancing staff relations to encourage respectful staff behaviours. Now in its fifth year with CSH, it has moved successfully from capacity building to sustaining mode by having strong administrative commitment, engaging support from community and health resources, and recognizing that CSH is an approach to pulling school programs together. Another example is a CSH high school that has formed a Health Action Committee, comprised of students, the assistant principal, staff, public health nurse, school resource constable and parents, to develop action plans on Substance Abuse, Sexuality and Healthy Lifestyle. It began when students were volunteering at a nearby elementary school and were disturbed by the behaviours of boys towards girls. Wanting to help these younger students develop more positive behaviours, they created a Health in Perspective Program to present each week over the lunch hour. This program continues to evolve and is now also being offered to junior high schools. Under the guidance and support of school personnel, motivated students are building student awareness, bringing about attitude changes, and sharing their knowledge and skills to other school communities. Implementing action plans in a comprehensive approach with the three components of the CSH model has proven to be successful in promoting the health and wellness of the school community. In the words of one action committee member, “one creative idea opens a window of more creative ideas…” The extraordinary accomplishments by all involved with CSH are a shining example for others to follow. Cheryl Macleod, [email protected] HEALTHY SCHOOL PROFILE Grosvenor School’s Comprehensive School Program, Manitoba As part of the 2002-2004 school plan, students, staff and community will participate in a Comprehensive School Health Program that incorporates physical, social, intellectual, and emotional well being of all participants. Teachers Role The Comprehensive School Health Program is developed and delivered by classroom teachers, with assistance from the physical education teacher. Comprehensive School Health Program (CSH) is embedded in the School Culture The program is part of a three-year school plan. We are currently in our second year of the program and things are running smoothly. Many of the programs have been in the school for the past six years, such as community service and the gross motor program, but many have been developed due to our focus on CSH. After the three-year trial has come to an end, we anticipate CSH will be a sustainable part of the school culture. Community Partners The Winnipeg School Division employs a Health Education Consultant and a Physical Education Consultant. Both are available to provide ongoing support, resources and consultation. The Division provides mandatory training sessions in Family Life Education and Drug Education. The Division offers professional development on the Health and Physical Education Curriculum, as well as workshops on a variety of other health education areas including nutrition education, body image, weight preoccupation, and Lions Quest. The Winnipeg School Division has developed resources to support the health portion of the curriculum. These resources include a comprehensive Drug Education Kit for use with students in Kindergarten - Senior 4, and Experiences for Students/Teachers/Community 1. Daily Physical Education. 2. Monthly calendar of events related to health/physical education. (September-Personal Development, Recycling Program, Corn Roast with Parents and Community, etc.) 3. Teacher In-services related to physical education/health education, including Yoga, Curriculum in Motion (teaching core curricula in an active way), Health/PE curriculum overview. 4. Yoga For All – All students can participate in Yoga every Friday at noon. Teachers are also able to join Yoga on Mondays after school. 5. “15 Minutes of Fitness” every second day - Students and Teachers participate in 15 minutes of fitness every second day from 2:00 – 2:15 p.m. Activities include: shuttle run in hall or gym, skipping, sittercize, dancing, creative movement to music, aerobics, boot camp drill sergeant says, activity cards, community walks, dodge ball outdoors, 4-corner, etc. 6. Community involvement programs, including a newsletter focus on Comprehensive School Health with articles on school health theme of the month, healthy recipes, useful websites, etc. 7. School bulletin board outside the office to introduce visitors, parents and students to the Health Theme of the Month. 8. Winnipeg Police presentations to students discussing Street Proofing and Bullying. 9. Extracurricular Activities: Grade 1-6 Intramurals, Soccer Club, Running Club, Dance Club, Speed Skating Club, Softball Club, Basketball Club, Yoga, Pentathlon Club, Drama Club, Chess Club, Mad Science, Choir, and Craft Club. 10. Effective Behaviour System Program Training: common area training, social skills, thematic teaching, anti-bullying program, and teacher training opportunities for behaviour related issues. 11. Community Service Program: Winnipeg Harvest, Pennies from Heaven, Unicef, Christmas Cheer Board, Humane Society. 12. A Flu Prevention Program focusing on hand washing and preventative measures. 13. Prairie Spirit Garden - Parents, Teachers and Students plant natural prairie wildflowers, grasses and trees each year. Plans for the future include a butterfly garden and a vegetable garden. 14. All students are provided with milk at lunch hour. The cost of the milk is subsidized by the Winnipeg School Division. 15. School Wide Recycling Program (milk cartons, paper, cans etc.) 16. Lunch Hour Staff Wellness Program (staff volleyball, basketball, yoga, lunch hour walking club). 17. Drug Education Program, including the effects of smoking. 18. Staff Friday Snack Day has changed to Healthy Friday Snack Day. 19. Early Years Perceptual Motor Program. 20. Brain Gym. 21. Winter Camp for grade 6 students. 22. This year we are applying for Green School status as part of our Environmental Stewardship Program. 23. ASL for All – All students are instructed in American Sign Language one day per cycle. (Grosvenor School houses 12 students who are deaf or hard of hearing). a Sexuality Education Curriculum for students in grade four - grade 10. The Winnipeg Police Department provides services to the school on Street Proofing and Bully Proofing. The Manitoba Lung Association makes presentations to students on the effects of smoking. Karen Pellaers, [email protected] Grosvenor School, Winnipeg School Division, Winnipeg, Manitoba SPRING • PRINTEMPS 2004 49 HEALTHY SCHOOL PROFILE Beaverlodge School Health Enhancing Bee-haviours, Manitoba Buzz is the healthy, happy bee that is teaching health enhancing behaviours to the students of Beaverlodge Elementary School. Beaverlodge is a K – 6 school in the Pembina Trails School Division in Winnipeg, Manitoba. Beaverlodge has 215 students. Healthy Behaviours are grouped into 10 monthly themes: September – October – November – December – January – February – March – April – May – June – Be Myself – Be Safe – Be Respectful – Be Responsible – Be Calm – Be a Friend – Be a Healthy Eater – Be Aware – Be Physically Active – Be Proud – self-esteem, daily health practices and goal setting safety and decision-making communication time management, goal setting and responsibility relaxation and anger management communication, interpersonal skills and conflict management nutrition and goal setting substance use and abuse and decision making physical activity and goal setting self-esteem and celebrating successes Each theme centers on the student learning outcomes of the Manitoba Physical Education and Health Curriculum. The Program is implemented in classrooms, the library, the music room, and in the gym. Whole school activities involve assemblies, bulletin boards, announcements, library contests, websites, parent and student questionnaires. Diana Juchnowski, the physical education teacher, initiated the program. It soon became a joint effort involving Shelley Suzuki, the grade five teacher (who did all of the artwork for Buzz), librarians Marg Stimson and Kathy Dudych (developed the website www.pembinatrails.ca/ beaverlodge), grade one teacher Lynda Richard (developed resources), grade six teacher Kim Burnett, (looked for ways to integrate health into every day activities), 50 PHYSICAL AND HEALTH EDUCATION councellor Joanne Lambert (supports the teachers with resources, teaching ideas), and numerous classroom teachers who got excited about the concept and ran with the program. Our Healthy Schools committee involves 14 teachers, as well as parents, school administration, and regional health nurses. The Principal, Rob Gendron, has supported and promoted the health program. Health Enhancing programs and parent rap programs are part of the school plan. The Regional Health Authority has given financial support and guidance. Community partners, agencies, and support groups do presentations to the students on their area of expertise. Parent Council also supports and is excited about the program. This is the first year of this program but we see evidence of its success in the behaviour and language of our students. We believe that by focusing on behaviours and a consistent message over their elementary years, our students will have a solid foundation to make healthy choices in life. Diana Juchnowski, Physical Education Teacher 204-895-8213 HEALTHY SCHOOL PROFILE Healthy Active School Communities, Hastings and Prince Edward Counties, Ontario Our local Healthy Active School Communities (HASC) initiative started in mid-2001 and included the following actions: Step 1: Established a HASC Committee Gathered a group of passionate individuals from various backgrounds (education, health, community sector, etc.) to promote the concept of Comprehensive School Health and to support schools that take this approach. Step 2: Developed a “Blueprint for a Health Promoting School” Developed a tool that describes key components of a healthy active school community. The framework was adapted from CAHPERD’s Quality School Checklist. Step 3: Developed Other Resources The Committee produced a binder that outlines the concept of HASC, guiding principles, the process to become a HASC, models from around the world, and more. We have also developed a poster for HASC schools to display, committee letterhead, and large banners for the pilot schools. Small packages on data collection and tools have also been developed. Step 4: Established Pilot Schools There are seven elementary schools piloting the HASC initiative. Three are from the Hastings and Prince Edward District School Board and four are from the Algonquin and Lakeshore Catholic District School Board. Each school is in the process of assessing their school community, identifying goals, and planning strategies to implement in their schools. The schools have incorporated HASC as one of their School Improvement Plan goals. Step 5: Supporting Pilot Schools The HASC Committee is supporting these schools with facilitation of planning meetings, assistance in data collection, resource development, and in addressing challenges. The focus for some of the schools in 2003/2004 has been data collection and sustainability. The Committee has assisted the schools with forming various structures to enhance the value of HASC in their school to make it part of the school culture. Step 6: Continue On The Committee is now looking at our future directions and possible next steps. We are learning as we go! Marg Thompson, Hastings and Prince Edward District School Board, [email protected] Sharon Osterhout, Hastings & Prince Edward Counties Health Unit Members of the Committee have attended some planning meetings at the individual pilot schools to assist with identifying goals, developing plans, linking to community resources, and development of data collection tools. SPRING • PRINTEMPS 2004 51 HEALTHY SCHOOL PROFILE Bready School Bullying Initiative, Saskatchewan Bready Public School, located in North Battleford, Saskatchewan launched a “Bullying Initiative” that has been integrated into all components of the school program and framework. A series of activities have taken place that have helped to ensure that bullying is not a problem at our school. Following is an outline of activities, partnerships, and outcomes of this initiative. Student experiences: School Policies ‘Growth’ experience for teachers • Completed bullying surveys (pre and post ) • Attended assemblies that defined bullying • Pledged to stop bullying – individually and as a school body • Developed skills to use when confronting a bullying situation • Learned the importance of taking a stand and the role of the bystander • Painted t-shirts to hang in the community for Stop the Violence Day • Helped create a more caring community • Develop a Peer Patrol program The school administration included the following activities into the yearly plans: Working collaboratively to research, develop and implement the bullying initiative Role of the Teacher Teachers are directly involved in the Bullying Initiative as planners, facilitators, monitors, organizers, instructors, researchers, presenters, and writers Integration into the school The school bullying definition is directly related to the school motto: Learning and Living in a Safe and Caring Environment Definition: Bullying is one or a group of students picking on other students or treating them in a way they do not like. The school motto, definition, and pledge are enshrined (billboard fashion) in the hallway encircled by the hands of all students. 52 PHYSICAL AND HEALTH EDUCATION • Revised school discipline policy • Conference and school-based PD time for all staff • Communication plan which included parent/teacher meetings, pamphlet inserts for the school newsletter, annual section in the school • School calendar/handbook, and regular agenda item at staff meetings • Playground enhancement project Evaluation and Successes • Statistical analysis of pre and post bullying surveys for students and parents • Student body is more aware of the importance of reporting incidents of bullying expeditiously • Teachers and teachers have developed new strategies to use when dealing with bullying incidents Partners Home & School Association Family Liaison Worker RCMP ‘Growth’ experience for students Our students had a chance to experience roles as advocates in classroom role plays, and participate in discussions on the importance of the bystander, buddy reading program, and Peer Patrol program. Lyle Brenna, Principal, [email protected] and Lynn Brisebois, Vice Principal SPRING • PRINTEMPS 2004 53 wintergreen ad 54 PHYSICAL AND HEALTH EDUCATION