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Table 4 Effectiveness and sustainability

From: The sustainability of public health interventions in schools: a systematic review

Study #

Intervention name; author(s) and year

Effects on outcome(s) summarised

% of schools/staff that sustained the curriculum component

% of schools/staff that sustained the ethos/environment component

% of schools/staff that sustained the family component

3–9

Child and Adolescent Trial for Cardiovascular Health (CATCH); Johnson et al. 2003 [52]; Kelder et al. 2003 [49]; Lytle et al. 2003 [48]; McKenzie et al. 2003 [51]; Osganian et al. 2003 [55]; Parcel et al. 2003 [60]; Hoelscher et al. 2004 [56]

Effective for primary outcomes

23% of teachers had used health education materials

32% of teachers had used PE materials

88% of PE specialists had used PE materials

15% of cooks said they used the intervention manual.

32% of cooks said they used the intervention recipe box.

4% of staff

11

School Fruit Programme and the Fruit and Vegetables Make the Marks (FVMM); Bere 2006 [61]

Effective for primary outcomes

Not reported

44% of schools

Not reported

15

First Step to Success; Loman et al. 2010 [59]

Effective for primary outcomes

n/a

Not reported

Not reported

20

Cognitive Behavioral Intervention for Trauma in Schools (CBITS); Nadeem and Ringle 2016 [46]

Effective for primary outcomes

n/a

0% of clinicians

0% of teachers

24

Health Optimizing PE (HOPE); Egan et al 2019 [45]

Effective for primary outcomes

0% of schools (NB one school in study)

One activity continued, one activity discontinued

0% of teachers

12

Untitled - intervention focused on water consumption; Muckelbauer et al. 2009 [66]

Effective for some but not all primary outcomes

Not reported

65% of schools

n/a

14

Winning with Wellness; Schetzina et al. 2009 [50]

Effective for some but not all primary outcomes

50% of teachers (not all classroom activities reported)

Not reported

n/a

16

GreatFun2Run; Gorely et al. 2011 [65]

Effective for some but not all primary outcomes

25% of teachers

Not reported

Not reported

17

Fourth R program; Crooks et al. 2013 [64]

Effective for some but not all primary outcomes

72% of teachers

n/a

Not reported

18

New Moves; Friend et al. 2014 [47]

Effective for some but not all primary outcomes

91% of schools continued PE;

45% continued health education

27% of schools continued individual staff-student coaching sessions;

0% of schools staff-student lunch get-togethers

Not reported

22

TAKE 10!; Goh et al. 2017 [44]

Effective for some but not all primary outcomes

n/a

20% of teachers

n/a

10

Project ALERT; St Pierre and Kaltreider 2004 [58]

No effect on primary outcome, harmful effect for one treatment condition

38% of schools

n/a

n/a

1

Project Salsa; Elder et al., 1998 [57]

n/k

17% of schools

0% of schools

Not reported

2

Adolescent Suicide Awareness Program (ASAP); Kalafat and Ryerson 1999 [53]

n/k

96% of schools

67% of schools

13% of schools

13

European Network of Health-Promoting Schools; Tjomsland et al. 2009 [43]

n/k

Not reported

71% of schools

Not reported

19

Youth@work: Talking Safety; Rauscher et al. 2015 [54]

n/k

Not reported

n/a

n/a

21

Good Behavior Game (GBG); Dijkman et al. 2017 [63]

n/k

n/a

Not reported

n/a

23

School outdoor smoking ban; Rozema et al. 2018 [62]

n/k

n/a

Not reported

n/a