Characteristics of School Health Education Advisory Councils

A Retrospective Examination of the Relationship Between Implementation Quality of the Coordinated School Health Program Model and School‐Level Academic Indicators Over Time*

“…At the same time, the literature has been explicit about the role quality implementation plays in the effectiveness, sustainability, and institutionalization of school health programs. In particular, several studies have highlighted key characteristics and processes that contribute to successful adoption, implementation, and coordination of CSHP 17‐20 . However, high‐quality implementation of CSHP requires full commitment of resources, and efforts to maintain fidelity have not been without challenges.…”

“…In particular, several studies have highlighted key characteristics and processes that contribute to successful adoption, implementation, and coordination of CSHP. [17][18][19][20] However, high-quality implementation of CSHP requires full commitment of resources, and efforts to maintain fidelity have not been without challenges. Previous research identified barriers within the school environment that often compromise adherence to the tenets of CSHP, including staff turnover, limited and inflexible resources, competing time commitments, and academic pressures.…”