Sustainability via Active Garden Education: The Sustainability Action Plan Model and Process

Rebecca E. Lee, Jacob Szeszulski, Elizabeth Lorenzo, Anel Arriola, Meg Bruening, Paul A. Estabrooks, Jennie L. Hill, Teresia M. O’Connor, Gabriel Q. Shaibi, Erica G. Soltero and Michael Todd
Additional contact information
Rebecca E. Lee: Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd St., Phoenix, AZ 85004, USA
Jacob Szeszulski: Institute for Advancing Health through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd., Dallas, TX 75252, USA
Elizabeth Lorenzo: School of Nursing, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555, USA
Anel Arriola: City of Phoenix Office of Arts and Culture, 200 W. Washington St., 10th Floor, Phoenix, AZ 85003, USA
Meg Bruening: College of Health Solutions, Arizona State University, 550 N. 3rd St., Phoenix, AZ 85004, USA
Paul A. Estabrooks: College of Health, University of Utah, 260 1850 E, Salt Lake City, UT 84112, USA
Jennie L. Hill: Population Health Sciences, University of Utah, 295 S Chipeta Way, Salt Lake City, UT 84108, USA
Teresia M. O’Connor: USDA/ARS Children’s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates St., Houston, TX 77030, USA
Gabriel Q. Shaibi: Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd St., Phoenix, AZ 85004, USA
Erica G. Soltero: USDA/ARS Children’s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates St., Houston, TX 77030, USA
Michael Todd: Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd St., Phoenix, AZ 85004, USA

IJERPH, 2022, vol. 19, issue 9, 1-16

Abstract: Sustainability of intervention programming is challenging to achieve under real world conditions, since few models exist and many studies do not plan far beyond the funding period. Programming content in early care and education centers (ECECs) is often driven by guidelines. However, implementation is very sensitive to contextual factors, such as the setting and implementer (teacher) characteristics. This paper presents the model, definitions, and methodology used for the sustainability action plan capitalizing on a community-based participatory research (CBPR) approach, developed for a multi-site, multi-level garden-based childhood obesity prevention study, Sustainability via Active Garden Education (SAGE). The Ecologic Model of Obesity is applied to develop a sustainability action plan (SAP) and accompanying measures to link early care and education (ECE) environment, the community, policies, and classroom practices to an early childhood obesity prevention program. The SAGE SAP provides an example of how to iteratively evaluate and refine sustainability processes for an obesity prevention intervention utilizing CBPR approaches and will be applied to assess the sustainability of SAGE in a cluster randomized controlled trial. This SAP model can also help inform intervention delivery and scalability within ECECs.

Keywords: community; organization; children; intervention study; physical activity; diet; early care and education (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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