Teachers' Experiences Implementing a School Wellness Initiative in Anchorage, Alaska: A Qualitative Study.

BACKGROUND: Teachers are uniquely poised to support students' healthy eating habits and physical activity. However, research is needed to examine the successes and challenges teachers face when implementing a school wellness initiative.

OBJECTIVE: The purpose of this study was to examine teachers' experiences implementing and managing a pilot school wellness initiative where students had longer lunch and recess, and more physical activity throughout the day.

DESIGN: Focus groups were conducted to understand the challenging and successful experiences of teachers as they implemented and managed a school wellness initiative.

PARTICIPANTS/SETTING: The participants were teachers (n=39) from six purposively selected elementary schools participating in a school wellness initiative. Focus groups were conducted in-person at participating schools.

ANALYSIS: Using a grounded theory approach, transcripts were analyzed qualitatively using principles of content analysis to identify themes and domains. Application of the codes and inter-rater reliability were conducted with a trained research assistant.

RESULTS: Teachers observed calmer students who ate more lunch with longer lunch periods. Additionally, teachers observed improved focus in the classroom and fewer behavioral issues with more physical activity opportunities. Successful strategies included reversing lunch and recess and implementing physical activity into daily lessons. However, some teachers had difficulty managing the extra time in the cafeteria and scheduling physical activity throughout the day, particularly in schools where administrators were not as supportive of the initiative. In the schools with greater administrative buy-in and support, teachers had easier, more positive experiences implementing the wellness initiative.

CONCLUSIONS: School wellness initiatives in which teachers play a large role have the potential to support teachers and students. This study found that teachers value student health and understand students need to be nourished to learn, but teachers' experiences suggest they need support and buy-in from their administrators to be successful.