James M Dittman, Siddharth K Prakash, Prem Chand Gupta, Wojciech Wiszniewski, Niten Singh, Matthew R Smeds, Sherene Shalhub
Practice Patterns and Barriers to Vascular Genetic Testing Among Vascular Surgeons
Annals of vascular surgery
background aim study examine lived experiences teachers administrators two schools one elementary kindergartengrade 5 one middle school grades 68 following naturalizing portion schoolyard methods qualitative case study design used focus groups interviews allowed participants express rationale identify implementation facilitators barriers critical processessteps realizing naturalization goals researcher questions explored 1 factors led naturalizing schoolyard 2 key planning process steps 3 challenges successes experienced 4 lessons learned findings six themes identified rationale naturalizing including reintegration outdoor play childrens daily lives proactive mental health opportunity inclusion nature positive space learning fit values principles need implementation facilitated champions support multiple levels adopting phased approach resources buyin persevere time significant challenges steps also identified conclusions naturalizing schoolyards happen without supportive context significant time effort implementation steps issues commonly found schoolbased health promotion efforts