Natália Bezerra Mota, Mariano Sigman, Guillermo Cecchi, Mauro Copelli, Sidarta Ribeiro
The maturation of speech structure in psychosis is resistant to formal education
NPJ schizophrenia
final rule healthy hunger free kids act published 2016 required school districts participating federal child nutrition programs update local wellness policies reflect stringent requirements effective june 30 2017 aim investigate whether wisconsin school wellness policies swps updated final rule measure policy quality change describe mechanisms successful policy change 2016 2018 explanatory sequential mixedmethods study examined change swp quality final rule published swps collected 2 waves reflecting policies written updated july 21 2016 publication final rule semistructured keyinformant interviews conducted districts demonstrated significant policy improvement quantitative analysis examined 442 wisconsin school districts swps semistructured interviews conducted 14 school districts demonstrated significant change waves wellsat 20 strength comprehensiveness scores measured swp quality among districts updated policies themes interviews identified using framework analysis first calculated proportion wisconsin school districts participating federal child nutrition programs swps obtained waves policy collection n 192 districts 434 among districts updated swps wave ii repeatedmeasure analysis variance tests described policy quality policy quality change respectively among 192 districts updated swps policy quality increased overall 5 6 domains nutrition education scores show significant change interviewees commonly cited wellness leadership support resources buyin culture change key components policy improvement fewer half wisconsin school districts updated policies 10 months final rule published swp districts showed policy quality improvement areas interviews successful districts indicate common need empowered leaders supportive environments facilitate culture change around student wellness