Survey reveals role-specific priorities during school health program initiation in primary school leaders, highlighting the value of diverse leadership perspectives.
Key Points
To examine factors influencing the pre-implementation phase of a multicomponent school health promotion program from the perspectives of different school management roles.
Administered an online questionnaire based on the Consolidated Framework for Implementation Research (CFIR 2.0 Inner setting and Implementation process domains) to 43 school management representatives across 23 Danish primary schools.
Analyzed responses from 19 intervention school leaders (12 school leaders and 7 department heads including vice principals and deputy heads) using Fisher's exact test to assess differences between leadership tiers.
School leaders more frequently emphasized logistical factors such as adequate facilities and preparation time, whereas department heads prioritized staff competency development and engagement monitoring.
Both leadership groups identified school management support as relevant for pre-implementation, with no statistically significant differences observed between groups.