The problem addressed in this study was a decade after the Child Nutrition and WIC Reauthorization Act mandated implementation of school-based local wellness policies, the prevalence of childhood obesity and incidence of diet-related chronic diseases including Type 1 and Type 2 diabetes had not shown significant coinciding reductions. The purpose of this quantitative study utilizing a correlational research design examined hypothetical directional relationships between comprehensive federal mandate content and strong language that was specific and directive in local wellness policies, and the prevalence of obesity and incidence of diabetes in school-age children through the diffusion of innovation theoretical framework. Stratified, random sampling of obesity and diabetes data for school-age children grades K–12 represented outcome variables. Purposive sampling of local wellness policies was utilized to obtain the comprehensiveness and the language strength scores for the implementation, evaluation, and communication components of policies, which then represented predictor variables. The research method employed a secondary analysis of the outcome variables, collected by the Pennsylvania Department of Health for the academic year 2012–2013 utilizing hierarchical linear modeling. Higher content comprehensiveness scores reflected lower prevalence of obesity in K–6th grade (t(40) = -3.03, β = -4704.86, p = .004) and 7th–12th grade, (t(39) = -2.65, β = -3893.79, p = .012); likewise, a lower incidence of Type 1 diabetes, (t(40) = -3.39, β = -250.58, p = .002), for K–12th grade. The mean language strength score of 20% was consistent with previously reported outcomes; however, a predictive relationship between the prevalence of obesity and language strength scores was inconsistent with the hypothesized correlational relationship expressed in previous studies. Comparative score evaluations suggest that language strength scores did not necessarily hinder communication channels for the diffusion of an innovation, such as local wellness policies and the implementation of federally-mandated content that is comprehensive. Further discernment is necessary to avert the premature deaths associated with childhood obesity and, simultaneously, the correlated epidemics of obesity and diabetes.
|Advisor:||Watkins, Julia A.|
|Commitee:||Burrus, Scott, Eleweke, Chukwuemeka|
|School Location:||United States -- Arizona|
|Source:||DAI-A 77/08(E), Dissertation Abstracts International|
|Subjects:||Educational leadership, Nutrition, Public health|
|Keywords:||Child nutrition, Pennsylvania, School-age children, WIC|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be