Experiences with a diagnostic tool

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schoolBeattailored prevention

• Experiences with a diagnostic tool
• for intersectoral collaboration DISC

• Mariken Leurs, ZonMw
• Ingrid Mur-Veeman, Maastricht University
• Maria Jansen, Public Health Services Zuid
  Limburg
• Nanne de Vries, Maastricht University
• Nordic Health Promotion Research Conference 2006

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Outline16 June 2006

• DISC - model
• Focus on the schoolBeat collaboration
• Research design
• Results
• Pitfalls and opportunities

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DISC DIagnosis of Sustainable Collaboration
External factors
context
change management

• Support

PERCEPTIONS
INTENTIONS
ACTIONS
Project management
coordinated health promotion
REGULAR WORK
IDEA
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DISC DIagnosis of Sustainable Collaboration
(Leurs e.a., 2005 in Clift Jensen, 2005)
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Coordinated and tailored school health promotion
is the schoolBeat-challenge!
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starting situation 2002
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desired situation
Leurs, Schaalma, Jansen, Mur-Veeman, St.Leger, De
Vries (2005) Development of a collaborative model
to improve school health promotion in the
Netherlands. Health Promotion International,
20(3), 296-305.
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Qualitative research design

• Pilot questionnaire in a different region
• Measurements in 2003 and 2005
• Questionnaire among /- 60 local/regional
  stakeholders education, HP and government
• Semi-structured interviews with 10-12
  stakeholders
• Document analyses

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Results pilot

• Piloting a questionnaire in different region
  where no focussed collaboration exists is
  difficult.
• Most helpfull was the think-out loud pre-test
  conducted by one professional of that region.
• Where possible the questionnaire was simplified.

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Results 2003

• Discriptive state-of-the-art per DISC-construct
• HP most open to innovation and most personnel
• Competitive feelings among the HP stakeholders
• Education professionals most hopefull satisfied
  with the schoolBeat support
• Educators report highest level of innovative
  actions and adaptations
• government expect financial problems in the near
  future and least open to innovation

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Results 2005

• Education professionals are least positive about
  schoolBeat and show significant negative changes
  on DISC-constructs
• Faith in schoolBeat has risen among HP-staff,
  positive changes on DISC-constructs
• No significant changes among public servants
• Explanations by other DISC-constructs!

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DISC DIagnosis of Sustainable Collaboration
External factors
context
change management

• Support

PERCEPTIONS
INTENTIONS
ACTIONS
Project management
coordinated health promotion
IDEA
ROUTINE
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Pitfalls

• Questionnaire too complicated demotivation of
  stakeholders
• If no direct follow-up, results lose value
• Although theory-based some important perceptions
  / factors may have been missed
• Sustainability of collaborations

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Opportunities

• Systematic feed-back for
• change-agents / management
• Clarification of differences among
  stakeholder-groups
• Applicable in (multiple) case study research /
  implementation research

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Thank you for your attention!
Contact leurs_at_zonmw.nl for more details

• This research was part of the
• schoolBeat study, supported by