Abstract
In 2001, the 77th Texas legislature passed Senate Bill 19 requiring students in publicly funded elementary schools to participate in physical activity and schools to implement a coordinated school health program by September 1, 2007. We report on awareness of and adherence to Senate Bill 19 in a statewide sample of elementary schools and a subsample in two public health regions located along the Texas–Mexico border. Statewide, structured interviews with principals indicated high awareness of Senate Bill 19's requirements, but lower awareness of the need for parental involvement. Only 43% of Texas schools had adopted their coordinated program 1 year or less before the implementation deadline. Principals reported an average of 179 min of physical education per week, higher than the 135-min mandate. Among the subsample border schools, principals' physical activity reports were consistent with teacher records and student reports. Further, direct observation of physical education indicated that 50% of class time was spent in moderate and vigorous physical activity, meeting the level of physical activity intensity recommended by Healthy People 2010. The differences observed by public health regions included: more physical activity minutes in Region 10 (231 min compared to 217 min in Region 11); higher adoption of coordinated school health programs (92% compared to 75%); more district-level school health advisory committees (58% compared to 38%) and school-level school health advisory committees (83% compared to 25%); and a lower prevalence of obesity in 4th grade students (21% compared to 32%). Differences by region suggest that Senate Bill 19 is not being adhered to equally across the state, and some regions may require further support to increase implementation. Results underscore the importance of continued monitoring of enacted legislation, and that legislation for child health that focuses on school programs and policies requires funding and refinement to produce the intended effect.
Similar content being viewed by others
References
Hoelscher DM, Day RS, Lee ES, Frankowski RF, Kelder SH, Ward JL, et al. Measuring the prevalence of overweight in Texas schoolchildren. Am J Public Health. 2004;94:1002–1008.
Freedman DS, Khan LK, Serdula MK, Ogden CL, Dietz WH . Racial and ethnic differences in secular trends for childhood BMI, weight, and height. Obesity. 2006;14:301–308.
Texas Department of Health. Burden of Overweight and Obesity in Texas, 2000–2040. Available at http://www.publichealthgrandrounds.unc.edu/catch/handout_txCost_Obesity_Report.pdf, accessed 1 September 2008.
Centers for Disease Control and Prevention, National Center for Health Statistics. CDC Growth Charts: United States. Available at http://www.cdc.gov/nchs/about/major/nhanes/growthcharts/charts.htm, accessed 4 November 2008.
U.S. Census Bureau. State & County QuickFacts. Available at http://quickfacts.census.gov/qfd/states/48000.html, accessed 24 May 2008.
Kelder SH, Osganian S, Feldman HA, Webber LS, Parcel GS, Leupker RV, et al. Tracking of physical and physiological risk variables among ethnic subgroups from third to eighth grade: the CATCH Cohort Study. Prev Med. 2002;34:324–333.
Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. Coordinated School Health Program (CSHP). Available at http://www.cdc.gov/healthyyouth/cshp/, accessed 4 November 2008.
Texas Education Agency. Senate Bill 19. Available at http://www.tea.state.tx.us/curriculum/hpe/sb19faq.html, accessed 26 September 2008.
Texas Administrative Code. Chapter 101. Assessment Subchapter B. Development and Administration of Tests. Available at http://www.tea.state.tx.us/rules/tac/chapter101/ch101b.html, accessed 26 September 2008.
Pate RR, Davis MG, Robinson TN, Stone EJ, McKenzie TL, Young JC, et al. Promoting physical activity in children and youth: a leadership role for schools. Circulation. 2006;114:1214–1224.
Hoelscher DM, Feldman HA, Johnson CC, Lytle LA, Osganian SK, Parcel GS, et al. School-based health education programs can be maintained over time: results from the CATCH institutionalization study. Prev Med. 2004;38:594–606.
McKenzie TL, Sallis JF, Armstrong CA . Association between direct observation and accelerometer measures of children's physical activity during physical education and recess. Med Sci Sport Exerc. 1994;26:S143.
McKenzie TL, Strikmiller PK, Stone EJ, Woods SE, Ehlinger SS, Romero KA, et al. CATCH: physical activity process evaluation in a multicenter trial. Health Educ Q. 1994; (Suppl 2):S72–S89.
McKenzie TL, Sallis JF, Nader PR . SOFIT: system for observing fitness instruction time. J Teach Phys Educ. 1991;11:195–205.
Penkilo M, George G, Hoelscher D . Reproducibility of the school-based nutrition monitoring questionnaire among fourth-grade students in Texas. J Nutr Educ Behav. 2008;40:20–27.
Hoelscher DM, Day RS, Kelder SH, Ward JL . Reproducibility and validity of the secondary level School-Based Nutrition Monitoring (SBNM) student questionnaire. J Am Diet Assoc. 2003;103:186–194.
Thiagarajah K, Fly AD, Hoelscher DM, Bai Y, Lo K, Leone A, et al. Validating the food behavior questions from the elementary school SPAN questionnaire. J Nutr Educ Behav. 2008;40:305–310.
Barlow SE, and the Expert Committee (2007) Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007; 120 (Suppl):S164–S192.
Stata Statistical Software. Version 9. College Station, TX: StataCorp, LP; 2005.
U.S. Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health, 2nd Edition. Washington, DC: U.S. Government Printing Office; 2000.
Nader PR, National Institute of Child Health and Human Development Study of Early Child Care and Youth Development Network. Frequency and intensity of activity of third-grade children in physical education. Arch Pediatr Adolesc Med. 2003;157:185–190.
Franks A, Kelder SH, Dino GA, Horn KA, Gortmaker SL, Wiecha JL, et al. School-based programs: lessons learned from CATCH, Planet Health, and Not-On-Tobacco. Prev Chronic Dis (Internet). 2007, 15 March. Available at http://www.cdc.gov/pcd/issues/2007/apr/06_0105.htm, accessed 28 May 2008.
Owens N, Glanz K, Sallis J, Kelder SH . Evidence-based approaches to dissemination and diffusion of physical activity interventions. Am J Prev Med. 2006;31 (4 Suppl):S35–S44.
Texas Education Agency. Text of Senate Bill 530. July 2007. Available at http://www.tea.state.tx.us/sboe/schedule/2007/july/full_board/attachments/thur_3_physical_activity_a1.pdf, accessed 6 November 2008.
Coleman KJ, Tiller CL, Sanchez J, Heath EM, Sy O, Milliken G, et al. Prevention of the epidemic increase in child risk of overweight in low-income schools: the El Paso Coordinated Approach to Child Health. Arch Pediatr Adolesc Med. 2005;159:217–222.
Paso del Norte Foundation. Qué Sabrosa Vida. Available at http://www.pdnhf.org/initiativedetail.asp?sec=goals&fr=s&id=67, accessed 13 June 2008.
Paso del Norte Foundation. Walk El Paso. Available at http://www.pdnhf.org/initiativedetail.asp?sec=goals&fr=s&id=70, accessed 13 June 2008.
Cook TD, Campbell DT . Quasi-Experimentation: Design and Analysis Issues for Field Settings. Boston: Houghton Mifflin; 1979.
Lee SM, Burgeson CR, Fulton JE, Spain CG . Physical education and physical activity: results from the School Health Policies and Programs Study 2006. J Sch Health. 2007;77:435–463.
Kolbe LJ . A framework for school health programs in the 21st century. J Sch Health. 2005;75:226–228.
National Association for Sport and Physical Education. Moving into the Future: National Standards for Physical Education, 2nd Edition. Reston, VA: McGraw-Hill Humanities/Social Sciences/Languages; 2004.
Acknowledgements
This project was primarily funded by the Robert Wood Johnson Foundation (#52467) to Steven H. Kelder. It was also supported by grants from the National Center on Minority Health and Health Disparities (NIH CMHD P20MD000170-019001) and the Michael & Susan Dell Foundation.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kelder, S., Springer, A., Barroso, C. et al. Implementation of Texas Senate Bill 19 to Increase Physical Activity in Elementary Schools. J Public Health Pol 30 (Suppl 1), S221–S247 (2009). https://doi.org/10.1057/jphp.2008.64
Published:
Issue Date:
DOI: https://doi.org/10.1057/jphp.2008.64