Implementation Of Nutrition Education Research Articles

Finding the place for nutrition in healthcare education and practice

BackgroundMalnutrition continues to impact healthcare outcomes, quality of life and costs to healthcare systems. The implementation of nutrition care in healthcare practice may improve health outcomes for patients and the...

PENGAPLIKASIAN PENDIDIKAN GIZI BAGI ANAK USIA DINI

The background to this problem is a lack of understanding about the application of nutritional health for early childhood. So the aim of this research was to find out food sources and how to apply them to young children. Application is a process or way of implementing nutrition education for early childhood. Not only children, parents also need to learn what foods contain lots of protein, fat, iron, minerals, carbohydrates, vitamins and so on, so that children can grow and develop well. Most parents only give their children food and provisions to school children without knowing the nutritional content in them, because children only know how to consume them. So it is the teacher's obligation to provide lessons about introducing nutritious food to children and parents. When snacking, pay attention to food hygiene so that you don't catch disease.

Does Technology Affect Nutrition Education Perspectives?

The importance of various prevention efforts, including implementing nutrition education especially among children and adolescents, is growing due to noncommunicable diseases like hypertension, obesity, and diabetes that are common among children and adults. Most studies conducted in the previous few decades have noted that using technology in learning environments—including computer-based software, web-based learning, and hardware—creates a remarkable learning and teaching environment. For health professionals like dietitians who provide nutrition education, the ease of data recording, easy transmission and re-accessibility increases the use of various technologies. These technologies present spesific challenges, such as rising costs, user information needs, and age-specific unsuitability. Wearable and artificial intelligence technologies allow individuals to be monitored instantly. With distance education technologies, the opportunity to reach experts regardless of time and place makes it easier to get the correct information. The use of photography and automatic recognition methods in determining the amount of food supports reaching accurate food consumption records. With systems where individuals can see and follow their own data, it becomes easier for individuals to monitor behavior changes. It is stated that, nutritional applications could be more effective when guidance is established based on the attitudes, students’ achievement, and experience. This review focused on the impacts of mobile and web-based nutrition education.

Effectiveness of implementation strategies to improve nutrition education interventions in adults living in rural and/or low-income communities.

The objective of this project was to promote evidence-based practice and identify how to best implement nutrition education interventions for adults living in rural and/or low-income communities. Adults living in rural and/or low-income communities are at increased risk for poor nutrition and chronic health conditions. Patients are referred to the EversCare Clinic (ECC), an ambulatory clinic at an academic medical center in Mississippi, USA, to receive assistance with social needs. In addition to living in rural and/or low-income communities, over 90% of the patients seen at the ECC are food-insecure, yet nutrition education is inconsistently provided. The JBI Practical Application of Clinical Evidence System (PACES) and the Getting Research into Practice (GRiP) audit and feedback tools were used. The ECC team conducted a baseline audit of 30 patient electronic health records, designed and implemented best-practice nutrition education strategies, and completed a follow-up audit of 30 patient electronic health records. Four evidence-based criteria for nutrition education in adults living in rural and/or low-income communities were audited, and various interventions were used to address multiple levels. The baseline audit revealed patients were not receiving recommended nutrition education interventions. Following the implementation, there was a 64.2% improvement in compliance with all four best practice criteria. Involving nursing students proved to be an effective method of improving compliance. Adherence to best practices regarding implementing nutrition education interventions was satisfactory, with 80% of patients receiving interventions at individual, interpersonal, community, and societal levels. Future audits are planned to ensure sustainability.

Optimizing the Role of Posyandu Cadres in Providing Nutrition Education and Stimulation as Prevention and Handling of Stunting

The policy direction and action plan for the public health program in the period 2020-2024 includes a target to reduce the stunting rate from 27.7% in 2020 to 14% in 2024. Community health workers, known as cadres, are considered crucial in the implementation of Posyandu activities and are expected to mobilize community participation. Enhancing the capacity of Posyandu cadres is important in terms of their knowledge, understanding, and abilities, and one approach is through cadre empowerment activities. These activities aim to ensure early detection of stunting cases for prompt intervention. The PkM activities were conducted through a training session for six Posyandu cadres assigned to Environment V in Bailang Village, Bunaken Sub-district, Manado City. The training was provided to the cadres during the screening process for stunting cases through the PoT ASHANTI program in Bailang Village. The intervention activities were carried out from March 6th to 8th, 2023. A pre-test was conducted before the intervention, and a post-test was administered after the training. The results of the training indicate an improvement in the knowledge and skills of the Posyandu cadres. The implementation of nutrition education and simulation as preventive and treatment measures for stunting proved to be effective. This is evident from the evaluation of the PkM activities conducted during the Posyandu schedule, where there was an increase in visits from February 2023 (pre-intervention), with 13 visits, to March 2023 (post- intervention), with 18 visits. The provision of nutrition education and stimulation has increased the knowledge and skills of the cadres, which serves as an indicator for the prevention and management of stunting. The cadres now better understand their roles and can assist in early stunting detection in their respective areas.

Refreshment of Cadres and Mothers' Groups in Efforts to Improve Child Nutrition to Prevent Stunting in Kandang Mas Village

The mother's role in preventing stunting is most important, so a mother must have extensive knowledge about the nutritional value of food and how to process complementary foods for breast milk. Meanwhile, the role of health cadres plays an important role in self-care management of maternal nutrition during pregnancy as an effort to prevent stunting. One of the efforts to prevent stunting is carried out through providing nutritious food according to the needs of the child's age. The problem encountered in the Kandang Mas sub-district is that there is still a toddler's weight below the green line, which is a shared responsibility. The purpose of this community service is so that cadres can maximize their education to mothers and families in fulfilling child nutrition. The implementation of nutrition education was carried out with the participation of 2 groups of mothers of babies, toddlers and children as well as by 5 posyandu cadres. The method used is mentoring and evaluation. The result of this nutrition education education is an increase in the knowledge and skills of mothers in providing food at home so that mothers can practice it at home and increase sufficient knowledge to carry out their role as community mobilizers in preventing and treating stunting. The results of the activity are an increase in knowledge and skills of mothers in processing children's food and increased knowledge and skills of cadres in providing education and assistance to prospective mothers as well as mothers of babies/toddlers and children in their working areas. Mothers are expected to be able to apply the knowledge and skills they have acquired in this activity and convey them to other mothers around them. Cadres are expected to apply the knowledge and skills they have acquired to provide education and assistance to pregnant women in their area.

The Development of a Video-based Nutrition Education Curriculum for Patients Undergoing Radical Cystectomy

BACKGROUND: The treatment for patients with muscle-invasive bladder cancer includes neoadjuvant chemotherapy followed by radical cystectomy. The American Urological Association guidelines stress the optimization of patient performance status in the perioperative setting. Therefore, implementation of nutrition education is critical for the multi-disciplinary care of this vulnerable patient population and wide distribution of information is critical. OBJECTIVE: The goal of our study was to create a nutrition-based video education series for patients undergoing chemotherapy and radical cystectomy for bladder cancer. METHODS: Scripts for the videos were developed through an iterative process by experts in nutrition, urology, and communication. Providers and patient advocates were recruited to perform semi-structured interviews and surveys for additional feedback. Performer facial emotion recognition (Noldus™) was used to assess displayed emotion by the presenters. Mangold VisionPlayer software was used for participant eye movement tracking of the video content. A knowledge survey was created, and Item Content Validity Index (I-CVI) was calculated with a nutrition expert advisory board. Participants were recruited for cognitive interviewing to understand the mental processes and interpretations while answering questions. RESULTS: The video series is available to the public on the Bladder Cancer Advocate Network (BCAN) website at the following URL: https://bcan.org/facing-bladder-cancer/nutrition-bladder-cancer/eating-healthy-bladder-cancer/ Cinematic filming methods, (smaller depth of field, lighting, and camera movement) enhanced message delivery along with music and text on screen to anchor important concepts. CONCLUSIONS: This study can be a framework for the development of a patient education video library accessible through electronic medical records, health care applications, and patient advocacy websites.

Athlete Preferences for Nutrition Education: Development of and Findings from a Quantitative Survey.

Nutrition education (NE) is one of several strategies aimed at enhancing the dietary intake of athletes. This study investigated NE preferences of New Zealand and Australian athletes competing nationally and internationally. Athletes (n = 124, 22 (18, 27) years, female 54.8%) from 22 sports completed an online survey, with responses analysed using descriptive statistics. Teaching techniques considered 'extremely effective' were life examples (47.6% of athletes), hands-on activities (30.6%), and discussions with a facilitator (30.6%). Setting personal nutrition goals was important to most athletes (83.9%), along with two-way feedback with a facilitator (75.0%). General nutrition topics considered 'essential' were energy requirements (52.9%), hydration (52.9%), and nutrient deficiencies (43.3%). Performance topics considered 'essential' were recovery (58.1%), pre-exercise nutrition (51.6%), nutrition during exercise (50.0%), and energy requirements for training (49.2%). Athletes preferred a 'combination of in-person group and one-on-one sessions' (25% of athletes), 'one-on one sessions' (19.2%) and 'in-person group sessions' (18.3%), with only 13.3% interested in 'exclusively online delivery'. Sessions of 31-60 min (61.3% of athletes) held monthly (37.5%) and undertaken with athletes of the same sporting calibre (61.3%) were favoured by the participants. The preferred facilitator was a performance dietitian or nutritionist (82.1% of athletes), who had knowledge of the sport (85.5%), experience in sports nutrition (76.6%), and credibility (73.4%). This research provides novel insights into the factors that need to be considered when designing and implementing nutrition education for athletes.

Implementation Of Nutrition Education In The Medical School Of Graz, Austria. Self-Perception Of Clinical Nutrition Knowledge Among Medical Students - Preliminary Result.

Implementation Of Nutrition Education In The Medical School Of Graz, Austria. Self-Perception Of Clinical Nutrition Knowledge Among Medical Students - Preliminary Result.

Nutrition Knowledge, Attitude, Practice towards Breast Cancer Prevention among the Female Students of University of Hail, Saudi Arabia.

Abstract:
 Background: There are limited studies conducted in Saudi Arabia to assess the Nutrition knowledge, attitude, and practice toward the prevention of breast cancer among the female students of Hail University.
 Objectives: The purpose of the study was to assess the Nutrition knowledge, attitude, and practice toward breast cancer prevention among university students. The study aims at the following objectives:
 
 To assess the Nutrition knowledge, attitude, and practice towards breast cancer of university students.
 To compare the Nutrition knowledge, attitude, and practice (KAP) towards breast cancer between science and non-science students of the university.
 
 Method: A cross-sectional survey was planned to assess nutrition knowledge, attitudes, and practice (KAP) toward breast cancer prevention among students of the University of Hail. The subjects were surveyed through a previously standardized self-administered questionnaire for questions related to nutrition knowledge, attitudes, and practice on the prevention of breast cancer. In addition, self-reported weight and height were collected and body mass index was calculated. The statistical analysis was done using Statistical Package for Social Sciences software (version 18.0).
 Results: The general knowledge of nutrition, was self-perceived by the study population. 14.8% of the population perceived that they have a very good knowledge of nutrition, and about 66.7% of the population has an average or good knowledge. From the viewpoint of attitude among the study samples, it was clear that science students have a better attitude when compare to non-science students. The results were statistically significant (P<0/05) for the practice of exercise, consuming fruits and vegetables, and drinking green tea showing a higher number among science students than non-science students.
 Conclusion: In conclusion, nutrition KAP towards BC prevention was found to be influenced by factors such as age, the field of study, and the familial history of BC. These results provide further support for the hypothesis that having proper nutritional knowledge improves an individual’s eating practice which will reduce the risk of any nutrition-related cancers such as BC. These findings need to be taken into account when designing breast health education programs. It is suggested to perform successfully design, organize, and implement nutrition education programs in the institutions which will promote the level of knowledge about nutrition, thereby improving their food habits and lifestyle.
 Keywords: Nutrition; Knowledge; Attitude; Practice; Lifestyle.

Determinants of nutritional status among primary school students in Dilla Town; Application of an ordinal logistic regression model

BackgroundOne of the most frequent reasons for children’s poor physical and mental development is malnutrition, becoming a more significant issue in most developing nations, including Ethiopia. Prior research used multiple anthropometric measurements separately to pinpoint undernutrition concerns in children. However, the impact of each explanatory variable on a single response category was not considered in these investigations. This study used a single composite index of anthropometric parameters to identify the factors affecting elementary school students' nutritional condition. MethodsIn Dilla, Ethiopia, 494 primary school students took part in a cross-sectional institutional survey during the 2021 academic year. Principal component analysis was used to create a single composite measure of nutritional status using z-scores for the anthropometric indices of height-for-age and body mass index-for-age. The relative effectiveness of a partial proportional odds model was compared with several other ordinal regression models to identify the important variables for children’s nutritional status. Results27.94% of primary school students were undernourished (7.29% severely and 20.65% moderately). According to the fitted partial proportional odds model, the mother’s education level (secondary or higher) was positively correlated with the nutritional status of primary school students, given that in this case the students ate three or more times per day and had a high dietary diversity score (OR = 5.94; CI: 2.2–16.0). Nevertheless, there was a negative correlation between larger family size (OR = 0.56; CI: 0.32–0.97), unprotected groundwater (OR = 0.76; CI: 0.6–0.96), and severely food insecure households (OR = 0.3; CI: 0.14–0.68). ConclusionIn Dilla, Ethiopia, undernutrition among primary school students is a serious issue. It is essential to implement nutrition education and school feeding programs, improve drinking water sources, and boost the community’s economy to alleviate the problems.

Nutritional and General Awareness of Vitamin D Status among Adult Population in Sulaymaniyah Governorate, Kurdistan Region, Iraq: A Cross-Sectional Study

The health benefits of vitamin D are widely acknowledged by scientific and public health specialists. In Iraq, vitamin D deficiency and inadequacy are highly prevalent. However, public knowledge on this problem is scarce. This research aimed to evaluate the participants' knowledge about vitamin D, particularly their nutrition-related understanding and behavior, along with their overall attitude toward sun exposure. A descriptive cross-sectional survey of Iraqi adults over 18 was performed with a collection of serum 25(OH)D result between June and September 2022. The observed serum vitamin D indicated that only 25% of the participant had healthy (>30 ng/ml) vitamin D levels. The majority of participants, 90.9%, were aware of vitamin D. Media and primary health care centers were major vitamin D information sources (57.3 and 32%, respectively). Despite believing sunshine is the principal source of vitamin D (90.2%), respondents lacked understanding about the duration (26.3%) and frequency (30%) of sun exposure. In addition, less than 10% of individuals attributed vitamin D shortage to kidney and liver problems, fat malabsorption, obesity, and bariatric surgery. Nevertheless, more than two-thirds (83.3%) of participants defined the positive role of vitamin D in preventing osteoporosis and immune system strengthening (61%). Furthermore, nutritional awareness among the participants was variable. Approximately, 75% misrepresented the percentage of vitamin D supplied by food, over 50% believed that fruit and vegetables are vitamin D sources, 43% of vegetarians are not at risk for vitamin D deficiency, and rather plants considered (70.3%) as an approach to lessen vitamin D deficiency. Additionally, optimal daily intake was recognized by only 10%. Similarly, only 18.3% was aware of the optimal level of serum vitamin D. Notably, 54% was entirely ignorant of the benefits of dietary fortification. Although 55% of the surveyed population used vitamin D supplements, and 76% acknowledged it through their doctor's recommendation, exceeding two-thirds incorrectly anticipated that drinking tea would impair vitamin D absorption. Therefore, 90% would buy supplements without a prescription if needed. Implementing nutrition education initiatives, encouraging healthy lifestyles, and supporting vitamin D examination should be included in Iraq's health care system.

Prevalence and factors associated with malnutrition among school adolescents of Durame Town, Kambeta Tembaro Zone, Ethiopia.

malnutrition is a major public health issue affecting adolescents globally and developing countries in particular. Adolescent period is very sensitive to malnutrition. Adolescent malnutrition can be affected by different factors. The objective of this study was to assess prevalence and associated factors of adolescent malnutrition among high school students. an institutional-based cross-sectional study was carried out among school adolescents in Durame town high schools. Of the 498 selected school adolescents, 455 (91.4 %) were included in this study. Data were entered into Epi data and exported to World Health Organization (WHO) Anthroplus and Statistical package for the social sciences (SPSS). Odds ratio at 95% confidence interval (CI) was calculated to check for the existence and strength of association between variables. P-value less than 0.05 was used to declare significance of association. the prevalence of stunting, thinness and overweight among adolescents was 26 (5.7%), 11(2.4 %) and 42 (9.2%), respectively. Residing in rural (AOR=5.31, 95% CI: 1.03-27.27) and utilize community based nutrition (AOR=0.26, 95% CI: 0.07-0.98) were associated with thinness. Male (AOR=3.55, 95% CI: 1.62-7.81) and having cattle (AOR=2.78, 95% CI: 1.393, 5.565) were associated with overweight. around two in twenty-five adolescents are stunted. About one in twenty-five adolescents are thin. More than two in twenty-five adolescents are overweight. Sex of adolescents, having cattle were associated with overweight of adolescent. Rural residence and utilizing community based nutrition were associated with thinness. Minister of Health and other health offices should implement nutrition education to school adolescents by giving emphasis on place of residence and for both male and female adolescents.

Teka-Teki Silang dan Video Animasi Meningkatkan Pengetahuan Gizi Seimbang pada Anak Usia Sekolah

Nutritional problems in school-age children can occur because of less knowledge. School-age period is the right time for provide nutrition education. Nutrition education needs the interesting and fun media to make it easier to understand, such as crossword puzzles and animation videos. This study aims is to determine the influence of nutrition education with crossword puzzles and animation videos on balanced nutrition knowledge in school-age children. The methods that used is a quasi-experimental with a pretest and posttest group design. The 54 students aged 10 to 12 from fifth graders were selected by stratified random sampling and divided into two media groups. The statistical tests utilized are the independent and paired sample t-tests. The majority of responders were male (63%) and 11 years old (79.6%). The results showed that there were differences in the influence of nutrition education before and after being given crossword puzzles (p = 0.003) and animation video (p = 0.000) on balanced nutrition knowledge. The results also showed that there was no difference in the effectiveness of nutrition education between crossword puzzles and animated videos on balanced nutrition knowledge (p = 0.987). Crossword puzzles and animation videos have an impact for given balanced nutrition education on school-aged children. Animation videos is more effective in increasing balanced nutrition knowledge on school-age children compared to crossword puzzles. It is recommended that the government and schools implement nutrition education initiatives using engaging and entertaining media, such as animation videos.

영양교사의 영양교육 실태와 비대면 온라인 영양교육에 대한 인식 및 요구도

Objectives This study was conducted to understand the nutrition education reality among nutrition teachers at elementary, middle, and high schools and examine the awareness and demand for non-face-to-face online nutrition education.
 Methods The subjects of this study were 158 nutrition teachers at elementary, middle, and high schools in Seoul and Gyeonggi Province. For the collected data, the Chi-squared test, Fisher's exact test, or independent sample t-test were performed according to the analysis items using SPSS Statistics version 26.0.
 Results The study showed that nutrition education was more prominent in elementary than middle and high schools. The lack of time due to overwork in nutrition teachers was suggested as the main reason for the failure to provide nutrition education. As the methods of implementing nutrition education, it was found that there were many direct education methods in the form of lectures during discretionary activity time in elementary schools, whereas indirect education methods using school newsletter were common in middle and high schools. As for the contents of nutrition education in schools for the past year, a balanced diet, good eating habits, and table manner were taught in the lower grades of elementary school, and food poisoning management was educated in the upper grades of elementary school. In addition, the proportions of contents on a balanced diet, obesity prevention and weight management, food poisoning management, food hygiene, eating blandly, and nutrition labeling were high in middle school. There was a high level of education in high school on healthy snack intake, obesity prevention and weight management, and nutrition labeling. Less than half of the study subjects experienced online nutrition education. The limitations of online nutrition education were the lack of a sense of presence with learners in online nutrition education and the restrictions on activity classes such as practice and experience. The highest percentage responded that various content levels are needed to be provided as a measure to improve online nutrition education.
 Conclusions Based on the results of this study, measures to activate online nutrition education are needed to be performed non-face-to-face in preparation for the occurrence and spread of infectious diseases such as COVID-19.

Predictability of School Principals’ Leadership Orientation for Their Intentions of Implementing Nutrition Education

Healthy food behavior is closely linked with children’s physical and academic well-being. Nutrition education programs continue to be quite effective in educating students about their nutritional food intake. School principals’ leadership role in implementing nutrition education remains pivotal. This quantitative research study aimed to determine the predictive capability of school principals’ leadership orientation for their intentions toward implementing nutrition education. Data were collected from randomly selected 278 secondary school principals. The results indicated that school principals had positive intentions toward implementing nutrition education in their schools. Their leadership frame had a significant predictive capability about their intent to implement nutrition education.

Psychosocial factors affecting dietary habits of university students: A cross-sectional study

BackgroundUniversity student transition from living at home to more independent living which might influence their eating habits. This study aims to assess the effect of psychosocial factors on eating habits among university students. MethodsA cross-sectional study was conducted among 529 students at the University of Sharjah. Participants completed a self-administered questionnaire on dietary habits, social, and psychological factors. The height and weight were also measured. ResultsMore than one-third of participants were classified as overweight or obese (37.6%) and 39.1% reported not engaging in regular physical activity. Less than half of the participants consumed breakfast daily (45.4%) and 83.2% consumed less than two liters of water per day. Only 28.7% and 34.0% of participants consumed fruits and vegetables daily, respectively. Almost 80% of participants reported eating when they were bored, 83.7% ate when feeling happy, and 56.5% ate when they were sad. Eating habits score was significantly lower among unmarried participants (p = 0.03), those not living with their family (p < 0.001), smokers (p = 0.001), those not engaging in regular physical activity (p < 0.001), and those who reported eating uncontrollably (p = 0.007). ConclusionsPsychosocial factors were important indicators of dietary habits among students. Implementing nutrition education campaigns and health-related courses at the university are recommended.

職員食堂での喫食者の健康づくりのための栄養教育の実施可能性の検討─食堂運営担当者への栄養教育に関する情報提供の試み─

職員食堂での喫食者の健康づくりのための栄養教育の実施可能性の検討─食堂運営担当者への栄養教育に関する情報提供の試み─

Nutrition education incorporation into mainstream primary school curriculum in Ghana: Stakeholders' sources of nutrition information and perceived barriers.

IntroductionNutrition literacy has been cited as a crucial life skill. Nutrition education as a primary school subject has been treated inconsequentially when compared to other subjects. We investigated an aspect of the current state of nutrition education in Ghana by engaging stakeholders about their sources of nutrition information and the perceived barriers in implementing nutrition education in mainstream primary schools.MethodsThree hundred and fifty one (351) primary school children, 121 homebased caregivers, six schoolteachers, two headteachers, two Ghana Education Service (GES) officials, and six school cooks were involved in the study. Surveys were used to collect data on nutrition information acquisition behaviors and to record perceived barriers. Key Informant Interviews were conducted among GES officials, headteachers, schoolteachers and school cooks, while Focus Group Discussions were used among homebased caregivers and children to gather qualitative information.ResultsOnly 36.3% of the primary school children had heard about nutrition, and 71% of those got nutrition information from their family members. About 70% of homebased caregivers had heard or seen nutrition messages, and their source of nutrition information was predominantly traditional media. Schoolteachers mostly received their nutrition information from non-governmental organizations and the Internet, while most of the school cooks stated their main source of nutrition information was hospital visits. Perceived barriers included schoolteachers’ knowledge insufficiency, and lack of resources to adequately deliver nutrition education. Lack of a clear policy appeared to be an additional barrier.ConclusionThe barriers to the implementation of nutrition education in the mainstream curriculum at the primary school level that were identified in this study can be resolved by: providing schoolteachers with learning opportunities and adequate nutrition education resources for practical delivery, having specific national policy framework, and including family members and school cooks in the nutrition education knowledge and information dissemination process.

Principals' intentions and anticipated challenges in implementing nutrition education

PurposeThis study aimed to know principals' intentions of implementing nutrition education (NE) and explore the challenges they may anticipate while implementing NE in their respective schools.Design/methodology/approachThe study employed a sequential mixed-method design using a questionnaire and interviews to collect data. The quantitative data were collected from 378 secondary school principals, while 16 school principals were interviewed.FindingsThe study found principals with positive intentions towards implementing NE. The results also highlighted challenges related to capacity building, resources (both human and physical), policies and plans, roles, and responsibilities of the implementers (teachers and principals), support from higher authorities, community participation and teachers' unions. This study concludes that principals' intentions remain central to the implementation of NE in schools. However, it is necessary to overcome those challenges before its implementation.Research limitations/implicationsThe study sought to ascertain principals' intentions rather than their actual behaviour of NE implementation and hence remains limited in this area, which future research may consider. Furthermore, the research is limited to the principals' opinions on the anticipated challenges associated with NE implementation. The study did not solicit the opinions of other stakeholders, such as education managers, policymakers, teachers and communities.Originality/valueThe article is significant in terms of NE being implemented in schools to improve students' physical and academic wellbeing. The critical role of principals has been investigated by determining their intentions and the anticipated challenges associated with implementing NE. The authors declare the originality of the data.