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Are "No" and "No Thanks" the Same for School-based Health Center Enrollment?

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Objective: We determined whether providing a decline option was associated with lower school-based health center (SBHC) consent rates. Methods: Data for this study are from a SBHC serving an urban public elementary and middle charter school. In the 2015-2016 school year, parents were asked to provide SBHC consent. In 2016-2017, parents who had not returned a form were asked to do so. Results: Among the 1919 students, SBHC enrollment for the 2015-2016 and 2016-2017 school years were 50% and 66%, respectively. In 2016, 44% did not return a consent form; by the end of 2017, the proportion dropped to 28%. The proportion of parents who declined to enroll was 6% both years. Conclusions: Providing parents with an option to decline SBHC enrollment does not reduce SBHC enrollment.


Document Type: Research Article

Publication date: January 1, 2019

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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