Online talks · November 17–18, 2026 · TUM
Katharina Sterr · Technical University of Munich
A CNA of what makes school health promotion implementation succeed.
School health promotion is central to improving population health, yet implementation success varies substantially across schools. This study applies Coincidence Analysis to data from 113 German primary schools participating in a nationwide health promotion programme in order to identify the causal configurations that lead to a successful implementation of health-promoting activities.
Eleven contextual and process-related factors were analysed, among them organizational health literacy (OHL), staffing levels, and the implementation of Plan–Do–Study–Act (PDSA) cycles. The final model identifies two alternative pathways to success: high organizational health literacy, or the combination of sufficient staffing with structured PDSA cycle implementation.
The study provides one of the first CNA applications in school health promotion and illustrates a transparent analytic workflow for examining causal complexity in organizational implementation settings.
Katharina Sterr is a research assistant at the Associate Professorship of Didactics in Sport and Health at the Technical University of Munich, where she has worked since 2023. She holds an M.Sc. in Health Science (Prevention and Health Promotion) and a B.Sc. in Sports Science from TUM, and spent part of 2024 as a research visitor at the College of Public Health, University of South Florida.
Her research centres on the implementation and evaluation of health promotion in schools and daycare centres. She works on fit4future, a nationwide prevention initiative in the settings of school and daycare centre, and on WALKI-MUC, which evaluates physical activity opportunities and the perceived walkability of children’s and adolescents’ environments in Munich. Among her publications are a study on visualizing the contextual determinants of school health promotion implementation across heterogeneous settings (Implementation Science Communications, 2026) and a scoping review of implementation determinants, strategies and outcomes of mental health promoting interventions for school teachers (BMC Public Health, 2026).
Tuesday 17 November 2026
3 p.m. CET · 9 a.m. ET · 6 a.m. PT
Wednesday 18 November 2026
5 p.m. CET · 11 a.m. ET · 8 a.m. PT
ATC talks are held online and run twice, once on a Tuesday and once on a Wednesday, to accommodate different time zones. Invitations with the access link are sent to the ATC mailing list.