The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement

Langford, Rebecca; Bonell, Christopher; Jones, Hayley E; Pouliou, Theodora; Murphy, Simon; Waters, Elizabeth; Komro, Kelli A.; Gibbs, Lisa; Magnus, Dan; Campbell, Rona

doi:10.1002/14651858.cd008958.pub2

Cited by 488 publications

(653 citation statements)

References 404 publications

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“…Two recent systematic reviews of health improvement interventions in educational sites contain no reference to such studies in FE settings. 4,5 This finding supports calls from the National Institute for Health and Care Excellence for more evidence regarding smoking prevention interventions in secondary schools and in other youth settings such as FE institutions. 3 Furthermore, the failure of the two reviews 4,5 to identify any cluster randomised controlled trials (RCTs) undertaken within FE settings highlights the lack of rigorous health improvement evaluation in this context to date.…”

Section: Health Improvement In Further Education Settingssupporting

confidence: 58%

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

et al. 2017

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Background Preventing smoking uptake among young people is a public health priority. Further education (FE) settings provide access to the majority of 16- to 18-year-olds, but few evaluations of smoking prevention interventions have been reported in this context to date. Objectives To evaluate the feasibility and acceptability of implementing and trialling a new multilevel smoking prevention intervention in FE settings. Design Pilot cluster randomised controlled trial and process evaluation. Setting Six UK FE institutions. Participants FE students aged 16–18 years. Intervention ‘The Filter FE’ intervention. Staff working on Action on Smoking and Health Wales’ ‘The Filter’ youth project applied existing staff training, social media and youth work resources in three intervention settings, compared with three control sites with usual practice. The intervention aimed to prevent smoking uptake by restricting the sale of tobacco to under-18s in local shops, implementing tobacco-free campus policies, training FE staff to deliver smoke-free messages, publicising The Filter youth project’s online advice and support services, and providing educational youth work activities. Main outcome measures (1) The primary outcome assessed was the feasibility and acceptability of delivering and trialling the intervention. (2) Qualitative process data were analysed to explore student, staff and intervention team experiences of implementing and trialling the intervention. (3) Primary, secondary and intermediate (process) outcomes and economic evaluation methods were piloted. Data sources New students at participating FE settings were surveyed in September 2014 and followed up in September 2015. Qualitative process data were collected via interviews with FE college managers (n = 5) and the intervention team (n = 6); focus groups with students (n = 11) and staff (n = 5); and observations of intervention settings. Other data sources were semistructured observations of intervention delivery, intervention team records, ‘mystery shopper’ audits of local shops and college policy documents. Results The intervention was not delivered as planned at any of the three intervention settings, with no implementation of some community- and college-level components, and low fidelity of the social media component across sites. Staff training reached 28 staff and youth work activities were attended by 190 students across the three sites (< 10% of all eligible staff and students), with low levels of acceptability reported. Implementation was limited by various factors, such as uncertainty about the value of smoking prevention activities in FE colleges, intervention management weaknesses and high turnover of intervention staff. It was feasible to recruit, randomise and retain FE settings. Prevalence of weekly smoking at baseline was 20.6% and was 17.2% at follow-up, with low levels of missing data for all pilot outcomes. Limitations Only 17% of eligible students participated in baseline and follow-up surveys; the representativeness of student and staff focus groups is uncertain. Conclusions In this study, FE settings were not a supportive environment for smoking prevention activities because of their non-interventionist institutional cultures promoting personal responsibility. Weaknesses in intervention management and staff turnover also limited implementation. Managers accept randomisation but methodological work is required to improve student recruitment and retention rates if trials are to be conducted in FE settings. Trial registration Current Controlled Trials ISRCTN19563136. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 5, No. 8. See the NIHR Journals Library website for further project information. It was also funded by the Big Lottery Fund.

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Section: Health Improvement In Further Education Settingssupporting

confidence: 58%

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

et al. 2017

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“…The intervention effects were generally small in nature but have the potential to produce public health benefits (21) .…”

Section: Discussionmentioning

confidence: 99%

“…This proposal, which adds to the well-being and school performance, has been encouraged by the World Health Organization with the strengthening of Health Promoting Schools (21) .…”

Section: Discussionmentioning

confidence: 99%

Promoção da saúde de adolescentes e Programa Saúde na Escola: complexidade na articulação saúde e educação

Brasil

Silva

et al. 2017

Rev. esc. enferm. USP

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Objective:To analyze the context of health promotion with adolescents in the health and education interface focusing on the actions of the Brazilian School Health Program. Method: Qualitative study conducted in 2015 with professionals working in the Regional Executive Coordination IV, in Fortaleza, Ceará. The data obtained in the interview were processed in the ALCESTE program. Results: 17 health professionals and 22 education professionals participated in the study. The organization of spontaneous demand causes disharmony in the scheduled visits and health actions in the school. The difficulties in the implementation of the School Health Program were demonstrated by the lack of knowledge, the lack of planning among the sectors and the different demarcations in the territory. Conclusion: The professionals' lack of knowledge regarding the program and the lack of action planning confirm the disarticulation of the education and health sectors, although they indicate the possibilities of this inter-sectoral practice.

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“…En este marco, el programa educativo "Desde niños, juntos contra la diabetes" cumple con la promoción de hábitos saludables en nutrición y actividad física. Langford et al (16) , en una revisión sistemática de estas estrategias, encontraron pequeños efectos en el índice de masa corporal, y ningún efecto en la ingesta de grasas; sin embargo, en el presente estudio se encontró un incremento en el conocimiento y asertividad sobre estos temas, por lo que se podrían estudiar otros factores que podrían influir en la no modificación de conductas poco saludables en la nutrición, a pesar de contar con la información necesaria.…”

Section: Discussionunclassified

Efecto de un programa educativo en el nivel de conocimiento sobre diabetes mellitus 2 en niños de una institucion educativa de Lima

Jara¹,

Arellano²

2017

Rev. per. med. integr.

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Objetivo. Determinar el efecto de un programa educativo sobre el nivel de conocimientos en laprevención de la diabetes mellitus tipo 2 en niños del nivel primario de una institución educativa enLima. Materiales y métodos. Estudio cuasiexperimental pre post de un solo grupo. Se incluyerona 113 niños del cuarto y quinto grado de primaria, en una institución educativa en Lima Norte.Se aplicó un programa educativo multicomponente para prevención de diabetes mellitus tipo 2que abarcó cuatro dimensiones: información de la enfermedad, actividad física, prevención dela obesidad y alimentación saludable. Se midió el nivel de conocimientos antes y después de laintervención mediante un cuestionario validado, clasificando esta variable en alto, medio ybajo. Resultados. Se encontraron diferencias significativas en las medias de los puntajes de lasdimensiones: Información de la Enfermedad (p<0,001), Actividad Física (p=0,017) y AlimentaciónSaludable (p<0,001). El porcentaje de respuestas adecuadas disminuyó en dos de tres preguntasde la dimensión Actividad Física. Antes del programa educativo, el 66,3% de los estudiantespresentaba un nivel de conocimiento medio de la prevención de la diabetes; mientras que, despuésdel programa educativo, 70,8% de los evaluados presentó un nivel alto. Conclusiones. La aplicacióndel programa educativo “Desde niños, juntos contra la diabetes” aumenta el nivel de conocimientosobre la prevención

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The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement

Cited by 488 publications

References 404 publications

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

Promoção da saúde de adolescentes e Programa Saúde na Escola: complexidade na articulação saúde e educação

Efecto de un programa educativo en el nivel de conocimiento sobre diabetes mellitus 2 en niños de una institucion educativa de Lima

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