A cluster-randomised controlled trial of a school-based fruit and vegetable intervention: Project Tomato. Br J Nutr. Studies were also often underpowered and relied heavily on self-reported data. 2013;16(6):1073–81. The current study was done to assess this framework among schools in rural Puducherry. Google Scholar. We also searched relevant websites, handsearched reference lists, and used citation tracking to identify other relevant articles. Results from these interventions are summarised in the Cochrane review [14]. To find out, more go to HPS Approach. We compared this intervention against schools that implemented either no intervention or continued with their usual practice, or any programme that included just one or two of the above mentioned HPS elements. A short life gender based violence working group has been established to develop a national framework to prevent and respond to harmful behaviour and gender based violence in schools. The policy endorses the type of approach represented in the health promoting schools framework as described in Effective School Health Promotion:Towards Health Promoting Schools2.This approach is based on a comprehensive whole school approach to health promotion with integration of health promoting approaches across the curriculum,the school ethos and environment.Students’learning is … We also acknowledge the assistance of Val Hamilton, Selman Mirza, Pandora Pound, Heide Busse, Jeff Brunton and the EPPI-Reviewer team in various aspects of the review process. Government departments responsible for health and education often operate in isolation from one another and this fundamental connection is lost. DOI: 10.1002/14651858.CD008958.pub2. Stevens V, De Bourdeaudhuij I, Van Oost P. Bullying in Flemish schools: an evaluation of anti-bullying intervention in primary and secondary schools. CODES (7 days ago) The health promoting schools framework.The health care system does a great job with health care problems once they have emerged, but in terms of shaping attitudes and behaviours, particularly those at an early age, we need to be doing that in those cultural settings where young people spend most of their time. The friendly schools friendly families programme: three-year bullying behaviour outcomes in primary school children. Issue addressed: To assess the effectiveness of using a Health Promoting Schools (HPS) framework to deliver a nutrition intervention in schools. Lister-Sharp D, Chapman S, Stewart-Brown S, Sowden A. A policy-based school intervention to prevent overweight and obesity. Shamah Levy T, Morales Ruan C, Amaya CC, Salazar CA, Jimenez AA, Mendez Gomez H, et al. This review aimed to assess whether the HPS framework can improve students’ health and well-being and their performance at school. Our recent Cochrane systematic review found HPS interventions produced improvements in a number of student health outcomes. Small effects scaled up to population level can produce public health benefits [89], although at present these potential gains appear modest. Dev Psychol. Hispanic J Behav Sci. The Health Promoting Schools (HPS) framework provides a set of policies to be followed in schools for improving the health status of school-going children and adolescents. Health Promoting Schools (HPS) is a school community-led development approach. Form a health committee to help raise the profile and to enlist help and support. Leeds: Health and Social Care Information Centre; 2012. Participants were children and young people aged four to 18 years, attending schools or colleges. We found little evidence of effect for zBMI, other than in the single Physical Activity intervention [31]. Komro KA, Perry CL, Veblen-Mortenson S, Farbakhsh K, Toomey TL, Stigler MH, et al. The WA Healthy Schools Checklist (PDF 328KB) is a tool designed to help you and your school health committee to assess your school environment and how it supports participation in healthy eating and physical activity. We found 67 trials, comprising 1345 schools and 98 districts, that fulfilled our criteria. 1997;337(13):869–73. This paper reports on data collected as part of a five-year project designed to implement a health promoting and whole school approach to sexuality education in a five campus year 1-12 college in regional Victoria, Australia. framework for mental health promotion in schools that takes the needs of both students and teachers into account. We searched 20 health, education, and social science databases, as well as trials registries and relevant websites, for cluster-randomised controlled trials of school-based interventions aiming to improve the health of young people aged four to 18 years. CSDH. Each dimension in our framework is a key driver in creating a healthy school that includes every aspect of school life. Indeed, for the two studies focusing specifically on mental health and emotional well-being, estimated effect sizes were in the opposite direction with intervention students reporting slightly poorer mental health (OR = 0.06, 95% CI 0.00 to 0.13). Basen-Engquist K, Coyle KK, Parcel GS, Kirby D, Banspach SW, Carvajal SC, et al. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. Health Educ Behav. They can organize/host afterschool fitness programs such as sports, club teams, yoga classes, etc. Our meta-analyses have limitations. Lytle LA, Murray DM, Perry CL, Story M, Birnbaum AS, Kubik MY, et al. Childhood influences on adult health: a review of recent work from the British 1946 national birth cohort study, the MRC national survey of health and development. The Health Promoting Schools framework . Regional Office for the Western Pacific. Issue addressed: To assess the effectiveness of using a Health Promoting Schools (HPS) framework to deliver a nutrition intervention in schools. Stronger evidence is available for HPS effects on smoking and bullying. 3). Promoting Health in Schools: From evidence to Action. Schools include health and wellbeing in their planning and review processes, teaching … The school is a setting where health issues and perspectives are used to complement and enrich education priorities. We grouped together studies according to the health topic(s) they focused on. Health_promoting_sch_ser.5_eng.pdf (‎650.7Kb)‎ View Statistics Show Statistical Information. It is not generic health promotion. Child and adolescent health matter. Inj Control Saf Promot. 2009;339:B2535. We are delighted to be working in partnership with the Department of Education and Skills on the implementation of their Wellbeing Policy and Framework for Practice. Our meta-analyses provide the best summary to-date of the likely average effect of HPS interventions. Health Educ Res. Paucity of data meant we were unable to meta-analyse data for outcomes relating to sexual health, hand-washing, oral health, accident prevention or eating disorders. BMJ. More well-designed research is required to establish the effectiveness of this approach for other health topics and academic achievement. Discussion focuses on the efficacy of preventive school‐based strategies, and on the safest and most successful interventions. The heart smart cardiovascular school health promotion: behavior correlates of risk factor change. Health Promoting Schools Framework - GDHR Portal. Outcomes from a randomized controlled trial of a multi-component alcohol use preventive intervention for urban youth: project Northland Chicago. 2011;6:2–2. Ross DA, Changalucha J, Obasi AIN, Todd J, Plummer ML, Cleophas-Mazige B, et al. Langford R, Bonell C, Jones H, Pouliou T, Murphy S, Waters E, et al. The Emotional well-being intervention similarly found no effect. 2005;41(3):479–91. Wadsworth MEJ, Kuh DJL. Arbeit ML, Johnson CC, Mott DS, Harsha DW, Nicklas TA, Webber LS, et al. School of Social & Community Medicine, University of Bristol, 39 Whatley Rd, Bristol, BS8 2PS, UK, Rebecca Langford, Hayley Jones, Theodora Pouliou, Daniel Magnus & Rona Campbell, Social Science Research Unit, Institute of Education, University College London, 20 Bedford Way, London, WC1H 0AL, UK, Cardiff School of Social Sciences, Cardiff University, 1-3 Museum Place, Cardiff, CF10 3BD, UK, Jack Brockhoff Child Health & Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, 3053, Melbourne, Australia, Health Outcomes and Policy, Institute for Child Health Policy, University of Florida, 1329 SW 16th Street, Gainesville, FL, 32610-0177, USA, You can also search for this author in Reducing playground bullying and supporting beliefs: an experimental trial of the Steps to Respect program. HSE Health Promotion - Working to promote health in Ireland. Research has shown that a health-promoting school contributes to better health and education outcomes. Anderson AS, Porteous LEG, Foster E, Higgins C, Stead M, Hetherington M, et al. The diet of adolescents can be improved by school intervention. Schools. BMJ. 2005;6(3):187–97. Health Promoting School Framework 7 tion 2: n n W ith regard to promoting health in schools it should be noted that the inter-dependence of the Education and Health sectors is significant4. We found that interventions using the HPS approach were able to reduce students’ body mass index (BMI), increase physical activity and fitness levels, improve fruit and vegetable consumption, decrease cigarette use, and reduce reports of being bullied. Health Educ Behav. The effectiveness of this approach has not been previously rigorously reviewed. Int J Educ Res. They also presented data on suspensions and retentions in grades, student disaffection and teachers’ perceptions of student motivation and performance. Strives to provide a healthy environment, school health education, and school health services along with school/community … Suhrcke M, De Paz Nieves C. The Impact of Health and Health Behaviours on Educational Outcomes in High-Income Countries: A Review of the Evidence. Hawe P, Shiell A, Riley T. Complex interventions: how “out of control” can a randomised controlled trial be? Those interventions focused solely on nutrition increased fruit and vegetable intake by an average of 30 g/day or roughly half a portion. Physical Activity and Movement. Investing in child and adolescent health in such contexts is crucial for improving population health and, consequently, national economic development. Safe Environments. Correspondence to Cookies policy. Outcome and process evaluation of a Norwegian school-randomized fruit and vegetable intervention: fruits and vegetables make the marks (FVMM). All remaining authors declare that they have no competing interests. Unlike clinical trials which often involve standardised interventions, homogenous populations and well-established outcome measures, public health interventions display more heterogeneity, particularly in the case of non-prescriptive interventions such as the HPS framework that allows considerable flexibility in intervention components. P. (2016) An examination of Health Promoting Schools in Ireland. We did not have enough data to draw conclusions about the effectiveness of the HPS approach for sexual health, hand-washing, cycle-helmet use, eating disorders, sun protection, oral health or academic outcomes. This new ‘Health Promoting Schools’ (HPS) framework required action in three areas: 1. Bere E, Veierod MB, Bjelland M, Klepp KI. Preventing tobacco use among young people in India: project MYTRI mobilizing youth for tobacco-related initiatives in India. 2013;105(2):535–51. Obes Rev. 2010;363(5):443–53. Interventions for preventing obesity in children. Health Educ Res. 2007;39(4):186–96. We only included trials of programmes that addressed all three points in the HPS framework: including health education in the curriculum; changing the school’s social or physical environment, or both; and involving students’ families or the local community, or both. J Pediatr Psychol. Obesity Facts. We thank Professor Julian Higgins and Professor Jonathan Sterne for their statistical advice. This review has found the WHO HPS framework is effective at improving some aspects of student health and shows evidence of promise in improving others. 2001;28(2):166–85. They define a Health Promoting School as one ‘that constantly strengthens its capacity as a healthy setting for living, learning and working’. 2007;76(6):1166–73. BMJ. The Emotional well-being intervention [68] failed to show impact on both being bullied or bullying others. COUPON (7 days ago) The health promoting schools framework The health promoting schools framework 2 developed by the World Health Organization encourages a whole school approach to addressing health issues, including Relationships and Sexuality Education. 2013;56:12–9. 2006;21(2):258–67. Am J Trop Med Hyg. 2004;328(7455):1561–3. Public Health Nutr. Only eight studies were conducted outside of high-income countries, and only one took place within a low-income country [67]. Hoppu U, Lehtisalo J, Kujala J, Keso T, Garam S, Tapanainen H, et al. Penney, S.F.L. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Lancet. 2012;12:152. A health promoting school is one that constantly strengthens its capacity as a healthy setting for living, learning and working. This assumption is unfounded [93,94]. used a HPS framework to assist key school health stakeholders to increase healthier food and drink choices across 68 schools in South Australia. 1994;84(7):1121–6. 2009;163(8):692–9. Body Image. The chapter provides an overview of implementation components critical to health promoting schools practice. (3 days ago) The health promoting schools framework for Action provides an evidence framework to assist the growth and development of the concept of health promoting schools in the Region. Br J Nutr. However, we found little evidence of an effect on BMI when age and gender were taken into account (zBMI), and no evidence of effectiveness on fat intake, alcohol and drug use, mental health, violence, and bullying others. Read More . ICAPS: a multilevel program to improve physical activity in adolescents. Background: The World Health Organization's (WHO's) Health Promoting Schools (HPS) framework is an holistic, settings-based approach to promoting health and educational attainment in school. A health promoting school: promotes the health and wellbeing of students, school staff, families and community members 2012;345:e5888. 2011;37(1):105–29. To scope your school/ Kāhui ako click here. It seeks to overcome the limited success of traditional ‘health education’, establishing instead a holistic approach to promoting health in schools. London: Overseas Development Institute; 2014. Background: The World Health Organization's (WHO's) Health Promoting Schools (HPS) framework is an holistic, settings-based approach to promoting health and educational attainment in school. Closing the gap in a generation: health equity through action on the social determinants of health. Am J Clin Nutr. considerable work of Health Promoting Schools and the publication of Being Well, Doing Well which underlines the importance of a ‘health enhancing’ school ethos – one characterised by care, respect, participation, responsibility and fairness for all. Colin-Ramirez E, Castillo-Martinez L, Orea-Tejeda A, Vergara-Castaneda A, Keirns-Davis C, Villa-Romero A. Outcomes of a school-based intervention (RESCATE) to improve physical activity patterns in Mexican children aged 8–10 years. The New York State Clean, Green, and Healthy Schools Program has been developed to help schools improve the health and safety of their school environment, which may result in better attendance, productivity, and test scores. Simon C, Wagner A, Platat C, Arveiler D, Schweitzer B, Schlienger JL, et al. Altmetrics. Arch Pediatr Adolesc Med. 2011;65:896–901. 2009;37(5):391–8. J Adolesc Health. – The health promoting school model is rarely implemented in relation to sexuality education. However, because ICCs were found to be small, this is unlikely to have substantially affected our results. Strategies. Health Educ Res. Metcalf B, Henley W, Wilkin T. Effectiveness of intervention on physical activity of children: systematic review and meta-analysis of controlled trials with objectively measured outcomes (EarlyBird 54). 2006;32(1):41–9. Radcliffe B, Ogden C, Welsh J, Carroll S, Coyne T, Craig P. The Queensland school breakfast project: a health promoting schools approach. Department of Non-communicable Disease Prevention and Health Promotion, Division of Global School Health Initiative . The results of this review provide evidence for the effectiveness of some interventions based on the HPS framework for improving certain health outcomes but not others. Cochrane Database of Systematic Reviews. 2005;8(6):650–6. Formal health curriculum Health education topics are given specific time allocation within the formal school curriculum in order to help students develop the knowledge, attitudes, and skills needed for healthy choices. PubMed Central  84, 95% CI 0.76 to 0.93, I2 = 0%) interventions are effective in reducing smoking (Table 4). Additionally, the current evidence base is predominantly based on studies from high-income contexts, mostly from North America. Langford, R., Bonell, C., Jones, H. et al. Welcome to Health Promoting Schools Health and wellbeing for learning. Arch Pediatr Adolesc Med. Despite the obvious connections, across the globe structural barriers prevent the realisation of this mutual agenda. Cochrane Database of Systematic Reviews. Health Technol Assess. Effects of 2 prevention programs on high-risk behaviors among African American youth: a randomized trial. Li KK, Washburn I, Dubois D, Vuchinich S, Ji P, Brechling V, et al. Future HPS evaluations should seek to address this gap. 2007;4(2):115–36. Finally, in a minority of studies we used ICCs from similar studies to adjust for clustering, conservatively choosing the largest available ICC. The WHO recently highlighted the lack of attention paid to the impact of child health on educational outcomes in high-income countries [12]. These effect sizes are small but are comparable to findings from other school based interventions [86-88]. BMJ. Bonell C, Humphrey N, Fletcher A, Moore L, Anderson R, Campbell R. Why schools should promote students’ health and wellbeing. The WHO explicitly set out a new vision of health and education in its HPS framework, yet since its inception there appears to have been little advance in breaking down this siloed approach. Public Health Nutr. PubMed  Use of a social and character development program to prevent substance use, violent behaviors, and sexual activity among elementary-school students in Hawaii. © 2020 BioMed Central Ltd unless otherwise stated. te Velde SJ, Brug J, Wind M, Hildonen C, Bjelland M, Perez-Rodrigo C, et al. Effects of stunting, diarrhoeal disease, and parasitic infection during infancy on cognition in late childhood: a follow-up study. Perry CL, Komro KA, Veblen-Mortenson S, Bosma LM, Farbakhsh K, Munson KA, et al. It was not possible to meta-analyse data on other health outcomes due to lack of data. J.L. The Healthy Schools program. Biological and behavioural impact of an adolescent sexual health intervention in Tanzania: a community-randomized trial. The Health Promoting Schools Framework encourages a coordinated and comprehensive approach to the planning and delivery of school activities, programs, policies and environments to promote health and wellbeing. Version 2 of the document formerly known as “Protocols and guidelines for health promoting schools”. Keats S, Wiggins S. Future Diets. Effects of the positive action programme on problem behaviours in elementary school students: a matched-pair randomised control trial in Chicago. The resulting pooled estimate from a random-effects meta-analysis had a very wide confidence interval (OR = 0.50, 95% CI 0.23 to 1.09). 2008;121(4):e794–802. Perry CL, Williams CL, Veblen-Mortenson S, Toomey TL, Komro KA, Anstine PS, et al. 2001;323(7320):1029–32. Kärnä A, Voeten M, Little Todd D, Poskiparta E, Kaljonen A, Salmivalli C. A large-scale evaluation of the KiVa antibullying program: grades 4–6. Nutrition & Dietetics. Eddy JM, Reid JB, Stoolmiller M, Fetrow RA. 2010;13(6A):973–9. This chapter examines the promotion of children’s positive mental health within the health promoting schools framework. Approach can improve other aspects of health issues and perspectives are used to complement and enrich education.. Evaluations should seek to address school health promotion evaluation ; 1999 Dudovitz BS, et.! Harden a, Sears MR, et al final manuscript intervention trial outcome... Affairs population Division ; 2013 Acock a, Kremers S, Ariza C, Liang,! This fundamental connection is lost closing the gap in a generation: health and outcomes!: Welcome to health promoting school framework for mental health promotion in schools together studies according the. Consumption among children: the Pro children study trial be Measuring inconsistency meta-anlyses! 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