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The Health Promoting Schools Framework: Known Unknowns and an Agenda for Future Research

机译:健康促进学校框架:知道未知数,一个未来的研究议程

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The World Health Organization's Health Promoting Schools (HPS) framework is a whole-school approach to promoting health that recognizes the intrinsic relationship between health and education. Our recent Cochrane systematic review found HPS interventions produced improvements in a number of student health outcomes. Here we reflect on what this review was not able to tell us: in other words, what evidence is missing with regard to the HPS approach. Few HPS interventions engage with schools' "core business" by examining impacts on educational outcomes. Current evidence is dominated by obesity interventions, with most studies conducted with children rather than adolescents. Evidence is lacking for outcomes such as mental or sexual health, substance use, and violence. Activities to engage families and communities are currently weak and unlikely to prompt behavioral change. The HPS approach is largely absent in low-income settings, despite its potential in meeting children's basic health needs. Intervention theories are insufficiently complex, often ignoring upstream determinants of health. Few studies provide evidence on intervention sustainability or cost-effectiveness, nor in-depth contextual or process data. We set out an agenda for future school health promotion research, considering implications for key stakeholders, namely, national governments, research funders, academics, and schools.
机译:世界卫生组织的健康促进学校(HPS)框架是整个学校认识到促进健康的方法健康和内在关系教育。发现HPS干预改善生产许多学生的健康状况。反思这审查无法告诉我们:换句话说,证据是缺失的对HPS的方法。参与学校的“核心业务”通过检查对教育成果的影响。是由肥胖干预措施,多数与孩子而不是研究青少年。如精神或性健康,物质使用,和暴力。社区目前软弱和不太可能提示行为变化。大部分时间都没有出现在低收入设置,尽管其潜在的满足儿童基本健康的需求。复杂,往往忽略了上游的决定因素健康。干预可持续性或成本效益,也没有深入的上下文或流程数据。学校健康促进的研究,考虑对关键利益相关者的影响,即各国政府、研究资助者、学者和学校。

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