Changing Multiple Adolescent Health Behaviors Through School-Based Interventions: A Review of the Literature
Changing Multiple Adolescent Health Behaviors Through School-Based Interventions: A Review of the Literature
复制标题
DOI：
10.1111/josh.12060
复制
发表时间：
2013-07-01
影响因子：
2.2
通讯作者：
Schrijvers, Augustinus Jacobus Petrus
中科院分区：
文献类型：
--
作者：
Busch, Vincent;de Leeuw, Johannes Rob Josephus;Schrijvers, Augustinus Jacobus Petrus
在青少年健康促进的方法中，不健康行为不再被视为独立的过程，而是相互关联的。本文对同时针对多种青少年行为的学校干预措施进行了系统的文献综述。方法使用PubMed、Science Direct和PsychInfo进行系统的文献检索。只有用英语写的描述原始研究的论文被包括在内。结果在纳入的33篇论文中，23篇集中在定量行为变化，10篇集中在干预措施的制定、实施和/或制度化的评价。家长和社区参与干预似乎与学生健康行为的有效变化呈正相关，而创造一个健康的学校环境和/或政策与干预效果的相关性较低。研究结果表明，充分实施，干预措施应纳入预先存在的学校环境，微调其目标人群或环境，涉及家庭和社区，并由学校本身领导，有一个健康的学校协调员协调该计划。结论：多行为、多行动者的方法似乎是在学校促进青少年健康行为的最有效方法。
BACKGROUND In approaches to health promotion in adolescents, unhealthy behaviors are no longer regarded as independent processes, but as interrelated. This article presents a systematic literature review of school-based interventions targeting multiple adolescent behaviors simultaneously. METHODS A systematic literature search was performed using PubMed, Science Direct, and PsychInfo. Only papers written in English and describing original research were included. RESULTS Of 33 papers included, 23 focused on quantitative behavioral changes, and 10 on the evaluation of intervention development, implementation, and/or institutionalization. Parental and community involvement in the intervention seemed to be positively associated with effective changes in student health behaviors, whereas creating a healthy school environment and/or policies were less strongly associated with intervention effectiveness. Findings indicated that, for adequate implementation, an intervention should be integrated in pre-existent school settings, fine-tuned to its target population or environment, involve family and the community, and be led by the school itself, with there being a healthy school coordinator to coordinate the program. CONCLUSION A multi-behavior, multi-actor approach would appear to be the most effective way to promote, at school, healthy behaviors among adolescents.