Coordinated school health programs and academic achievement: A systematic review of the literature
Coordinated school health programs and academic achievement: A systematic review of the literature
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DOI：
10.1111/j.1746-1561.2007.00238.x
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发表时间：
2007-11-01
影响因子：
2.2
通讯作者：
Davis, Sally M.
中科院分区：
文献类型：
--
作者：
Murray, Nancy G.;Low, Barbara J.;Davis, Sally M.
背景：很少有学校健康计划的评估衡量学术成果。K-12教育需要学术成就的证据来实施学校计划。本文对文献进行了系统的回顾，以检验与协调学校健康计划（CSHP）模式相一致的学校健康计划提高学业成功的证据。方法：一个多学科的健康研究小组检索了与学术成就和CSHP模式要素（健康服务、咨询/社会服务、营养服务、员工健康促进、家长/家庭/社区参与、健康学校环境、体育和健康教育）相关的文献，以确定科学严谨的干预研究。根据社区预防服务工作队制定的指南中提供的分析框架对研究设计进行分类。结果：来自科学严格评估的最有力证据表明，哮喘儿童的学校健康计划包括健康教育和家长参与，对某些学业成绩有积极影响。也有强有力的证据表明，体育课程对学业成绩没有负面影响。来自科学严谨评估的有限证据支持营养服务、健康服务和心理健康计划的影响，但在文献中没有发现这样的证据来支持员工健康促进计划或学校环境干预对学业成果的影响。结论：由于样本量、招募、随机分配条件、实施保真度、成本和足够的随访时间等问题，对学校健康计划进行科学严格的评估是具有挑战性的。然而，学校健康项目有望提高孩子们的学习成绩。
BACKGROUND: Few evaluations of school health programs measure academic outcomes. K-12 education needs evidence for academic achievement to implement school programs. This article presents a systematic review of the literature to examine evidence that school health programs aligned with the Coordinated School Health Program (CSHP) model improve academic success.METHODS: A multidisciplinary panel of health researchers searched the literature related to academic achievement and elements of the CSHP model (health services, counseling/social services, nutrition services, health promotion for staff, parent/family/community involvement, healthy school environment, physical education, and health education) to identify scientifically rigorous studies of interventions. Study designs were classified according to the analytic framework provided in the Guide developed by the Community Preventive Services Task Force.RESULTS: The strongest evidence from scientifically rigorous evaluations exists for a positive effect on some academic outcomes from school health programs for asthmatic children that incorporate health education and parental involvement. Strong evidence also exists for a lack of negative effects of physical education programs on academic outcomes. Limited evidence from scientifically rigorous evaluations support the effect of nutrition services, health services, and mental health programs, but no such evidence is found in the literature to support the effect of staff health promotion programs or school environment interventions on academic outcomes.CONCLUSIONS: Scientifically rigorous evaluation of school health programs is challenging to conduct due to issues related to sample size, recruitment, random assignment to condition, implementation fidelity, costs, and adequate follow-up time. However, school health programs hold promise for improving academic outcomes for children.