Comprehensive approaches to school health promotion: how to achieve broader implementation?

Comprehensive approaches to school health promotion: how to achieve broader implementation?
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DOI:
10.1093/heapro/dag410
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发表时间:
2003-12-01
影响因子:
2.7
通讯作者:
Hill, AJ
Hill, AJ
中科院分区:
医学3区
文献类型:
--
作者:
Deschesnes, M;Martin, C;Hill, AJ

文献摘要

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已经提出了健康促进学校和全面学校健康方案倡议,作为一种手段,以超越与针对学龄儿童的健康促进倡议有关的一些限制。这涉及到超越主要依靠课堂健康教育模式的做法,采取更全面、综合的健康促进办法,既注重儿童-青年的态度和行为,也注重他们的环境。尽管这些举措在健康和教育方面具有巨大潜力,但实际上很少付诸实施。本文简要回顾了这些举措的特点,以及它们的实施程度和目前的好处。在此背景下,作者确定了一些需要考虑的问题,并提出了四个条件,以期实现这些方法的更广泛的实际应用。这些问题是从进一步研究的可能途径和行动方针的角度来讨论的,涉及到干预措施的全面性和综合性、学校/家庭/社区伙伴关系、决策者的政治和财政支持,以及最后,作为对执行工作的支持的评价性研究。
The Health Promoting School (HPS) and Comprehensive School Health Program (CSHP) initiatives have been proposed as a means of going beyond some of the limitations associated with health promotion initiatives aimed at school-aged children. This involves moving beyond practices that rely mainly on classroom-based health education models, to a more comprehensive, integrated approach of health promotion that focuses both on child-youth attitudes and behaviors, and their environment. Despite the tremendous potential of these initiatives in terms of health and educational gains, only rarely are they actually put into practice. This article briefly reviews the features of these initiatives, as well as the extent of their implementation and current benefits. Against that backdrop, the authors identify some issues to consider and propose four conditions with a view to achieving broader practical application of these approaches. These issues, which are discussed from the standpoint of potential avenues of further study and courses of action, relate to the comprehensive, integrated nature of the intervention, the school/family/community partnership, political and financial support from policy makers, and, finally, evaluative research as a support to implementation.