The World Health Organization's Health Promoting Schools framework: a Cochrane systematic review and meta-analysis.
The World Health Organization's Health Promoting Schools framework: a Cochrane systematic review and meta-analysis.
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DOI：
10.1186/s12889-015-1360-y
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发表时间：
2015-02-12
影响因子：
4.5
通讯作者：
Campbell R
中科院分区：
文献类型：
--
作者：
Langford R;Bonell C;Jones H;Pouliou T;Murphy S;Waters E;Komro K;Gibbs L;Magnus D;Campbell R
健康的儿童获得更好的教育成果，这反过来又与以后生活中健康状况的改善有关。世界卫生组织的健康促进学校框架是一种促进学校健康和教育成就的综合办法。这一方法的有效性尚未得到严格审查。我们在2011年和2013年检索了20个健康、教育和社会科学数据库、试验登记处和相关网站。我们纳入了整群随机对照试验。参加者是4至18岁在学校/学院上学的儿童和青年。HPS干预措施必须包括以下三个要素：课程投入;改变学校的风气或环境;以及与家庭和/或当地社区的接触。两名评审员确定了相关试验，提取了数据并评估了偏倚风险。我们根据目标健康主题对研究进行了分组。在数据允许的情况下，我们进行了随机效应荟萃分析。我们确定了67个合格的试验，解决了一系列健康问题。很少有研究包括任何学术/出勤结果。我们发现积极的平均干预效果：身体质量指数（BMI），身体活动，身体健康，水果和蔬菜摄入量，烟草使用和被欺负。干预效果一般较小。平均而言，我们发现几乎没有证据表明zBMI（BMI，按年龄和性别标准化）的有效性，也没有证据表明脂肪摄入，酒精使用，药物使用，心理健康，暴力和欺凌他人。由于缺乏数据，无法对其他健康结果的数据进行荟萃分析。方法的局限性，包括依赖自我报告的数据，缺乏长期的后续行动，高损耗率。这项科克伦审查发现，世卫组织HPS框架可以有效改善学生健康的某些方面。影响很小，但在人口水平上可能很重要。
Healthy children achieve better educational outcomes which, in turn, are associated with improved health later in life. The World Health Organization’s Health Promoting Schools (HPS) framework is a holistic approach to promoting health and educational attainment in school. The effectiveness of this approach has not yet been rigorously reviewed. We searched 20 health, education and social science databases, and trials registries and relevant websites in 2011 and 2013. We included cluster randomised controlled trials. Participants were children and young people aged four to 18 years attending schools/colleges. HPS interventions had to include the following three elements: input into the curriculum; changes to the school’s ethos or environment; and engagement with families and/or local communities. Two reviewers identified relevant trials, extracted data and assessed risk of bias. We grouped studies according to the health topic(s) targeted. Where data permitted, we performed random-effects meta-analyses. We identified 67 eligible trials tackling a range of health issues. Few studies included any academic/attendance outcomes. We found positive average intervention effects for: body mass index (BMI), physical activity, physical fitness, fruit and vegetable intake, tobacco use, and being bullied. Intervention effects were generally small. On average across studies, we found little evidence of effectiveness for zBMI (BMI, standardized for age and gender), and no evidence for fat intake, alcohol use, drug use, mental health, violence and bullying others. It was not possible to meta-analyse data on other health outcomes due to lack of data. Methodological limitations were identified including reliance on self-reported data, lack of long-term follow-up, and high attrition rates. This Cochrane review has found the WHO HPS framework is effective at improving some aspects of student health. The effects are small but potentially important at a population level.
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影响因子：
12.7
作者：
Beets MW;Flay BR;Vuchinich S;Snyder FJ;Acock A;Li KK;Burns K;Washburn IJ;Durlak J
通讯作者：
Durlak J
DOI：
10.4269/ajtmh.2007.76.1166
发表时间：
2007-06-01
影响因子：
3.3
作者：
Bowen, Anna;Ma, Huilai;Luby, Stephen
通讯作者：
Luby, Stephen
影响因子：
5.1
作者：
Eather, Narelle;Morgan, Philip J.;Lubans, David R.
通讯作者：
Lubans, David R.
影响因子：
3.6
作者：
Brandstetter, Susanne;Klenk, Jochen;Wabitsch, Martin
通讯作者：
Wabitsch, Martin
影响因子：
3.8
作者：
Crespo, Noe C.;Elder, John P.;Arredondo, Elva M.
通讯作者：
Arredondo, Elva M.