Helping schools to become health-promoting environments - an evaluation of the Wessex Healthy Schools Award
Helping schools to become health-promoting environments - an evaluation of the Wessex Healthy Schools Award
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DOI：
10.1093/heapro/14.2.111
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发表时间：
1999-06-01
影响因子：
2.7
通讯作者：
Roderick, P
中科院分区：
文献类型：
--
作者：
Moon, AM;Mullee, MA;Roderick, P
健康促进学校的概念体现了一种整体的、全校的方式来促进个人和社区的健康。健康学校奖励计划正在增加，被视为帮助学校成为健康促进者的一种方式。许多都是基于1993年设立的韦塞克斯健康学校奖计划(WHSA)。本文概述了一项为期3年的世界卫生组织干预措施在改变学校健康促进政策和实践，以及在影响与健康有关的知识、态度和行为方面的有效性的评估研究。研究设计为准实验设计，在II干预中学和5所对照学校进行。它涉及学生、教师、辅助工作人员家长、学校校长、健康促进官员和教育顾问，使用了一系列定量和定性工具。颁奖过程与九个KeV健康领域有关，持续了15个月。通过审计评估学校健康促进方面的变化；通过自填问卷评估学生与健康相关的知识、态度和行为；通过半结构化访谈评估工作人员、家长和校长的态度和看法。结果显示，除了体育活动和对健康的责任外，干预学校所有领域的审计分数都有所增加，表明与奖项相关的积极变化在健康食品选择、无烟环境和发展社区联系方面几乎没有改善。小学生的知识水平处于基线水平，保持不变。在吸烟和吸毒方面看到了积极的影响，但在健康饮食和体育活动方面几乎没有变化，年龄较大的女孩在所有领域都取得了更大的进步。家长和非教职员工大力支持学校健康推广，感受到该奖项的许多好处，并希望更积极地参与其中。该奖项对健康促进学校的发展产生了积极影响，该学校被视为教育的重要组成部分。需要进一步研究如何改善学生的饮食和活动水平，学校如何实施无烟环境，社区联系的发展，以及如何实现整个学校的方法。
The concept of the health-promoting school embodies a holistic, whole school approach to personal and community health promotion. Healthy school award schemes, which are increasing, are seen as one way of helping schools to become health promoting. Many are based on the Wessex Healthy Schools Award scheme (WHSA) which was established in 1993. This paper outlines a 3-year evaluation study of the effectiveness of the WHSA intervention in changing health promotion policy and practice in school, and in influencing health-related knowledge, attitudes and behaviour pupils. The study design was quasi-experimental, and was conducted in II intervention secondary and five control schools. It involved pupils, teachers support staff parents, school governors, health promotion officers and education advisers, using a range of quantitative and qualitative tools. The Award process, which is linked to nine kev areas of health, lasted 15 months. Changes in school health promotion were assessed by audit; pupils' health-related knowledge, attitudes and behaviour through self-administered questionnaires; and attitudes and perceptions of staff parents and governors from semi-structured interviews. The results showed that audit scores for all areas, except physical activity and taking responsibility for health, increased in intervention schools, indicating positive Award-related changes There was little improvement in healthy food choices, smoke-free environment and developing community links. Pupils' knowledge high at the baseline, remained unchanged. Positive effects on smoking uptake and drug use were seen, but little change in healthy eating and physical activity Older girls made greater progress in all areas. Parents and non-teaching staff strongly supported school health promotion, perceived many benefits of the Award, and wished to be more actively involved. The Award positively influenced the development of a health-promoting school, perceived as an important component of education. Further research is needed into ways of improving pupils' diet and activity levels, how schools can implement a smoke-free environment, the development of community links, and ways in which a whole school approach can be achieved.