School Health Action Research Partnership and Network (SHARPEN)

中学是改善健康的重要场所，在健康危险行为显著增加的关键时期为年轻人提供机会。然而，尽管持续努力通过学校促进健康，但有效解决肥胖、吸烟、酗酒和心理健康等问题的基于学校的干预措施的证据有限。在学校环境中开展改善健康的研究具有挑战性，目前的试验是以一种临时和低效的方式进行的。这与初级保健研究形成鲜明对比，初级保健研究网络（pcrn）的出现极大地促进了随机试验的数量和质量的增加，提高了研究能力，并为医生主导的研究提供了支持。为了推进英国的校本研究，迫切需要这样的转变。该项目旨在通过制定和评估学校卫生行动研究伙伴关系和网络（锐化），提高学校公共卫生研究的数量、质量和效率。评估和改进锐化的研究有三个方面。首先，来自卡迪夫、布里斯托尔、牛津和斯旺西大学的研究人员将与威尔士政府、英国癌症研究中心、威尔士公共卫生以及卡迪夫和淡水河谷大学健康委员会合作，通过制定更有效的招聘、同意和数据链接程序，建立一个由多达90所中学组成的“准备好试验”的网络。我们将确定必要的基础设施和流程，以使网络高效、有效、可接受并对学校和研究人员都有回报。我们将探讨使网络可持续发展的障碍和促进因素。网络学校的学生将完成学龄儿童健康行为（HBSC）调查，每所学校的学校环境时间表将完成，我们将试点一个系统，该系统将这些数据作为基础，定期向学校提供有关学生健康行为和学校环境的量身定制的反馈。在第二部分中，我们将测试建立基于学校的行动研究伙伴关系的可行性，看看它们是否为网络模型增加了显著的价值。五所学校将各组成一个由学生、教师、家长、卫生专业人员和学者组成的行动小组，在一年的时间里，每个小组将审查他们的HBSC调查和学校环境数据，确定卫生优先领域，讨论卫生与教育成果之间的联系，并制定和实施一项学校卫生行动计划。行动计划将利用项目伙伴和当地资源，采取全校办法改善健康。我们将评估行动研究伙伴关系，以了解它们是如何运作的，阻碍和帮助它们的因素，以及学校和其他利益相关者是否认为它们可行和有用。在此期间，学生和家长对数据链接也将寻求意见。有关知情同意和匿名的问题将与学生和家长讨论，如果可能的话，将试行数据链接。第三部分的目标是确定在威尔士维持和扩大网络的潜力，并将网络模式转移到英格兰的中学。前两方面的经验教训将反馈给英格兰和威尔士的主要利益相关者，并将征求他们对网络可持续性及其扩展潜力的意见。在英格兰和威尔士发展新的学校卫生研究网络具有巨大的潜力，可以协调、增加和加强校本研究，并为基于证据的学校卫生活动提供信息，从而促进联合王国年轻人的健康。

Secondary schools are important settings for health improvement, providing access to young people during a critical period when health risk behaviours markedly increase. Yet despite sustained effort to promote health through schools, the evidence for school-based interventions that effectively address issues such as obesity, smoking, alcohol use and mental health is limited. Health improvement research in school settings is challenging, with trials currently implemented in an ad hoc and inefficient manner. This is in stark contrast to research in primary care, which was greatly enhanced by the advent of primary care research networks (PCRNs) which facilitated an increase in the quantity and quality of randomised trials, improved research capacity and provided support for practitioner-led research. Such a step change is urgently needed to advance school-based research in the UK. The project aims to improve the quantity, quality and efficiency of public health research in schools by developing and evaluating a School Health Action Research Partnership and Network (SHARPEN). The research to evaluate and refine SHARPEN has 3 strands. In the first, researchers from Cardiff, Bristol, Oxford and Swansea universities will work in partnership with the Welsh Government, Cancer Research UK, Public Health Wales and Cardiff and Vale University Health Board to establish a network of up to 90 secondary schools that are 'trial ready', by developing more efficient recruitment, consent and data linkage procedures. We will identify the infrastructure and processes necessary to make the network efficient, effective, acceptable and rewarding for both schools and researchers. We will explore the barriers and facilitators to making the network sustainable. Students in network schools will complete the Health Behaviour in School-Aged Children (HBSC) survey, a school environment schedule will be completed for each school, and we will pilot a system that uses these data as a basis for providing regular, tailored feedback to schools on pupil health behaviours and the school environment. In the second strand we will test the feasibility of establishing school-based action research partnerships to see whether they add significant value to the network model. Five schools will each form an action group of pupils, teachers, parents, health professionals and academics and over the course of a year each group will review their HBSC survey and school environemnt data, identify health priority areas, discuss the links between health and educational outcomes and develop and implement a school health action plan. Action plans will draw on the project partners and local resources and adopt a whole-school approach to health improvement. We will evaluate the action research partnerships to capture how they worked, the factors that hindered and helped them, and whether schools and other stakeholders found them feasible and useful. During this strand, student and parent views on data linkage will also be sought. Issues around informed consent and anonymity will be discussed with students and parents and if possible, data linkage will be piloted.The aim of the third strand is to scope the potential for sustaining the network and expanding it in Wales and for transferring the network model to secondary schools in England. Lessons from the first two strands will be fed back to key stakeholders in England and Wales and their views will be sought on network sustainability and its potential for expansion. The development of new school health research networks in England and Wales has significant potential to coordinate, increase and strengthen school-based research and inform evidence-based school health activity, thereby contributing to young people's health in the UK.