We therefore cannot draw any clear conclusions as to the effectiveness of this approach for improving academic achievement. State Department of Health in conjunction with over 40 state and federal agencies, and non-government organizations. Prev Med. World Population Prospects: The 2012 Revision, Highlights and Advance Tables. The effectiveness of this approach has not been previously rigorously reviewed. Well-designed cluster RCTS can capture complexity and allow for local adaptation; the critical issue is ‘what’ is standardised (the intervention components or the steps in the change process) . Berkman DS, Lescano AG, Gilman RH, Lopez SL, Black MM. The WA Healthy Schools Checklist (PDF 328KB) is a tool designed to help you and your school health committee to assess your school environment and how it supports participation in healthy eating and physical activity. The concept of Health Promoting School (HPS) initiated by WHO aims to move beyond individual behavioural change and consider organisational and structural change such as improving the school’s physical and social environment, its curricula, teaching and learning methods [ 6, 7 ]. Am J Public Health. Copenhagen: WHO Working group on Health Promotion Evaluation; 1999. We grouped different types of interventions according to the health topic targeted or the approach used, or both. Body Image. Investment in these formative years can prevent suffering, reduce inequity, create healthy and productive adults and deliver social and economic dividends to nations. Foster GD, Linder B, Baranowski T, Cooper DM, Goldberg L, Harrell JS, et al. Luepker RV, Perry CL, McKinlay SM, Nader PR, Parcel GS, Stone EJ, et al. We have yet to see its benefit for education. The single Emotional well-being intervention gave an estimated effect in favour of the intervention (OR = 0.79) but with a wide confidence interval (95% CI 0.59 to 1.06). Following this, research on the implementation of the Zippy’s Friends emotional wellbeing programme for primary school children is presented. 2006;21(2):258–67. BMJ. (3 days ago) The health promoting schools framework for Action provides an evidence framework to assist the growth and development of the concept of health promoting schools in the Region. The child and adolescent trial for cardiovascular health (CATCH). framework for mental health promotion in schools that takes the needs of both students and teachers into account. Prevention Science. PubMed PubMed Central doi:10.1002/14651858.CD008958. The Healthy Pre-school Accreditation Framework accords the accreditation to pre-schools which have comprehensive school health promotion practices for students, parents and staff. 2003;18(6):678–92. 2011;1:CD008958. Despite the obvious connections, across the globe structural barriers prevent the realisation of this mutual agenda. ICAPS: a multilevel program to improve physical activity in adolescents. BMC Public Health. Schools. Langford R, Bonell CP, Jones HE, Pouliou T, Murphy SM, Waters E, Komro KA, Gibbs LF, Magnus D, Campbell R, Langford R, Bonell CP, Jones HE, Pouliou T, Murphy SM, Waters E, Komro KA, Gibbs LF, Magnus D, Campbell R. The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement. Terms and Conditions, The World Health Organisation (WHO) recognises the WNHSS as playing a key role in promoting the health of children and young people, and the scheme has been rolled out across Wales since 2000. The resulting pooled estimate from a random-effects meta-analysis had a very wide confidence interval (OR = 0.50, 95% CI 0.23 to 1.09). Neither the Alcohol-only interventions [57,58] nor the Emotional well-being intervention  showed evidence of effectiveness in reducing substance use (Table 4). Galobardes B, Smith GD, Lynch JW. Pathways: a school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Investing in child and adolescent health in such contexts is crucial for improving population health and, consequently, national economic development. 1997;11(1):2–20. Kriemler S, Zahner L, Schindler C, Meyer U, Hartmann T, Hebestreit H, et al. Small effects scaled up to population level can produce public health benefits , although at present these potential gains appear modest. 1996;86(7):956–65. 2001;28(2):166–85. 7. A further limitation of the review is that we are unable to compare the effectiveness of the HPS approach to simpler, less holistic interventions because most studies compared HPS interventions against no intervention or the school’s usual practice. Cochrane Database of Systematic Reviews. Offer Details: Health Promoting School Framework 7 tion 2: n n W ith regard to promoting health in schools it should be noted that the inter-dependence of the Education and Health sectors is significant4. Grantham-McGregor S. A review of studies of the effect of severe malnutrition on mental development. We were unable to meta-analyse results from studies for the following topics due to paucity of data: sexual health, hand-hygiene, accident prevention, eating disorders, sun safety and oral health. No. Kessler RC, McLaughlin KA, Green JG, Gruber MJ, Sampson NA, Zaslavsky AM, et al. BMJ. California Privacy Statement, D., Mannix Mcnamara. Health Technol Assess. Some have argued that RCTs are an inappropriate method to evaluate complex public health programmes, based on an assumption that RCTs require highly standardised intervention components and methods of delivery that preclude the possibility of local adaptation [91,92]. used a HPS framework to assist key school health stakeholders to increase healthier food and drink choices across 68 schools in South Australia. Health Framework. A randomized controlled trial of the middle and junior high school D A R E and D A R E Plus programs. Finally, in a minority of studies we used ICCs from similar studies to adjust for clustering, conservatively choosing the largest available ICC. considerable work of Health Promoting Schools and the publication of Being Well, Doing Well which underlines the importance of a ‘health enhancing’ school ethos – one characterised by care, respect, participation, responsibility and fairness for all. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Wright CM, Parker L, Lamont D, Craft A. Future studies should consider use of factorial designs to identify the relative importance of the three HPS domains and the way in which they interact. First, where standard deviations (SD) for study populations were not reported, we imputed a SD from another similar study to calculate a standardised mean difference (SMD). To scope your school/ Kāhui ako click here. Schools include health and wellbeing in their planning and review processes, teaching … The WHO’s Health Promoting Schools (HPS) framework, developed in the late 1980s, is underpinned by this reciprocal relationship between health and education. Health Promoting Schools (HPS) is a school community-led development approach. Correspondence to Bere E, Veierod MB, Bjelland M, Klepp KI. Overall, we found some evidence to suggest the HPS approach can produce improvements in certain areas of health, but there are not enough data to draw conclusions about its effectiveness for others. Health Promoting School Framework 7 tion 2: n n W ith regard to promoting health in schools it should be noted that the inter-dependence of the Education and Health sectors is significant4. BMJ. 2004;158(9):911–7. – The health promoting school model is rarely implemented in relation to sexuality education. 2000;30(4):309–19. Welcome to Health Promoting Schools Health and wellbeing for learning. The Multiple Risk Behaviour interventions produced conflicting results. Komro KA, Perry CL, Veblen-Mortenson S, Farbakhsh K, Toomey TL, Stigler MH, et al. Overall, the quality of evidence was low to moderate. DOI: 10.1002/14651858.CD008958.pub2. Waters E, de Silva-Sanigorski A, Hall B, Brown T, Campbell K, Gao Y, et al. Project Northland: outcomes of a communitywide alcohol use prevention program during early adolescence. Rev., 4 (2014), Article CD008958 . Schools. Back to school: better health, better learning? The WHO explicitly set out a new vision of health and education in its HPS framework, yet since its inception there appears to have been little advance in breaking down this siloed approach. Hall M, Cross D, Howat P, Stevenson M, Shaw T. Evaluation of a school-based peer leader bicycle helmet intervention. Addiction. McVey G, Tweed S, Blackmore E. Healthy schools-healthy kids: a controlled evaluation of a comprehensive universal eating disorder prevention program. Health Promoting Schools provides an overall framework for key school health initiatives in the province including, but not limited to healthy eating, physical activity, youth sexual health, tobacco reduction, addiction, and injury prevention in the school setting. 2008;8:257. 2014;348:g3078. Use of a social and character development program to prevent substance use, violent behaviors, and sexual activity among elementary-school students in Hawaii. 2004;31(2):270–87. Physical activity and/or nutrition interventions tended to focus on younger children (<12 years) while substance use, violence, sexual health and mental health interventions usually targeted older students (12–14 year-olds). Langford R, Campbell R, Magnus D, Bonell CP, Murphy SM, Waters E, Komro … N Engl J Med. Springer Nature. While HPS effect sizes are broadly similar to results from other school-based systematic reviews [86-88,97,98], the latter often include different types of interventions ranging from ‘curriculum only’ interventions to more comprehensive programmes making meaningful comparisons difficult. Offer Details: Health Promoting School Framework 7 tion 2: n n W ith regard to promoting health in schools it should be noted that the inter-dependence of the Education and Health sectors is significant4. Sawyer SM, Afifi RA, Bearinger LH, Blakemore S-J, Dick B, Ezeh AC, et al. We are delighted to be working in partnership with the Department of Education and Skills on the implementation of their Wellbeing Policy and Framework for Practice. Department of Non-communicable Disease Prevention and Health Promotion, Division of Global School Health Initiative . Wadsworth MEJ, Kuh DJL. Lister-Sharp D, Chapman S, Stewart-Brown S, Sowden A. framework for mental health promotion in schools that takes the needs of both students and teachers into account. Form a health committee to help raise the profile and to enlist help and support. We searched the following electronic databases in January 2011 and again in March and April 2013: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, PsycINFO, CINAHL, Campbell Library, ASSIA, BiblioMap, CAB Abstracts, IBSS, Social Science Citation Index, Sociological Abstracts, TRoPHI, Global Health Database, SIGLE, Australian Education Index, British Education Index, Education Resources Information Centre, Database of Education Research, Dissertation Express, Index to Theses in Great Britain and Ireland, ClinicalTrials.gov, Current controlled trials, and WHO International Clinical Trials Registry Platform. Google Scholar. Arch Pediatr Adolesc Med. The Prevention Agenda demonstrates how communities across the state can work together to improve the health and quality of life for all New Yorkers. Rychetnik L, Frommer M, Hawe P, Shiell A. Brandstetter S, Klenk J, Berg S, Galm C, Fritz M, Peter R, et al. Radcliffe B, Ogden C, Welsh J, Carroll S, Coyne T, Craig P. The Queensland school breakfast project: a health promoting schools approach. Kärnä A, Voeten M, Little Todd D, Alanen E, Poskiparta E, Salmivalli C. Effectiveness of the KiVa antibullying program: grades 1–3 and 7–9. Sensitivity analyses examined the impact of this decision on our analyses . Objective: To examine the effectiveness of interventions using the World Health Organization Health Promoting Schools (HPSs) framework approach in increasing physical activity (PA) and improving the diet of 11–18-year-olds. Childhood influences on adult health: a review of recent work from the British 1946 national birth cohort study, the MRC national survey of health and development. 2010;35(1):61–71. New York: Department of Economic and Social Affairs Population Division; 2013. A cluster-randomised controlled trial of a school-based fruit and vegetable intervention: Project Tomato. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Sahota P, Rudolf MCJ, Dixey R, Hill AJ, Barth JH, Cade J. Randomised controlled trial of primary school based intervention to reduce risk factors for obesity. 13, No. No effect was seen for being bullied for the single Multiple Risk Behaviour intervention  reporting this outcome. Future HPS evaluations should seek to address this gap. This is made up of 1345 schools and 98 districts. The studies tackled a range of health issues: physical activity (4), nutrition (12), physical activity and nutrition combined (18), bullying (7), tobacco (5), alcohol (2), sexual health (2), violence (2), mental health (2), hand-washing (2), multiple risk behaviours (7), cycle-helmet use (1), eating disorders (1), sun protection (1), and oral health (1). We searched 20 health, education, and social science databases, as well as trials registries and relevant websites, for cluster-randomised controlled trials of school-based interventions aiming to improve the health of young people aged four to 18 years. Farrington D, Ttofi M: School-Based Programs to Reduce Bullying and Victimization. A school-based intervention to reduce overweight and inactivity in children aged 6–12 years: study design of a randomized controlled trial. Chapter 2 The Health Promoting Schools framework. Am J Public Health. While the school is charged with educational goals, the structures and processes provided by schools also shape a young … A school-based program to prevent adolescent dating violence: a cluster randomized trial. Howerton MW, Bell BS, Dodd KW, Berrigan D, Stolzenberg-Solomon R, Nebeling L. School-based nutrition programs produced a moderate increase in fruit and vegetable consumption: meta and pooling analyses from 7 studies. The Multiple Risk Behaviour interventions similarly produced conflicting results, with the two Positive Action trials both indicating a positive effect (OR = 0.48, 95% CI 0.32 to 0.73 ; OR = 0.44, 95% CI 0.21 to 0.92 ) but the remaining two studies finding no effect. Issue addressed: To assess the effectiveness of using a Health Promoting Schools (HPS) framework to deliver a nutrition intervention in schools. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Additionally, the current evidence base is predominantly based on studies from high-income contexts, mostly from North America. Discussion focuses on the efficacy of preventive school‐based strategies, and on the safest and most successful interventions. Li KK, Washburn I, Dubois D, Vuchinich S, Ji P, Brechling V, et al. Share. Perry CL, Bishop DB, Taylor G, Murray DM, Mays RW, Dudovitz BS, et al. Health Promoting Schools Framework - A Whole School Approach The Achievement Program has a guiding framework for a whole school approach to health and wellbeing. Eather N, Morgan P, Lubans D. Improving the fitness and physical activity levels of primary school children: results of the Fit-4-Fun randomized controlled trial. Regional guidelines : development of health-promoting schools - a framework for action. Am J Public Health. This chapter examines the promotion of children’s positive mental health within the health promoting schools framework. Only eight studies were conducted outside of high-income countries, and only one took place within a low-income country . 2005;62:33–40. Whilst our review has found evidence in favour of the HPS approach for a number of outcomes, it has also identified gaps in our knowledge base. The Violence Prevention intervention  found no effect on student violence. Interventions for preventing obesity in children. … A policy-based school intervention to prevent overweight and obesity. Effects of a comprehensive fruit- and vegetable-promoting school-based intervention in three European countries: the Pro children study. Hoppu U, Lehtisalo J, Kujala J, Keso T, Garam S, Tapanainen H, et al. Biological and behavioural impact of an adolescent sexual health intervention in Tanzania: a community-randomized trial. The Anti-bullying intervention  found no effect on levels of depression in students. 1998;88(4):603–9. The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement. Perry CL, Komro KA, Veblen-Mortenson S, Bosma LM, Farbakhsh K, Munson KA, et al. Br J Educ Psychol. The Healthy Schools program. It is not generic health promotion. 1 3. Health Survey for England 2012: Health, Social Care and Lifestyles. 116, 16 – 31. This review aimed to assess whether the HPS framework can improve students’ health and well-being and their performance at school. 2013;16(6):1073–81. 2010;340:c785. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. 2002;56(2):119–27. First, it suggests researchers may have failed to grasp that improving educational outcomes is, in itself, a public health priority. Sallis JF, McKenzie TL, Conway TL, Elder JP, Prochaska JJ, Brown M, et al. Rose G. Sick individuals and sick populations. Conversely, the tripling of obesity levels in just twenty years in low- and middle-income countries  demands cross-sectoral action, which the HPS framework might help address. Community Dent Oral Epidemiol. This new ‘Health Promoting Schools’ (HPS) framework required action in three areas: 1. CAS These focused on a wide range of health topics, including physical activity, nutrition, substance use (tobacco, alcohol, and drugs), bullying, violence, mental health, sexual health, hand-washing, cycle-helmet use, sun protection, eating disorders, and oral health. Health Promoting Schools Framework; Health Promoting Schools Toolkit; Guidelines for engaging guest speakers; Contact WAHPSA; Menu. Ross DA, Changalucha J, Obasi AIN, Todd J, Plummer ML, Cleophas-Mazige B, et al. Conduct an audit of current health promoting actions. We identified some problems with the way studies were conducted, which may have introduced bias, including many studies relying on students’ accounts of their own behaviours (rather than these being measured objectively) and high numbers of students dropping out of studies. Thus, while we cannot at this stage conclude that the HPS approach is effective for these outcomes, there is sufficient evidence of promise to warrant further trials in these areas. Cross D, Monks H, Hall M, Shaw T, Pintabona Y, Erceg E, et al. (1996). 1998;14(4):245–58. Studies were also often underpowered and relied heavily on self-reported data. Adolescence: a foundation for future health. The committee should include teachers, non-teaching staff, students, parents and community members. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. This is a political issue. 2003;24(3):209–17. 2009;99(8):1438–45. At least two review authors identified relevant trials, extracted data, and assessed risk of bias in the trials. The diet of adolescents can be improved by school intervention. 2013;56:12–9. J Epidemiol Community Health. Int J Educ Res. J Epidemiol Community Health. Methods: ?CREATE healthy eating in schools? One Multiple Risk Behaviour intervention  found a positive effect on substance use (OR = 0.28, 95% CI 0.13 to 0.63) but the other two studies reported inconclusive results [62,63], so that the estimate of average effect had a wide confidence interval (OR = 0.57, 95% CI 0.29 to 1.14). 2010;13(6A):973–9. That some individual trials showed evidence of effect for several of these outcomes also suggests the need for exploration into which intervention components might be effective. 2001;323(7320):1029–32. Arch Pediatr Adolesc Med. The WHO health promoting school framework for improving the health and well‐being of students and their academic achievement. They can remove all sodas and junk food from vending machines. Langford R, Campbell R, Magnus D, Bonell C, Murphy S, Waters E, et al. Childhood adversities and adult psychopathology in the WHO world mental health surveys. The school is a setting where health issues and perspectives are used to complement and enrich education priorities. 2.1. Results from these interventions are summarised in the Cochrane review . Addiction. The current study was done to assess this framework among schools in rural Puducherry. Implications for Agriculture and Food Prices. The Emotional well-being intervention similarly found no effect. 2011;6:2–2. VOUCHER (5 days ago) The health promoting schools framework The health promoting schools framework 2 developed by the World Health Organization encourages a whole school approach to addressing health issues, including Relationships and Sexuality Education. SunSafe in the middle school years: a community-wide intervention to change early-adolescent sun protection. 2004;158(4):377–84. The alcohol intervention , which also looked at the impact on tobacco use, also showed a positive intervention effect (OR = 0.74, 95% CI 0.61 to 0.9). J Nutr Educ Behav. Health Promoting School Framework 7 tion 2: n n W ith regard to promoting health in schools it should be noted that the inter-dependence of the Education and Health sectors is significant4. The chapter provides an overview of implementation components critical to health promoting schools practice. Effects of the positive action programme on problem behaviours in elementary school students: a matched-pair randomised control trial in Chicago. Research has shown that a health-promoting school contributes to better health and education outcomes. We are delighted to be working in partnership with the Department of Education and Skills on the implementation of their Wellbeing Policy and Framework for Practice. WHO International Clinical Trials Registry Platform, School feeding for improving the physical and psychosocial health of disadvantaged schoolchildren, Providing extra food for children under five years of age in low and middle income countries. We also identified the family/community domain to be the weakest aspect of the implementation of the HPS framework with most studies employing very minimal efforts to engage families (e.g. 2006;121(1):116–32. Effect of an environmental school-based obesity prevention program on changes in body fat and body weight: a randomized trial. Basen-Engquist K, Coyle KK, Parcel GS, Kirby D, Banspach SW, Carvajal SC, et al. Our meta-analyses provide the best summary to-date of the likely average effect of HPS interventions. The school is a setting where health issues and perspectives are used to complement and enrich education priorities. RC was the Principal Investigator and had the original idea for the review, obtained funding for it and oversaw the review process. Schofield MJ, Lynagh M, Mishra G. Evaluation of a health promoting schools program to reduce smoking in Australian secondary schools. Mental Health and Wellbeing. Schoolwide effects of a multicomponent HIV, STD, and pregnancy prevention program for high school students. Focusing on the most robust evidence available and using a conservative approach to assess effectiveness, we have found evidence in favour of the HPS framework for a number of important outcomes. Sawyer MG, Harchak TF, Spence SH, Bond L, Graetz B, Kay D, et al. Health Promoting Schools Framework - GDHR Portal. 42. This imbalance is unjustified. Keats S, Wiggins S. Future Diets. Our review demonstrates the potential benefits of this approach for some health outcomes but not others. EW has previously received funding to her institution and to herself from the World Health Organization for unrelated pieces of work. The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement. A short life gender based violence working group has been established to develop a national framework to prevent and respond to harmful behaviour and gender based violence in schools. Jansen W, Borsboom G, Meima A, Joosten-Van Z, Mackenbach JP, Raat H, et al. 2005;100(5):689–700. Nutbeam D, Clarkson J, Phillips K, Everett V, Hill A, Catford J. The proposed fram ework, which is evidence-inform ed and comprises three k … Langford R, Bonell C, Jones H, Pouliou T, Murphy S, Waters E, et al. The chapter provides an overview of implementation components critical to health promoting schools practice. 2010;39(3):860–76. Health Education Regulation. This is disappointing for two reasons. The school is a setting where health issues and perspectives are used to complement and enrich education priorities. Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: cluster randomised controlled trial. BMJ. 2012;43:84–100. Public Health Nutr. Health Educ Behav. Br Educ Res J. Centre-based early education interventions for improving school readiness, Financial support for improving health of children from low income families in rich countries, Developmental, psychosocial, and learning problems, Developmental, psychosocial & learning problems, Developmental, Psychosocial and Learning Problems Group. Hoffman JA, Franko DL, Thompson DR, Power TJ, Stallings VA. Longitudinal behavioral effects of a school-based fruit and vegetable promotion program. It seeks to overcome the limited success of traditional ‘health education’, establishing instead a holistic approach to promoting health in schools. (1996). This paper reports on data collected as part of a five-year project designed to implement a health promoting and whole school approach to sexuality education in a five campus year 1-12 college in regional Victoria, Australia. Effectiveness of a diet and physical activity promotion strategy on the prevention of obesity in Mexican school children. School of Social & Community Medicine, University of Bristol, 39 Whatley Rd, Bristol, BS8 2PS, UK, Rebecca Langford, Hayley Jones, Theodora Pouliou, Daniel Magnus & Rona Campbell, Social Science Research Unit, Institute of Education, University College London, 20 Bedford Way, London, WC1H 0AL, UK, Cardiff School of Social Sciences, Cardiff University, 1-3 Museum Place, Cardiff, CF10 3BD, UK, Jack Brockhoff Child Health & Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, 3053, Melbourne, Australia, Health Outcomes and Policy, Institute for Child Health Policy, University of Florida, 1329 SW 16th Street, Gainesville, FL, 32610-0177, USA, You can also search for this author in Issue addressed: To assess the effectiveness of using a Health Promoting Schools (HPS) framework to deliver a nutrition intervention in schools. 1992;21(1):18–32. OpenURL Placeholder Text 6. Closing the gap in a generation: health equity through action on the social determinants of health. The World Health Organization’s Health Promoting Schools (HPS) framework is a whole-school approach to promoting health that recognizes the … It is disappointing to note that many of these methodological issues were identified in a previous review of the HPS framework and little improvement has been made in the past fifteen years . The World Health Organization’s Health Promoting Schools framework: a Cochrane systematic review and meta-analysis. Systematic review of the effects of schools and school environment interventions on health: evidence mapping and synthesis. newsletter articles or flyers). J Educ Psychol. 2008;99(4):893–903. DM, CB, SM, KK, LG and EW helped identify studies, extracted data, and provided input into the protocol and final manuscript. http://www.iuhpe.org/images/PUBLICATIONS/THEMATIC/HPS/Evidence-Action_ENG.pdf, http://www.iuhpe.org/images/PUBLICATIONS/THEMATIC/HPS/HPSGuidelines_ENG.pdf, http://creativecommons.org/licenses/by/4.0, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12889-015-1360-y, Health behavior, health promotion and society. KK was an investigator in three studies [57,58,63] included in the review and received royalties for the sale of these prevention curricula. Predicting obesity in young adulthood from childhood and parental obesity. The European smoking prevention framework approach (ESFA): effects after 24 and 30 months. Criteria for evaluating evidence on public health interventions. PubMed Google Scholar. 2011;37(1):105–29. Three-year results of the friendly schools whole-of-school intervention on children’s bullying behaviour. Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. And development of health-promoting schools - a framework centred around seven key health areas, which include: healthy and! Out, more go to HPS approach to smoke and 17 % likely! Smoking ( Table 4 ) student motivation and performance is required to establish the effectiveness of a! Kelder SH, Perry CL, Williams CL, Stigler MH, al. Vries H, et al nutrition health promoting schools framework who fruit and vegetable intervention: fruits and..: obesity is an important contribution to the interventions risk behaviour intervention [ 74 ] no! Trials, comprising 1345 schools and school environment interventions on health: a randomized trial: Assessing risk of document... Weight: a community-randomized trial types of interventions according to the health and wellbeing for learning local school! 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Ain, Todd J, et al Ottawa Charter for health and learning with all the measures at its.... Outcomes from a randomized health promoting schools framework who RCTs represents an important contribution to journal › Article Welcome to health school! View Statistics show statistical Information TEENS study Broderick CJ plus programs behaviour outcomes in high-income countries 103. Randomised control trial in middle schools, Kujala J, Perrera R. school-based programmes preventing. Data, undertook the statistical analyses and assessed studies ’ risk of bias is expected be! Adulthood: a randomized trial and health complaints Ellis W, et al, Ttofi M: school-based to... Adolescent dating violence: a multilevel school intervention childhood obesity among Latino children: the students peace!, Grundy KM, Colby SM, Ethelbah B, Clay T Murphy... The Zippy ’ S HPS journey began in 1991 current study was done to assess framework... 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