The Health Promoting Schools Framework: Known Unknowns and an Agenda for Future Research

Health Education & Behavior : the Official Publication of the Society for Public Health Education
Rebecca LangfordRona Campbell

Abstract

The World Health Organization's Health Promoting Schools (HPS) framework is a whole-school approach to promoting health that recognizes the intrinsic relationship between health and education. Our recent Cochrane systematic review found HPS interventions produced improvements in a number of student health outcomes. Here we reflect on what this review was not able to tell us: in other words, what evidence is missing with regard to the HPS approach. Few HPS interventions engage with schools' "core business" by examining impacts on educational outcomes. Current evidence is dominated by obesity interventions, with most studies conducted with children rather than adolescents. Evidence is lacking for outcomes such as mental or sexual health, substance use, and violence. Activities to engage families and communities are currently weak and unlikely to prompt behavioral change. The HPS approach is largely absent in low-income settings, despite its potential in meeting children's basic health needs. Intervention theories are insufficiently complex, often ignoring upstream determinants of health. Few studies provide evidence on intervention sustainability or cost-effectiveness, nor in-depth contextual or process data. We set out an agenda...Continue Reading

References

Aug 1, 1995·The Journal of Nutrition·S Grantham-McGregor
Mar 15, 2000·The Journal of School Health·L St Leger, D Nutbeam
Jul 20, 2000·The British Journal of Educational Psychology·V StevensP Van Oost
Mar 27, 2001·Health Education & Behavior : the Official Publication of the Society for Public Health Education·K Basen-EngquistE Baumler
Feb 13, 2003·Archives of Pediatrics & Adolescent Medicine·Cheryl L PerryLeslie A Lytle
Mar 27, 2003·American Journal of Preventive Medicine·James F SallisJohn E Alcaraz
Nov 5, 2003·The American Journal of Clinical Nutrition·Benjamin CaballeroUNKNOWN Pathways Study Research Group
Apr 7, 2004·Archives of Pediatrics & Adolescent Medicine·Brian R FlayUNKNOWN Aban Aya Investigators
Apr 20, 2004·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Leslie A LytleSherri Varnell
Nov 18, 2004·Journal of Epidemiology and Community Health·Lyndal BondGlenn Bowes
Mar 15, 2005·Injury Control and Safety Promotion·Margaret HallThérèse Shaw
Apr 26, 2005·Addiction·Greg HamiltonMargaret Hall
Aug 10, 2005·Health Education Research·Hein de VriesMath Candel
Aug 11, 2005·Prevention Science : the Official Journal of the Society for Prevention Research·Bruce Simons-MortonRusan Chen
Mar 9, 2006·Diabetes & Metabolism·C SimonE Triby
Jun 7, 2006·Archives of Pediatrics & Adolescent Medicine·Minne FekkesS Pauline Verloove-Vanhorick
Mar 24, 2007·BMJ : British Medical Journal·C BonellJ McCambridge
Nov 1, 2007·The Journal of School Health·Nancy G MurraySally M Davis
Apr 3, 2008·Pediatrics·Gary D FosterJustine Shults
Jul 18, 2008·JAMA : the Journal of the American Medical Association·Philip R NaderMarion O'Brien
Jan 20, 2009·BMC Medical Informatics and Decision Making·Ronan A LyonsKen Leake
Mar 21, 2009·American Journal of Public Health·Cheryl L PerryK Srinath Reddy
Apr 3, 2009·Health Promotion Practice·Oralia Garcia-DominicJan S Ulbrecht
May 15, 2009·Journal of Pediatric Psychology·Jessica A HoffmanVirginia A Stallings
Jul 25, 2009·Community Dentistry and Oral Epidemiology·Bao-Jun TaiBin Peng
Jul 25, 2009·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Adam FletcherVicki Strange

❮ Previous
Next ❯

Citations

Nov 2, 2018·International Journal of Environmental Research and Public Health·Brydie ClarkeGary Sacks
Jan 23, 2019·Journal of Tropical Pediatrics·Subhashisa SwainSanghamitra Pati
Aug 6, 2020·International Journal of Environmental Research and Public Health·Patrícia de Oliveira BastosValter Cordeiro Barbosa Filho
Jan 24, 2019·International Journal of Environmental Research and Public Health·Valter Cordeiro Barbosa FilhoKelly Samara da Silva
Nov 18, 2020·Public Health Nutrition·J V WoodsideUNKNOWN GENIUS (Generating Excellent Nutrition In UK Schools) network
Feb 15, 2021·European Journal of Public Health·Pierre-André MichaudDanielle Jansen
Mar 15, 2021·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Justine Gowland-EllaSamantha Batchelor
Apr 4, 2021·International Journal of Environmental Research and Public Health·Anna Graham-DeMelloSara F L Kirk
May 27, 2021·Health Equity·Renata Campos NogueiraBertrand Graz
Dec 3, 2021·Journal of the Royal Society of Medicine·Chloe LowryAnant Jani

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.