general psychology Firouz meroei milan School Health Promomtion 1 1

School Health Promomtion

Lister Sharpe D, Chapman S, Sasia A, Stewart-Brown S. Health Promoting Schools and Health Promoting Schools; two systematic reviews. Health Technology Assessment 1999:3(22) Stewart-Brown S. What is the evidence on school health promotion in improving health or preventing disease and, specifically what is the effectiveness of the health promoting schools approach. WHO Euro Green J, Howes F, Waters E, Maher E, Oberklaid F. Promoting the social and emotional health of primary school aged children: reviewing the evidence base for school based interventions Int J Mental health Promotion 2005;7;0- 37.

Systematic Reviews : Strengths: – Comprehensive – Controlled studies – Clear inclusion criteria – Critical appraisal Weaknesses: – Controlled studies – Quantitative outcomes – Information about process often scant – Exclusions

HTA SR of SRs 1999 Included 32 systematic reviews Most common topic:Substance misuse Next most common: healthy eating and physical activity Also found reviews on sexual health, injury and abuse prevention, mental health, oral health, solar protection Most interventions classroom only

HTA SR of SRs 1999 Interventions involving environmental change most likely to be effective Interventions involving families most likely to be effective in improving health knowledge Health problems in which interventions most likely to be effective: – Healthy eating/physical activity – Injury prevention – Mental health

HTA SR of SRs 1999 Areas in which interventions were least likely to be effective – Substance misuse – Sexual health – Oral health

HEN School Health Promotion Review : Inclusion Criteria Published Covered health promotion initiatives in schools Details of search strategy provided A priori inclusion and exclusion criteria including methodological quality At least one experimental study Described interventions, settings, comparators and outcomes Assessed impact on health and wellbeing

HEN School Health Promotion Review: Exclusion Criteria Reviews restricted to – evaluation of screening programmes – individuals with diseases or health problems Reviews focused on school health services/clinics

HEN School Health Promotion Review: Defintions School: Institution serving young people years and offering primary or secondary education Health Promotion: Includes primary, but not secondary or tertiary prevention of disease Health Promoting School Initiative: School health programme using WHO HPS principles where schools actively participate and activities cover curriculum, school environment and community/families

Databases Searched Medline EMBASE PSYCHINFO ERIC CINAHL ASSIA British Education Index ISI Social Citation Index EPPICENTRE and HDA PROMIS