Effective elements of school health promotion across behavioral domains: a systematic review of reviews

Peters, Louk W. H.; Kok, Gerjo; Dam, Geert T. M. Ten; Buijs, Goof J.; Paulussen, Theo G. W. M.
January 2009
BMC Public Health;2009, Vol. 9, p1
Academic Journal
Background: Most school health education programs focus on a single behavioral domain. Integrative programs that address multiple behaviors may be more efficient, but only if the elements of change are similar for these behaviors. The objective of this study was to examine which effective elements of school health education are similar across three particular behavioral domains. Methods: A systematic review of reviews of the effectiveness of school-based health promotion programs was conducted for the domains of substance abuse, sexual behavior, and nutrition. The literature search spanned the time period between 1995 and October 2006 and included three databases, websites of review centers and backward search. Fifty-five reviews and meta-analyses met predetermined relevance and publication criteria and were included. Data was extracted by one reviewer and checked by a second reviewer. A standardized data extraction form was used, with detailed attention to effective elements pertaining to program goals, development, content, methods, facilitator, components and intensity. Two assessors rated the quality of reviews as strong, moderate or weak. We included only strong and moderate reviews in two types of analysis: one based on interpretation of conflicting results, the other on a specific vote-counting rule. Results: Thirty six reviews were rated strong, 6 moderate, and 13 weak. A multitude of effective elements was identified in the included reviews and many elements were similar for two or more domains. In both types of analysis, five elements with evidence from strong reviews were found to be similar for all three domains: use of theory; addressing social influences, especially social norms; addressing cognitive-behavioral skills; training of facilitators; and multiple components. Two additional elements had positive results in all domains with the rule-based method of analysis, but had inconclusive results in at least one domain with the interpretion-based method of analysis: parent involvement and a larger number of sessions. Conclusion: Five effective elements of school health promotion were found to be similar across the three behavioral domains examined (substance abuse, sexual behavior, nutrition). An integrative program that addresses the three domains seems feasible. The five elements are primary candidates to include in programs targeting these behaviors.


Related Articles

  • NURSING PRACTICES WITH HEALTH EDUCATION IN FAMILY CONTEXT: AN INTEGRATIVE REVIEW. Paz Salbego, Laurem; da Silveira, Andressa; Silveira de Almeida Hammerschmid, Karina // Journal of Nursing UFPE / Revista de Enfermagem UFPE;dez2014, Vol. 8 Issue 12, p4362 

    No abstract available.

  • ESPIRITUALIDADES RELIGIOSIDADE E RELIGIÃO E AS POLÍTICAS PÚBLICAS DE SAUDE EM RELAÇÃO AO TABAGISMO. Henriques Portes, Leonardo; Lisbôa Guimarães, Maria Beatriz // Revista de Atencao Primaria a Saude;jan-mar2012, Vol. 15 Issue 1, p101 

    Several public policies are aimed at smoking. To this end, traditional health actions based on scientific evidence are often taken. Since the spiritual and religious aspects have also been identified as tools for the prevention and treatment of health problems, this study sought to identify the...

  • AÇÕES DE PROMOÇÃO DA SAÚDE VOLTADAS AOS ADOLESCENTES E A INTERFACE COM A ESCOLA - REVISÃO INTEGRATIVA. Brasil, Eysler Gonçalves Maia; Queiroz, Maria Veraci Oliveira; Costa, Ana Paula Rodrigues; Rodrigues, Dafne Paiva; da Silva, Lucilane Maria Sales // Journal of Nursing UFPE / Revista de Enfermagem UFPE;2013 Special Issue, Vol. 7 Issue 12, p7160 

    Objective: to identify in the scientific literature of health promotion actions geared to teens and to interface with the school. Method: integrative review, conducted from March to April 2013, in databases Science Direct (Elsevier), SCOPUS, VHL and SciELO virtual library, with employment of...

  • Evaluation of Health Promotion Programs: The Case of Health Promoting School. Alexandropoulou, Marianthi // Nosileftiki;Jan-Mar2013, Vol. 52 Issue 1, p43 

    Background: School's contribution in public health promotion is an issue that concerns literature and needs to be explored and assessed. Aim: To evaluate the effectiveness of school health promotion programs. Method: A literature review in English and in Greek in the databases of Pubmed,...

  • School-based interventions on physical inactivity as a risk factor of chronic diseases of lifestyle: A review. Frantz, J.; Chandeu, M. // African Journal for Physical, Health Education, Recreation & Dan;Jun2011 Supplement, p39 

    School -based health education programmes are important in focussing on risk factors for chronic disease of lifestyle (CDL) among young people. The school as a setting can be used to assist learners to make informed decisions regarding health risk behaviours. In this article, research relating...

  • Nutrition Advice During Pregnancy: Do Women Receive it and Can Health Professionals Provide it? Lucas, Catherine; Charlton, Karen; Yeatman, Heather // Maternal & Child Health Journal;Dec2014, Vol. 18 Issue 10, p2465 

    A healthy diet during pregnancy is essential for normal growth and development of the foetus. Pregnant women may obtain nutrition information from a number of sources but evidence regarding the adequacy and extent of this information is sparse. A systematic literature review was conducted to...

  • The Peer Education Approach in Adolescents- Narrative Review. ABDI, Fatemeh; SIMBAR, Masoumeh // Iranian Journal of Public Health;Nov2013, Vol. 42 Issue 11, p1200 

    Adolescence is an important stage of human life span, which crucial developmental processes occur. Since peers play a critical role in the psychosocial development of most adolescents, peer education is currently considered as a health promotion strategy in adolescents. Peer education is defined...

  • Qualitative Systematic Review of Barber-Administered Health Education, Promotion, Screening and Outreach Programs in African-American Communities. Luque, John; Ross, Levi; Gwede, Clement // Journal of Community Health;Feb2014, Vol. 39 Issue 1, p181 

    The barbershop has been portrayed as a culturally appropriate venue for reaching Black men with health information and preventive health screenings to overcome institutional and socio-cultural barriers. The purpose of this review is to synthesize the peer-reviewed literature on barbershop-based...

  • Theorizing healthy settings: a critical discussion with reference to Healthy Universities. Dooris, Mark; Wills, Jane; Newton, Joanne // Scandinavian Journal of Public Health;Nov2014 Supplement, Vol. 42 Issue s15, p7 

    The settings approach appreciates that health determinants operate in settings of everyday life. Whilst subject to conceptual development, we argue that the approach lacks a clear and coherent theoretical framework to steer policy, practice and research. Aims: To identify what theories and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics