Orientaciones para la comunidad científica sobre el diseño, implementación y evaluación de intervenciones escolares sobre promoción de comportamientos saludables (Guidelines for the scientific community on the design, implementation, and evaluation of school-based interventions for promoting healthy behaviours)

Despite the benefits of adopting a healthy lifestyle, a large percentage of young people do not meet the established recommendations for these health-related behaviors. Developing multiple health behavior interventions are, therefore, required. Although school has been considered an ideal setting to promote healthy lifestyles in children and adolescents, most school-based interventions reported small or non-significant effects, diminishing over time. Multilevel, multicomponent, and multiple behavior school programs have been identified as the most promising approaches for improving health-related behaviors. However, due to the great complexity in its application, there are numerous difficulties and challenges in its implementation and sustainability. Therefore, the aim of this paper is to provide eight methodological guidelines and/or reflections for the scientific community to improve the design, implementation, and evaluation of school-based interventions for promoting health-related behaviors. All of them are supported by the research literature and also by the experience developing school-based intervention programs. We hope that this manuscript provide to the scientific community clear and precise indications of how this type of intervention should be addressed in order to maximize the effectiveness of school health interventions.

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Healthy or Unhealthy? The Cocktail of Health-Related Behavior Profiles in Spanish Adolescents

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16173151 ◽

2019 ◽

Vol 16 (17) ◽

pp. 3151 ◽

Cited By ~ 2

Author(s):

Javier Sevil-Serrano ◽

Alberto Aibar-Solana ◽

Ángel Abós ◽

José Antonio Julián ◽

Luis García-González

Keyword(s):

Sleep Duration ◽

Screen Time ◽

Healthy Behaviors ◽

School Based ◽

Final Sample ◽

Health Related Behaviors ◽

Health Related ◽

School Based Interventions ◽

Behavior Profiles ◽

Multiple Health

The aim of this study was to identify the prevalence and clustering of health-related behaviors in Spanish adolescents and to examine their association with sex, body mass index (BMI), different types of sedentary screen time, and adherence to 24-hour movement guidelines. A final sample of 173 students (M = 12.99 ± 0.51) participated in this study. Cluster analysis was conducted based on five health-related behaviors: PA and sedentary time derived from accelerometers, as well as healthy diet, sedentary screen time, and sleep duration derived from self-reported scales. Recommendations for 24-hour movement guidelines (i.e., physical activity (PA), screen time, and sleep duration) were analyzed both independently and combined. A total of 8.9% of the sample did not meet any of the guidelines, whereas 72.3%, 17.3%, and 1.7% of the sample met 1, 2, or all 3 guidelines, respectively. Six distinct profiles were identified, most of them showing the co-occurrence of healthy- and unhealthy-related behaviors. Given that most of the adolescents failed to meet the combination of PA, screen time, and sleep duration guidelines, these findings suggest the necessity to implement school-based interventions that target multiple health behaviors, especially because (un)healthy behaviors do not always cluster in the same direction.

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Health education for deaf Romanian children: parents’ opinions

Health Education ◽

10.1108/he-02-2019-0008 ◽

2019 ◽

Vol 119 (5/6) ◽

pp. 341-349

Author(s):

Laura Ionescu ◽

Lacramioara Ursache ◽

Adelina Nicolae ◽

Adriana Conea ◽

Cristian Potora ◽

...

Keyword(s):

Health Education ◽

Communication Technology ◽

School Health ◽

Healthy Lifestyle ◽

Smoking Prevention ◽

Educational Activities ◽

Content Type ◽

North West ◽

School Based ◽

School Health Education

Purpose The purpose of this paper is to focus on parents of children with hearing disabilities from Romania and has three objectives. First, it assesses their characteristics regarding use of communication technology. Second, it investigates their opinions regarding the importance of school-based education for healthy lifestyle promotion among their children. Third, it evaluates the availability for their involvement in educational activities using face-to-face approach and communication technology dedicated to helping parents to promote healthy lifestyle among their children, as well as factors which influence this availability. Design/methodology/approach The study was performed in October–November 2015 in two schools deserving children with hearing disabilities from North-West part of Romania. Anonymous questionnaire were filled in by 182 parents. Findings The majority of parents recognize the importance of school-based health education and more than 77 per cent totally agree that it should include issues regarding healthy nutrition, promotion of physical activity and smoking prevention. In total, 80.2 per cent of the parents declared that they are interested to participate in educational activities organized periodically at school and 66.5 per cent declared their interest in educational activities developed through communication technology in order to help them to stimulate the adoption of healthy lifestyle among their children. The availability was influenced by residence, educational level, understanding the importance of parents’ involvement, characteristics regarding the use of communication technology. Originality/value This represents the first study from Romania investigating the opinions and availability for their involvement with regard to school health education among parents of children with hearing deficiencies. The results have several implications for health education among children with hearing deficiencies and their parents.

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Health Literacy in School

Optimizing Health Literacy for Improved Clinical Practices - Advances in Medical Technologies and Clinical Practice ◽

10.4018/978-1-5225-4074-8.ch010 ◽

2018 ◽

pp. 175-197 ◽

Cited By ~ 2

Author(s):

S. M. Yasir Arafat ◽

Md. Anwarul Azim Majumder ◽

Russell Kabir ◽

Konstantinos Papadopoulos ◽

Md. Saleh Uddin

Keyword(s):

Health Literacy ◽

Later Life ◽

Physical And Mental Health ◽

Patient Centered ◽

Core Element ◽

Effective Strategies ◽

School Based ◽

Good Investment ◽

Health Related ◽

School Based Interventions

Health literacy is a core element of patient-centered healthcare. Poor health literacy is a silent epidemic across the globe as it affects every aspect of health. Schools bear an important role in increasing health literacy. Improving health literacy in adolescence is supposed to improve the later life as adolescents are used to carry their modified behavior lifelong. Various school-based interventions covering physical and mental health have been studied and found to be effective. International bodies recommend incorporation of health-related tasks into school lessons and considered that teaching the young people will be a good investment for future. Multisectoral collaborations and locally proved effective strategies are the practical challenges. This chapter aims to focus on health literacy, global scenario of health literacy, measurement tools, role of school, interventions, limitations, and challenges of health literacy.

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Health Literacy in School

Research Anthology on Mental Health Stigma, Education, and Treatment ◽

10.4018/978-1-7998-8544-3.ch053 ◽

2021 ◽

pp. 920-942

Author(s):

S. M. Yasir Arafat ◽

Md. Anwarul Azim Majumder ◽

Russell Kabir ◽

Konstantinos Papadopoulos ◽

Md. Saleh Uddin

Keyword(s):

Health Literacy ◽

Later Life ◽

Physical And Mental Health ◽

Patient Centered ◽

Core Element ◽

Effective Strategies ◽

School Based ◽

Good Investment ◽

Health Related ◽

School Based Interventions

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Health-Related Behaviors of Pregnant Women Residing in Urban and Rural Areas in Poland

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17124395 ◽

2020 ◽

Vol 17 (12) ◽

pp. 4395 ◽

Cited By ~ 1

Author(s):

Maria Szubert ◽

Malwina Ilowiecka ◽

Jacek Wilczynski ◽

Przemyslaw Bilinski ◽

Cezary Wojtyla

Keyword(s):

Pregnant Women ◽

Rural Areas ◽

Urban Areas ◽

Healthy Lifestyle ◽

Folic Acid Supplementation ◽

Rural And Urban Areas ◽

Rural And Urban ◽

Health Related Behaviors ◽

Health Related ◽

Urban And Rural Areas

The aim of this study was to evaluate the knowledge regarding a healthy lifestyle and prophylaxis during pregnancy among women from rural and urban areas and how this changed within a 5-year period. Analyses of the population of pregnant women in Poland were made using a questionnaire survey. The survey was conducted in the years 2010–2012 and 2017. Questionnaires from 6128 pregnant women were collected. The statistical analyses were conducted using IBM SPSS. The examined population was comprised of 41% women from rural areas and 59% women from urban areas. Alcohol consumption was lower among women from rural areas than among urban inhabitants in 2010–2012; in 2017 a trend of even lower consumption was observed. Folic acid supplementation was more broadly developed in the urban population; however, in 2017, higher percentage rates of both populations admitted taking folates before pregnancy. More women in urban than in rural areas performed physical activity during pregnancy, but the differences decreased in 2017. Knowledge of a healthy lifestyle and prophylaxis during pregnancy increased regardless of place of residence; however, the most evident change could be observed among women from rural areas.

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Initial Findings of a Multicomponent School Health Intervention in Rural Appalachia: The Greenbrier CHOICES Project

Health Education & Behavior ◽

10.1177/1090198119897612 ◽

2020 ◽

Vol 47 (2) ◽

pp. 332-343

Author(s):

Emily Jones ◽

Luciana Zuest ◽

Sean Bulger ◽

Eloise Elliott ◽

Kibum Cho ◽

...

Keyword(s):

Middle School ◽

Body Mass Index ◽

Health Promotion ◽

Healthy Eating ◽

Health Interventions ◽

Dietary Behaviors ◽

School Based ◽

Health Related Behaviors ◽

Health Related ◽

Rural Appalachia

Background. Schools are an important setting for health promotion because they afford children and adolescents numerous opportunities to accumulate the recommended physical activity (PA) minutes and make other health-related decisions, including healthy eating. Unfortunately, there is little evidence of coordinated school-based health interventions in rural Appalachia. The Greenbrier Children’s Health Opportunities Involving Coordinated Efforts in Schools Project was a federally funded, 3-year, multicomponent school-based health intervention focused on PA, healthy eating, and weight management. Aims. The purpose of this study was to evaluate the impact of Greenbrier Children’s Health Opportunities Involving Coordinated Efforts in Schools on adolescent PA, dietary behaviors, and weight status. Method. Measures of PA, dietary behaviors, and body mass index were collected across 14 data points throughout the intervention (including a baseline in Year 1). Results. Participants included 4,633 randomly selected middle school students ( M = 2,289, F = 2,344) across the intervention. Baseline to Year 3 findings revealed a 12.8 percentage point increase in students achieving 60 minutes of daily PA. There were no significant differences in either dietary behavior or body mass index. Discussion. Findings provide evidence of the positive impact comprehensive school-based health interventions can have on middle school student health-related behaviors. Conclusion. Schools remain an ideal setting for health promotion. Initiatives targeting more than one level of influence on health-related behaviors are more likely to succeed.

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School-Based Interventions for Promotion of Healthy Lifestyle and Behavior: How Effective Are They?

The Indian Journal of Pediatrics ◽

10.1007/s12098-021-04076-x ◽

2022 ◽

Author(s):

Rajni Sharma

Keyword(s):

Healthy Lifestyle ◽

School Based ◽

School Based Interventions ◽

And Behavior

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How Health-Related Behaviors Predict Body-Esteem in Men

American Journal of Men s Health ◽

10.1177/1557988318801634 ◽

2018 ◽

Vol 12 (6) ◽

pp. 1901-1907 ◽

Cited By ~ 1

Author(s):

Monika Bidzan ◽

Omar Yousaf ◽

Mariusz Lipowski ◽

Małgorzata Lipowska

Keyword(s):

Healthy Lifestyle ◽

Body Esteem ◽

The Body ◽

Regression Analyses ◽

Anthropometric Measures ◽

Multidimensional Measure ◽

Healthy Lifestyle Promotion ◽

Health Related Behaviors ◽

Health Related ◽

Nutrition Habits

While there is a general consensus on the biological implications of health-related behaviors, there is little research on the implications of health-related behaviors on body-esteem in a nonclinical population of men. This study aimed to examine, using a multidimensional measure of health-related behaviors and controlling for body mass index (BMI), whether body-esteem in men can be predicted by health-related behaviors. Five hundred and sixty-one men between the ages of 30 and 45 years ( M = 35.42, SD = 4.41) completed the Body-Esteem Scale (BES), the Health Behaviour Inventory (HBI), and a questionnaire covering anthropometric measures including height and weight. Multiple regression analyses revealed that health-related behaviors (including positive nutrition habits, positive attitude, and healthy practices) significantly predicted body-esteem, R2adj = 0.05, F(5, 540) = 6.91, p < .001. The results are discussed in relation to healthy lifestyle promotion interventions targeting men.

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School- and family-based interventions to prevent overweight in children

Proceedings of The Nutrition Society ◽

10.1079/pns2005424 ◽

2005 ◽

Vol 64 (2) ◽

pp. 249-254 ◽

Cited By ~ 60

Author(s):

Manfred J. Müller ◽

Sandra Danielzik ◽

Svenja Pust

Keyword(s):

Statistical Power ◽

School Health ◽

Health Knowledge ◽

Education Programme ◽

Overweight And Obesity ◽

Positive Effects ◽

School Based ◽

School Based Interventions ◽

Family Based ◽

Family Based Interventions

There have been only a few controlled studies on the prevention of overweight and obesity in children and adolescents. These studies differ in relation to strategy, setting, duration, focus, variables of outcome and statistical power, and therefore do not allow general conclusions to be made about the value of preventive measures. All school-based interventions aimed at the prevention of overweight and obesity show some improvement of health knowledge and health-related behaviours. Short-term effects on nutritional state seem to be more pronounced in girls than in boys. School-based interventions can reduce the incidence of overweight. There is evidence that families of intermediate and high socio-economic status as well as intact families benefit more from treatment than families sharing other characteristics. Selected prevention in obese children is most successful when children are treated together with their parents. However, there are social barriers limiting the success of family-based interventions. Although some positive effects have been reported, simple interventions in a single area (e.g. a school health education programme) are unlikely to work on their own. The development of effective preventive interventions probably requires strategies that affect multiple settings simultaneously. At present there is no concerted action, rather many strategies in health promotion that are followed in isolation. Faced with the epidemic of overweight there is a need for national campaigns and action plans on childhood overweight and obesity. It is tempting to speculate that this strategy will also increase the value of isolated approaches (e.g. in schools and families).

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