Exploring the implementation dynamics of the Health Promoting School approach in Europe
A qualitative study among school health representatives
Bibliographic Data
| ID | 21600989 |
|---|---|
| Authors | Marion Driessen-Willems (0000-0002-3806-9607, Maastricht University, corresponding author), Floor Severens (Maastricht University), Emily Darlington (0000-0001-8671-2022, Lyon 1 Université), Nina Bartelink (0000-0002-8098-5289, Maastricht University), Stef Kremer (0000-0002-7406-2779, Maastricht University), Stef Kremers, Patricia van Assema (0000-0003-4928-6495, Maastricht University), Kathelijne Bessems (0000-0003-3879-9279, Maastricht University) |
| Year | 2023 |
| Volume | 123 |
| Issue | 1 |
| Pages | 1-18 |
| Publication date | 2023-04-19 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Education (JOURNAL) |
| Journal identifiers | ISSN: 0965-4283 • E-ISSN: 1758-714X |
| Publisher | Emerald (PUBLISHER) |
| DOI | 10.1108/he-12-2021-0149 |
| OpenAlex | W4306253562 |
| Language | EN |
| Citations received | 2 |
| References cited | 27 |
Purpose Adapting the Health Promotion School (HPS) approach to context specifics is acknowledged as being essential for implementation and achieving optimal effectiveness. This study aims to explore implementation variations on seven HPS spectra (such as top-down to bottom-up involvement of stakeholders) on which implementation of the HPS approach can vary, and the factors that relate to navigation on these spectra. Design/methodology/approach In 2020, fourteen HPS researchers and professionals from ten European countries participated in semi-structured interviews. Findings Navigation variations on the HPS spectra occurred throughout most spectra. Further, a tendency was found towards spectrum extremes of addressing multiple core-components, implementing non-disruptive Health Promotion (HP) programmes, and evaluating the HPS approach through an action-oriented research approach. Important general factors were resources, staff capacity and time available to staff members for implementing the HPS approach. Some spectra required more specific factors like organisational skills, leadership or a certain level of democracy. Practical implications The implementation of the HPS approach should be supported by implementation strategies addressing the spectrum-specific factors, but more generic factors such as staff capacity, resources and the level of democracy should also be considered. Originality/value This study explores navigation variations throughout HPS spectra rather than the HPS approach in general. It also nuances implementation diversity across and within different European contexts
Geography · Health promotion · Medical education · Originality · Political science · Public health · Qualitative research · Sociology · Community Health and Development · Health, psychology, and well-being · Medicine · Nursing · Psychology · School Health and Nursing Education
Schools, health literacy and public health
Tracking of obesity-related behaviours from childhood to adulthood
The World Health Organization’s Health Promoting Schools framework
The need for a complex systems model of evidence for public health
Fostering implementation of health services research findings into practice
Health Promoting Schools—a complex approach and a major means to health improvement
A journey into school health promotion
Culture matters
Systems thinking and complexity
Co-Creation Approach with Action-Oriented Research Methods to Strengthen “Krachtvoer”; A School-Based Programme to Enhance Healthy Nutrition in Adolescents
The Healthy Primary School of the Future
Implementation of health promotion programmes in schools
A critical examination of representations of context within research on population health interventions
From complex social interventions to interventions in complex social systems
The Adaptome
Schools as social complex adaptive systems
| Unique citing works | 2 |
|---|---|
| Citations per year | 0.67 |
| Citation span | 2023 - 2024 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |