This study assessed school principals’ understanding, attitudes and willingness to influence the implementation of the health-promoting schools (HPS) programme in Taiwan and teachers’ willingness to sustain it.
Method:
In 2014, a total of 1,140 school principals and 1,110 teachers (HPS coordinators) completed questionnaires concerning their perspectives on implementation and sustainability.
Results:
Compared with teachers, school principals reported higher levels of willingness to sustain HPS implementation. School principals’ levels of understanding of HPS and willingness to sustain it were significantly associated with higher levels of HPS implementation and an increase in teachers’ willingness to sustain HPS implementation.
Conclusion:
School principals’ understanding and willingness to support are central to the effective implementation and sustainability of initiatives such as HPS.
BuschVde LeeuwJRde HarderAet al. (2013) Changing multiple adolescent health behaviors through school-based interventions: A review of the literature. Journal of School Health83: 514–523.
2.
BuschVDe LeeuwJRZuithoffNPet al. (2015) A controlled health promoting school study in the Netherlands: Effects after 1 and 2 years of intervention. Health Promotion Practice16: 592–600.
3.
ChangFCLiuCHLiaoLLet al. (2014) Facilitating the implementation and efficacy of health-promoting schools via an action-research approach in Taiwan. Health Promotion International29: 306–316.
4.
ChangLCGuoJLLiaoLLet al. (2017) A coalition partnership of vision health through a health-promoting school program for primary school students in Taiwan. Global Health Promotion24: 23–31.
5.
ChenFLLeeA (2016) Health-promoting educational settings in Taiwan: Development and evaluation of the health-promoting school accreditation system. Global Health Promotion23: 18–25.
6.
DeschesnesMMartinCHillAJ (2003) Comprehensive approaches to school health promotion: How to achieve broader implementation?Health Promotion International18: 387–396.
7.
DeschesnesMTessierCCouturierYet al. (2015) Professional development in the context of healthy schools in Quebec. Health Promotion International30: 339–349.
8.
DeschesnesMTrudeauFKebeM (2010) Factors influencing the adoption of a health promoting school approach in the province of Quebec, Canada. Health Education Research25: 438–450.
9.
DongreARDeshmukhPRGargBS (2011) Health-promoting school initiative in Ashram schools of Wardha district. National Medical Journal of India24: 140–143.
FlaschbergerENitschMWaldherrK (2012) Implementing school health promotion in Austria: Experiences from a pilot training course. Health Promotion Practice13: 364–369.
12.
FreemanRGibsonBHumphrisGet al. (2016) School-based health education programmes, health-learning capacity and child oral health–related quality of life. Health Education Journal75: 698–711.
13.
GleddieDLHobinEP (2011) The battle river project: School division implementation of the health-promoting schools approach: Assessment for learning: Using student health and school capacity measures to inform action and direct policy in a local school district. Global Health Promotion18: 39–42.
14.
HoyleTBSamekBBValoisRF (2008) Building capacity for the continuous improvement of health-promoting schools. Journal of School Health78: 1–8.
15.
HungTTMChiangVCLDawsonAet al. (2014) Understanding of factors that enable health promoters in implementing health-promoting schools: A systematic review and narrative synthesis of qualitative evidence. PLoS ONE9: 1–13.
16.
InchleyJMuldoonJCurrieC (2007) Becoming a health promoting school: Evaluating the process of effective implementation in Scotland. Health Promotion International22: 65–71.
17.
LangfordRBonellCJonesHet al. (2015a) Obesity prevention and the health promoting Schools framework: Essential components and barriers to success. International Journal of Behavioral Nutrition and Physical Activity12: 1–17.
18.
LangfordRBonellCJonesHet al. (2015b) The World Health Organization’s health promoting schools framework: A Cochrane systematic review and meta-analysis. BMC Public Health15: 130.
19.
LarsenTSamdalO (2008) Facilitating the implementation and sustainability of second step. Scandinavian Journal of Educational Research52: 187–204.
20.
LaurenceSPeterkenRBurnsC (2007) Fresh kids: The efficacy of a health promoting schools approach to increasing consumption of fruit and water in Australia. Health Promotion International22: 218–226.
21.
LeeAHoMKeungV (2010) Healthy school as an ecological model for prevention of childhood obesity. Research in Sports Medicine18: 49–61.
22.
LeeASt LegerLChengFF (2007) The status of health-promoting schools in Hong Kong and implications for further development. Health Promotion International22: 316–326.
23.
LeeASt LegerLMoonA (2005) Evaluating health promotion in schools: A case study of design, implementation and results from the Hong Kong healthy schools award scheme. Promotion & Education12: 123–130.
24.
LiaoLLLiuCHChangFCet al. (2015) Evaluation of the health-promoting school supporting network in Taiwan. Journal of School Health85: 487–495.
25.
LiuCHChangFCLiaoLLet al. (2015) Expanding school-district/university partnerships to advance health promoting schools implementation and efficacy in Taiwan. Health Education Research30: 638–646.
26.
LucarelliJFAlaimoKMangEet al. (2014) Facilitators to promoting health in schools: Is school health climate the key?Journal of School Health84: 133–140.
27.
McIsaacJDReadKVeugelersPJet al. (2017) Culture matters: A case of school health promotion in Canada. Health Promotion International32: 207–217.
28.
McIsaacJ-LStoreyKVeugelersPJet al. (2015) Applying theoretical components to the implementation of health-promoting schools. Health Education Journal74: 131–143.
29.
MacnabA (2013) The Stellenbosch consensus statement on health promoting schools. Global Health Promotion20: 78–81.
30.
ReddyMSinghS (2015) Viability in delivering oral health promotion activities within the health promoting schools Initiative in KwaZulu-Natal. South African Journal of Child Health9: 93–97.
31.
RobertsEMcLeodNMontemurroGet al. (2016) Implementing comprehensive school health in Alberta, Canada: The principal’s role. Health Promotion International31: 915–924.
32.
RowlingLSamdalO (2011) Filling the black box of implementation for health-promoting schools. Health Education111: 347–362.
33.
SaitoJKeosadaNTomokawaSet al. (2015) Factors influencing the national school health policy implementation in Lao PDR: A multi-level case study. Health Promotion International30: 843–854.
34.
SchleicherA (2012) Preparing Teachers and Developing School Leaders for the 21st Century: Lessons from Around the World. Paris: OECD Publishing.
35.
ShamaMEAbdouSS (2009) Evaluating the impact of health promoting school initiative on dietary habits and BMI of students in Oman. Journal of Egyptian Public Health Association84: 119–139.
36.
TjomslandHEIversenACWoldB (2009) The Norwegian network of health promoting schools: A three-year follow-up study of teacher motivation, participation and perceived outcomes. Scandinavian Journal of Educational Research53: 89–102.
37.
VeltroFIalentiVIannoneCet al. (2015) Promoting the psychological well-being of Italian youth: A pilot study of a high school mental health program. Health Promotion Practice16: 169–175.
38.
ViigNGWoldB (2005) Facilitating teachers’ participation in school-based health promotion – A qualitative study. Scandinavian Journal of Educational Research49: 83–109.
39.
ViigNGFosseESamdalOet al. (2012) Leading and supporting the implementation of the Norwegian Network of health promoting schools. Scandinavian Journal of Educational Research56: 671–684.
40.
WangDStewartD (2013) The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: A systematic review. Public Health Nutrition16: 1082–1100.
41.
World Health Organization (WHO) (1986) Ottawa charter for health promotion. In: Proceedings of the 1st international conference on health promotion, Ottawa, ON, Canada, November. Geneva: WHO.
42.
World Health Organization (WHO) (2009) Health Promoting Schools: A Framework for Action. Geneva: WHO.
