L’Approche École en santé (AÉS) est une approche globale de promotion de la santé inspirée des principes des « Health Promoting Schools » (écoles promotrices de santé). L’AÉS est associée à un dispositif d’accompagnement des écoles volontaires pour l’implanter qui comporte des ressources professionnelles d’accompagnement et divers outils. Le présent article rend compte des résultats d’une recherche qualitative portant sur l’appropriation locale de cette approche par des écoles ayant participé à la première vague d’implantation au Québec. Après avoir exposé le contexte, la méthodologie et le cadre théorique de l’étude, nous présenterons les appropriations locales observées, et ce qui semble les avoir conditionnées, du point de vue des acteurs.
Statistique Canada. L’embonpoint chez les enfants et les adolescents au Canada. Ottawa: Report No. 82-620-MWF2005001; 2000.
2.
World Health Organization. World health organization process for a global strategy on diet, physical activity and health. Genève: WHO; 2003.
3.
DobbinsMLockettDMichelI. The effectiveness of school-based interventions in promoting physical activity and fitness among children and youth: a systematic review. Public Health Res Educ Dev Program. 2001; 102(1): 7–15.
4.
Centers for Disease Control and Prevention. Chronic Disease Prevention: Promising Practices. Atlanta: CDC; 2003.
5.
St-LegerLNutbeamD. A model for mapping linkages between health and education agencies to improve school health. J Sch Health. 2000; 70(2): 45–50.
6.
JamesWRigbyNLeachRKumanyikaSLobsteinTSwinburnB. Global strategies to prevent childhood obesity: forging a societal plan that works. London: International Obesity Task Force;2006.
7.
BoothMSamdalO. Health promoting schools in Australia: models and measurement, Aust J Public Health. 1997; 21(4): 365–370.
8.
MartinCArcandLRodrigueY. École en santé : guide à l’intention du milieu scolaire et de ses partenaires, pour la réussite éducative, la santé et le bien-être des jeunes. Québec: Ministère de l’Éducation, du Loisir et du Sport;2005.
9.
Ministère de la Santé et des Services sociaux. Rapport périodique des indicateurs de suivi de gestion : proportion d’écoles qui implantent l’approche école en santé. Québec: GESTRED (innédit); 2009.
10.
DeschesnesMCouturierYLabergeSCampeauL. How divergent conceptions among health and education stakeholders influence the dissemination of Healthy Schools in Quebec. Health Promot Int. 2010; 25(4): 435–443.
11.
DeschesnesMTrudeauFKébéM. Factors influencing the adoption of a Health Promoting School approach in the province of Quebec, Canada. Health Educ Res. 2010; 25: 438–450.
12.
BarryMDomitrovichCLaraM. The implementation of mental health promotion programmes. Promot Educ. 2005; 12: 30–36.
13.
ParsonsCStearsD. Evaluating health-promoting schools: step to success. Health Educ. 2002; 102(1): 7–15.
14.
ShayaFFloresDGbarayorCWangJ. School-based obesity interventions: a literature review. J Sch Health. 2008; 78: 189–196.
15.
GreenhalghTRobertGMacFarlaneFBatePKyriakidouO. Diffusion of Innovations in service organizations: systematic review and recommendations. Milbank Q. 2004; 82(4): 581–629.
16.
FullanM. The New Meaning of Educational Change. New York: Teachers College Press; 2001.
17.
DurlakJDupreE. Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol. 2008; 41: 327–350.
18.
Jané-LlopiEBarryM. What makes mental health promotion effective?Promot Educ. 2005; 2: 47–55, 64, 70.
19.
LytleLWardJNaderPPedersenSWillistonB. Maintenance of a health promotion program in elementary schools: results from the CATCH-ON study key informant interviews. Health Educ Behav. 2003; 30(4): 503–518.
20.
WorsleyA. Children’s healthful eating: from research to practice. Food Nutr Bull. 2005; 26(2): S135–S143.
21.
McKinleyMLowisCRobsonPWallaceJMorrisseyMMoranA. It’s good to talk: children’s views on food and nutrition. Eur J Clin Nutr. 2005; 59(4): 542–551.
22.
GrossSCinelliB. Coordinated school health program and dietetics professionals: partners in promoting healthful eating. J Am Diet Assoc. 2004; 104(5): 793–798.
23.
AllensworthDKolbeL. The comprehensive school health program: exploring an expanded concept. J Sch Health. 1987; 57: 409–412.
24.
SmedleyBSymeS. Promoting Health: Intervention Strategies from Social and Behavioral Research. Washington: Institute of Medicine; 2000.
25.
Stewart-BrownS. 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?Copenhagen: World Health Organization; 2006.
26.
FalzonP. Ergonomie. Paris: Presses Universitaires de France; 2004.
27.
YinR. Case Study Research: Design and Methods. Newbury Park: Sage Publications; 2009.
28.
CellardA. L’analyse documentaire, dans PoupartJDeslauriersJGroulxLLaperrièreAMayerRPirèsA éd., La recherche qualitative. Enjeux épistémologiques et méthodologiques. Boucherville: Gaëtan-Morin Editeur; 1999, pp. 251–271.
