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Advancing the science and practice of school-based health promotion
Allegrante, J. P. Fri, 14 Nov 2008 00:00:00 -0000

Can schools promote the health of children with asthma?
McWhirter, J., McCann, D., Coleman, H., Calvert, M., Warner, J. Fri, 14 Nov 2008 00:00:00 -0000
This report describes the evaluation of a whole-school intervention to improve morbidity and psychosocial well-being in pupils with asthma. In all, 193 children with asthma (7–9 years) from 23 primary/junior schools in the south of England participated. Schools (n = 12) randomly assigned to the intervention group (IV) received a staff asthma training session, advice on asthma policy and practice and an emergency β2-agonist inhaler with spacer. Pupils participated in an asthma lesson. Staff and pupils in non-intervention (NI) schools (n = 11) received no asthma-oriented input. While wheeze reports improved for all children with asthma, only the IV group showed lower requirement for medication (P = 0.01), clinically significant improvement (P < 0.05) in activity related quality of life (QOL) and increased self-esteem (SE: social P = 0.01; athletic P = 0.05; behaviour P = 0.001) in girls. SE decreased for NI girls but there was no change for non-asthmatic peers in NI or IV schools which had similar baseline levels of SE and QOL. There was a marginal improvement in the establishment of asthma policies/practices and no change in school absence or staff knowledge. The significantly increased peer group understanding of asthma seen in the intervention schools may have mediated increased well-being in the IV group. Primary schools are a potentially important context for improving asthma morbidity and psychosocial well-being of children with asthma.
Social and emotional training in Swedish schools for the promotion of mental health: an effectiveness study of 5 years of intervention
Kimber, B., Sandell, R., Bremberg, S. Fri, 14 Nov 2008 00:00:00 -0000
The school is an obvious arena for interventions designed to promote mental health among children. A set of educational techniques named social and emotional learning, which focuses on students' self-control, social competence, empathy, motivation and self-awareness, has shown promising results in the United States. This is a study of the application of a similar method in Sweden (referred to as social and emotional training) for school years 2000/2001 through to 2004/2005. It is an effectiveness rather than an efficacy study, largely administered by school personnel, which relates duration of the training (1–5 years) to a set of outcomes previously found to be associated with mental health. Positive and significant effects were found on five of seven variables: internalizing problems, externalizing problems, mastery (reflecting self-efficacy or hopelessness), self-image and self-esteem and contentment in school. Effect sizes were medium. Somewhat surprisingly, no relationship was found between the intervention and the promotion of social skills. Nor was there any detectable long-term impact on bullying. Controlling for student gender did not moderate any of the effects.
Teachers' reporting of suspected child abuse and neglect: behaviour and determinants
Goebbels, A. F. G., Nicholson, J. M., Walsh, K., De Vries, H. Fri, 14 Nov 2008 00:00:00 -0000
By reporting suspected child abuse and neglect, teachers can make an important contribution to the early detection and prevention of abuse. However, teachers are sometimes reluctant to report their suspicions. This study investigated the determinants of teachers' reporting behaviour using concepts from the Integrated Change Model. Self-report data were collected from 296 teachers employed in 15 Australian schools. Compared to their colleagues, teachers who had never suspected child abuse or neglect (non-detectors, N=57, 19%) were more likely to have a lower confidence in their skills for recognising the signs of abuse, a higher degree of perceived social support regarding reporting, less years teaching experience and lower academic qualifications. Among those who had suspected cases of child abuse or neglect (N=239, 81%), teachers who always reported their suspicions (consistent reporters, 82%) were more likely to have firm action plans about reporting and detecting signs of CAN than teachers who did not always report their suspicions (inconsistent reporters, 18%). While only a small proportion of the variance in detection and reporting status was explained, the results illustrate the utility of health promotion theory and methods for improving our understanding of these behaviours.
Grounds for movement: green school grounds as sites for promoting physical activity
Dyment, J. E., Bell, A. C. Fri, 14 Nov 2008 00:00:00 -0000
An environmental factor of particular importance to children's physical activity levels appears to be the presence of parks and open space. Thus, in promoting children's health, school grounds merit consideration as a potential setting for intervention. This paper explores how ‘green’ school grounds, which contain a greater diversity of landscaping and design features, affect the quantity and quality of physical activity among elementary school children. Teachers, parents and administrators associated with 59 schools across Canada completed questionnaires (n = 105). Analysis reveals that through greening, school grounds diversify the play repertoire, creating opportunities for boys and girls of all ages, interests and abilities to be more physically active. Complementing the rule-bound, competitive games supported by asphalt and turf playing fields, green school grounds invite children to jump, climb, dig, lift, rake, build, role play and generally get moving in ways that nurture all aspects of their health and development. Of particular significance is the potential to encourage moderate and light levels of physical activity by increasing the range of enjoyable, non-competitive, open-ended forms of play at school. Seen in this light, green school grounds stand to be an important intervention to be included in school health promotion initiatives.
Policies related to active transport to and from school: a multisite case study
Eyler, A. A., Brownson, R. C., Doescher, M. P., Evenson, K. R., Fesperman, C. E., Litt, J. S., Pluto, D., Steinman, L. E., Terpstra, J. L., Troped, P. J., Schmid, T. L. Fri, 14 Nov 2008 00:00:00 -0000
Active transportation to and from school (ATS) is a viable strategy to help increase physical activity among youth. ATS can be challenging because initiatives require transdisciplinary collaboration, are influenced by the built environment and are affected by numerous policies. The purpose of this study is to identify policies and factors that influence ATS initiatives. Nine elementary schools in seven states participated in this case study. Sixty-nine stakeholders were interviewed. The interviews were transcribed, coded and analyzed using a master thematic codebook. This study identified two distinct aspects of policies: ‘influential factors’ which are factors that might impact policies related to ATS and ‘policy actions’ which are policies reported by people involved in ATS initiatives that directly affected their success. Influential factors included sidewalks, crosswalks/crossing guards, funding, personal safety concerns, advocacy group involvement and others. Policy actions included policies on school speed zone, drop-off, no-transport zones, school siting, school start/dismissal time and school choice. Despite the diversity of the schools studied, similarities included influence of built environment, safety concerns, funding and transdisciplinary collaboration. Stakeholders need to work together to stimulate action and ensure successful initiatives. Influential factors appear to be important to this process.

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