Department of Applied Health Science, Indiana University, Bloomington, IN 47405, USA.
J Sch Health. 2010 Jan;80(1):1-9. doi: 10.1111/j.1746-1561.2009.00460.x.
A complementary ecological model of the coordinated school health program (CSHP) reflecting 20 years of evolved changes is proposed. Ecology refers to the complex interrelationship between intrapersonal factors, interpersonal processes and primary groups, institutional factors, community factors, and public policy.
Public health and child development theories that incorporate the influence of personal and social environments on health behavior, along with models that incorporate the influence of ecology, were consulted.
Concepts from several models were combined with the 8 components of CSHP to formulate an ecological model involving 6 program and services components in an inner circle surrounded by 4 concentric rings representing the healthy school environment, essential structures of CSHP, local school district governance, and family and community involvement.
This complementary ecological model is intended to serve as an additional conceptual approach to CSHP practice, evaluation, and research, and should prove especially useful to practitioners and researchers who already have a fundamental understanding of CSHP.
本文提出了一个补充的、反映 20 年来演变的协调学校卫生计划(CSHP)的生态模式。生态学是指个人因素、人际过程和主要群体、制度因素、社区因素和公共政策之间复杂的相互关系。
本文参考了将个人和社会环境对健康行为的影响纳入其中的公共卫生和儿童发展理论,以及纳入生态学影响的模型。
将几个模型的概念与 CSHP 的 8 个组成部分相结合,形成了一个生态模型,该模型包含 6 个内在的计划和服务部分,由代表健康学校环境、CSHP 的基本结构、当地学区治理以及家庭和社区参与的 4 个同心环环绕。
该补充生态模型旨在作为 CSHP 实践、评估和研究的另一种概念方法,对于已经对 CSHP 有基本了解的实践者和研究人员来说,应该特别有用。