EHESP School of Public Health (Ecole des Hautes Etudes en Santé Publique), 35043 Rennes CEDEX, France.
BMC Public Health. 2010 Jan 28;10:43. doi: 10.1186/1471-2458-10-43.
Schools are key settings for health promotion (HP) but the development of suitable approaches for evaluating HP in schools is still a major topic of discussion. This article presents a research protocol of a program developed to evaluate HP. After reviewing HP evaluation issues, the various possible approaches are analyzed and the importance of a realistic evaluation framework and a mixed methods (MM) design are demonstrated.
METHODS/DESIGN: The design is based on a systemic approach to evaluation, taking into account the mechanisms, context and outcomes, as defined in realistic evaluation, adjusted to our own French context using an MM approach. The characteristics of the design are illustrated through the evaluation of a nationwide HP program in French primary schools designed to enhance children's social, emotional and physical health by improving teachers' HP practices and promoting a healthy school environment. An embedded MM design is used in which a qualitative data set plays a supportive, secondary role in a study based primarily on a different quantitative data set. The way the qualitative and quantitative approaches are combined through the entire evaluation framework is detailed.
This study is a contribution towards the development of suitable approaches for evaluating HP programs in schools. The systemic approach of the evaluation carried out in this research is appropriate since it takes account of the limitations of traditional evaluation approaches and considers suggestions made by the HP research community.
学校是促进健康（HP）的重要场所，但开发适合学校 HP 评估的方法仍然是一个主要的讨论话题。本文介绍了一项旨在评估 HP 的方案的研究方案。在回顾 HP 评估问题后，分析了各种可能的方法，并论证了现实评估框架和混合方法（MM）设计的重要性。
方法/设计：该设计基于系统评估方法，考虑了现实评估中定义的机制、背景和结果，根据我们自己的法国国情，使用 MM 方法进行调整。通过评估法国小学全国性的 HP 计划，说明了设计的特点，该计划旨在通过提高教师的 HP 实践和促进健康的学校环境来增强儿童的社会、情感和身体健康。采用嵌入式 MM 设计，其中定性数据集在主要基于不同定量数据集的研究中发挥辅助、次要作用。详细说明了通过整个评估框架结合定性和定量方法的方式。
本研究为开发适合学校 HP 计划的评估方法做出了贡献。本研究中进行的评估的系统方法是合适的，因为它考虑到了传统评估方法的局限性，并考虑了 HP 研究界的建议。
