Suárez-Reyes Mónica, Van den Broucke Stephan
Psychological Sciences Research Institute, Université catholique de Louvain, Belgium
Psychological Sciences Research Institute, Université catholique de Louvain, Belgium.
Glob Health Promot. 2016 Mar;23(1 Suppl):46-56. doi: 10.1177/1757975915623933.
Universities represent a valuable opportunity to promote health and well-being. Based on the setting approach, the Health Promoting Universities concept has been developed in different countries and contexts. However, the implementation process remains poorly documented. This systematic review aims to describe how universities have implemented the Health Promoting University concept in different cultural contexts.
Pubmed, Medline, Lilacs and Scielo were searched for articles on Health Promoting Universities, published between 1995 and 2015. Studies detailing the implementation of a Health Promoting University approach were included. Selected articles were content analysed paying attention to: (a) the definition of a Health Promoting University; (b) priority areas of action; (c) items of work; (d) coordination of the project; (e) evaluation; and (f) adaptation to the cultural context.
Twelve studies were identified for in-depth analysis. Of those, three were theoretical papers, and nine were intervention studies. The programmes described in the selected studies are mostly based on the guidelines of the Edmonton Charter. They incorporated the main areas of action and items of works proposed by the Health Promoting University framework. The implementation of healthy policies and incorporation of health promotion in the curriculum are remaining challenges. Strategies to facilitate adaptation to context include: stakeholder participation in planning and implementation, adaptation of educational material and analysis of needs.
The review suggests that most of the universities work towards similar goals, relying on the Health Promoting University framework, yet that the way in which initiatives are implemented depends on the context.
大学是促进健康与福祉的宝贵契机。基于情境方法，健康促进大学理念已在不同国家和背景下得以发展。然而，实施过程的记录仍很不完善。本系统综述旨在描述大学在不同文化背景下如何实施健康促进大学理念。
在PubMed、Medline、Lilacs和Scielo数据库中检索1995年至2015年间发表的关于健康促进大学的文章。纳入详细阐述健康促进大学方法实施情况的研究。对所选文章进行内容分析，关注以下方面：（a）健康促进大学的定义；（b）优先行动领域；（c）工作项目；（d）项目协调；（e）评估；（f）对文化背景的适应。
确定了12项研究进行深入分析。其中，3篇为理论论文，9篇为干预研究。所选研究中描述的项目大多基于《埃德蒙顿宪章》的指导方针。它们纳入了健康促进大学框架提出的主要行动领域和工作项目。实施健康政策以及将健康促进纳入课程仍是面临的挑战。促进适应情境的策略包括：利益相关者参与规划和实施、改编教育材料以及需求分析。
该综述表明，大多数大学朝着相似的目标努力，依赖健康促进大学框架，但举措的实施方式取决于具体情境。
