Marshall Miguel G, Allegrante John P
Independent School Health Association, c/o The Governor's Academy, 1 Elm Street, Byfield, MA 01922.
Department of Health and Behavior Studies, Teachers College, Columbia University, 525 West 120th Street, New York, NY 10027.
J Sch Health. 2017 Oct;87(10):732-742. doi: 10.1111/josh.12545.
Although the 8 components of the coordinated school health (CSH) framework have been implemented to various degrees in the nation's public schools, principles of good practice (PGPs) to guide health promotion efforts in independent schools do not exist. The purpose of this study was to generate PGPs and rate their feasibility of implementation.
A modified Delphi process was used to generate PGPs for school health in independent schools and develop consensus regarding their feasibility of implementation. A working group of 6 independent school health professionals (ISHPs) was convened to propose draft PGPs based on the CSH framework. The proposed PGPs were then reviewed by a national and geographically diverse expert panel of 10 school health researchers and 23 ISHPs that completed 3 Delphi rounds to achieve consensus on the PGPs. Of 33 participants originally invited to participate, 27 completed the Delphi process.
A total of 27 panelists rated 67 PGPs, provided 399 comments, and achieved consensus using interquartile range on 56 (84%) of the proposed PGPs, 41 of which were rated feasible and 15 somewhat feasible.
This study has generated empirical support for the feasibility of PGPs for school health in independent schools.
尽管协调学校健康（CSH）框架的8个组成部分已在全国公立学校中得到不同程度的实施，但指导独立学校健康促进工作的良好实践原则（PGPs）并不存在。本研究的目的是生成PGPs并评估其实施的可行性。
采用改良的德尔菲法生成独立学校学校健康的PGPs，并就其实施的可行性达成共识。召集了一个由6名独立学校健康专业人员（ISHPs）组成的工作组，根据CSH框架提出PGP草案。然后，由一个由10名学校健康研究人员和23名ISHPs组成的全国性、地域多样的专家小组对提议的PGPs进行审查，该小组完成了3轮德尔菲法，以就PGPs达成共识。在最初邀请参与的33名参与者中，27名完成了德尔菲法过程。
共有27名小组成员对67项PGPs进行了评分，提供了399条评论，并使用四分位间距就56项（84%）提议的PGPs达成了共识，其中41项被评为可行，15项有些可行。
本研究为独立学校学校健康PGPs的可行性提供了实证支持。
