Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4th Floor, Lek Yuen Health Centre, Shatin, New Territory, Hong Kong.
JC School of Public Health, The Chinese University of Hong Kong, Shatin, Hong Kong.
Appl Health Econ Health Policy. 2020 Oct;18(5):605-623. doi: 10.1007/s40258-020-00575-8.
The concept of a Health Promoting School has been found to be effective to improve health and well-being of students as well as a help with teaching and learning in school. Effective implementation of Health Promoting School is a complex intervention involving multi-factorial and innovative activity in many domains such as curriculum, school environment and community. Many studies evaluating Health Promoting School do not include outcomes reflecting the organisational or structural change as many of those studies are quantitative in nature and the statistical assumptions are not valid reflecting the organisational structure changes. Recent global meetings of experts have reviewed the impact on student health from the perspectives of school environment, school policies on health, action competencies on healthy living and community linkage. The English Wessex Healthy School Award Scheme and the Hong Kong Healthy School Awards Scheme have developed detailed systems to analyse whether each individual school has reached the standard of a model Health Promoting School reflecting a more holistic appreciation and understanding of all the effects of school-based health promotion with positive award-related changes. However, not many schools are able to implement Health Promoting School in its entirety, so cores indicators are needed as a starting point for wider implementation. Hong Kong Healthy School Awards Scheme is still ongoing with data for analysis of indicators with significant correlation with better health and well-being. We identified the core indicators and substantiated the requirements for successful outcomes by supplementing the established award-scheme framework with a review of recent literature and documents. Framework of Health Promoting School would go beyond improvement of health literacy to enable a more efficient system for education and health on children, hence a good investment in children.
促进健康学校的概念已被证明可以有效提高学生的健康和福祉，并有助于学校的教学。促进健康学校的有效实施是一项复杂的干预措施，涉及课程、学校环境和社区等多个领域的多因素和创新活动。许多评估促进健康学校的研究并没有包括反映组织或结构变化的结果，因为其中许多研究是定量的，统计假设不成立，无法反映组织结构的变化。最近，全球专家会议从学校环境、学校健康政策、健康生活行动能力和社区联系等角度审查了对学生健康的影响。英国威塞克斯健康学校奖计划和香港健康学校奖计划已经制定了详细的系统，以分析每所学校是否达到了模范促进健康学校的标准，从而更全面地了解和理解所有基于学校的健康促进的影响，并与积极的奖励相关变化。然而，并不是很多学校能够全面实施促进健康学校，因此需要核心指标作为更广泛实施的起点。香港健康学校奖计划仍在进行中，正在分析与更好的健康和福祉有显著相关性的指标数据。我们确定了核心指标，并通过审查最新的文献和文件，补充了既定的奖励计划框架，为成功的结果提供了依据。促进健康学校的框架将不仅仅是提高健康素养，而是为儿童的教育和健康建立一个更有效的系统，因此这是对儿童的一项良好投资。
