Klassen Danielle, Champion Claudine, Montemurro Genevieve, Flynn Jenn, Raine Kim, Storey Kate
School of Public Health, University of Alberta, 3-300 Edmonton Clinic Health Academy, 11405-87 Avenue, Edmonton, AB T6G 1C9, Canada.
APPLE Schools Foundation, 3-50 University Terrace, 8303-112 Street, Edmonton, AB T6G 2T4, Canada.
Health Promot Int. 2023 Jun 1;38(3). doi: 10.1093/heapro/daac050.
Childhood is a critical stage to develop healthy behaviours, and the school years are an important developmental period in which children are learning and growing. School-based health promotion interventions are increasingly using the comprehensive school health (CSH) approach that has been found effective at improving health behaviours, while adapting to the school and community context to create and sustain a healthy school culture. The interconnected environments of school, home and community are key to the CSH approach, however, there is minimal research that has been conducted to determine the impact at the community-level. This research used a qualitative multiple case study design to explore the influence of a school-based health promotion intervention, APPLE Schools, on the school and community environments from the perspectives of school staff in Alberta, Canada. Twenty-two participants participated in walking interviews in five schools. The walking interview approach combined interviewing and field observation and empowered participants to share their local expertise and knowledge within the context of school and community environments. Interviews were transcribed and analysed using an inductive thematic approach. Four themes were identified: APPLE schools look different, APPLE Schools build champions, APPLE Schools builds community partnerships and APPLE Schools honours community culture. Health promotion practice in schools was uniquely adapted based on strengths and needs of each school and was broadly influenced by the community outside of school walls. In sum, it was found that school-based health promotion reaches beyond school walls and can influence the broader community environment.
童年是养成健康行为的关键阶段，而上学期间是儿童学习和成长的重要发育时期。基于学校的健康促进干预措施越来越多地采用全面学校健康（CSH）方法，这种方法已被证明在改善健康行为方面有效，同时适应学校和社区环境以创建和维持健康的学校文化。学校、家庭和社区相互关联的环境是CSH方法的关键，然而，为确定其在社区层面的影响而开展的研究极少。本研究采用定性多案例研究设计，从加拿大艾伯塔省学校工作人员的角度探讨基于学校的健康促进干预措施“苹果学校”对学校和社区环境的影响。22名参与者在五所学校参加了步行访谈。步行访谈方法将访谈与实地观察相结合，使参与者能够在学校和社区环境背景下分享他们的当地专业知识和经验。访谈内容经转录后采用归纳主题法进行分析。确定了四个主题：苹果学校面貌不同、苹果学校培养倡导者、苹果学校建立社区伙伴关系以及苹果学校尊重社区文化。学校的健康促进实践根据每所学校的优势和需求进行了独特调整，并受到校外社区的广泛影响。总之，研究发现基于学校的健康促进超越了学校范围，能够影响更广泛的社区环境。
