Klassen Danielle, Montemurro Genevieve, Flynn Jenn, Raine Kim, Storey Kate
School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
APPLE Schools Foundation, Edmonton, Alberta, Canada.
J Sch Health. 2025 Sep;95(9):776-782. doi: 10.1111/josh.70044. Epub 2025 Jul 1.
Comprehensive School Health (CSH) is a whole school approach to promote healthy school communities. The objective of this study was to understand if and how schools that take a CSH approach (i.e., APPLE Schools) sustained and adapted their efforts during the COVID-19 pandemic.
This qualitative study highlighted teaching staff and principals' perspectives to showcase the ways that health and wellbeing supports through the CSH approach helped to mitigate the COVID-19 impacts on schools. This article describes three themes that exemplified how healthy school communities were promoted and maintained during the COVID-19 pandemic: wellness was already a priority, purposeful efforts to continue health promotion, and recognition that (a culture of) wellness extends beyond the school.
IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: CSH approaches with supportive environments, healthy living practices, partnerships, and overarching district policies offer a structure and pathway to guide efforts in schools during times of adversity and support whole school communities. The CSH approach had a beneficial impact in urban, rural, and remote school contexts.
Schools with well-established priorities of wellness carried CSH practices throughout the pandemic. This ensured student and staff wellness was at the forefront of health promoting efforts.
综合学校健康（CSH）是一种促进健康学校社区的全校性方法。本研究的目的是了解采取CSH方法的学校（即苹果学校）在新冠疫情期间是否以及如何维持和调整其工作。
这项定性研究突出了教师和校长的观点，以展示通过CSH方法提供的健康和福祉支持如何有助于减轻新冠疫情对学校的影响。本文描述了三个主题，这些主题例证了在新冠疫情期间健康学校社区是如何得到促进和维持的：健康已经是一个优先事项，为持续促进健康做出的有目的努力，以及认识到健康（文化）超越学校范围。
对学校健康政策、实践和公平性的启示：具有支持性环境、健康生活实践、伙伴关系和总体学区政策的CSH方法提供了一种结构和途径，以指导学校在逆境时期的工作并支持全校社区。CSH方法在城市、农村和偏远学校环境中都产生了有益影响。
具有既定健康优先事项的学校在整个疫情期间都实施了CSH实践。这确保了学生和教职员工的健康处于促进健康工作的前沿。
