ArticlePreventive medicine reports2017
Evaluation of a health promoting schools program in a school board in Nova Scotia, Canada.
Article in Preventive medicine reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Promoting healthy school food environments and nutrition in Canada: a systematic review of interventions, policies, and programs.Nutrition reviews · 2025Pooled it
- A scoping review of instruments measuring the implementation of the Health-Promoting School approach.Health promotion international · 2026Article
- Obesogenic Characteristics of Primary Schools in an Urban Philippine Municipality: A Descriptive Study.Acta medica Philippina · 2025Article
- Conceptual framework for establishing twins prevention and continuous health promotion programme: a qualitative study.BMJ open · 2024Article
- Do Right, Be Bright: A Protocol on the Development of an Inter-Professional Health Intervention Model for Pre-School Children Through a Community-Based Service-Learning Initiative.Journal of multidisciplinary healthcare · 2023Article
- Article
- "When I feel well all over, I study and learn better" - experiences of good conditions for health and learning in schools in the Arctic region of Sweden.International journal of circumpolar health · 2020Article
- Dropout at Danish vocational schools: does the school's health promotion capacity play a role? A survey- and register-based prospective study.BMC public health · 2020Article
- Article
- Integrated knowledge translation in population health intervention research: a case study of implementation and outcomes from a school-based project.Health research policy and systems · 2018Article
- Studies evaluating of health interventions at schools: an integrative literature review.Revista latino-americana de enfermagem · 2018Review
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A Health promoting schools (HPS) approach aims to make schools a healthy place through a holistic approach that promotes a supportive 'school ethos' and emphasizes improvements in physical, social, and emotional well-being and educational outcomes. A HPS initiative in rural Nova Scotia (Canada) provided an opportunity for a population-level natural experiment. This study investigated student well-being and health behaviours between schools with and without HPS implementation and schools with high and low school ethos scores. Student well-being, nutrition, and physical activity were examined in a cross-sectional survey of elementary students in Nova Scotia, Canada in 2014. Multiple regression was used to assess the relationship with student well-being using the Quality of Life in School (QoLS) instrument and health behaviours. The main exposure was attending one of the 10 HPS schools; secondary exposure was the school ethos score. The overall QoLS score and its subdomain scores in the adjusted models were higher in students attending HPS schools compared to those in non-HPS schools, but the differences were not statistically significant and the effect sizes were small. Students in schools that scored high on school ethos score had higher scores for the QoLS and its subdomains, but the difference was only significant for the teacher-student relationship domain. Although this study did not find significant differences between HPS and non-HPS schools, our results highlight the complexity of evaluating HPS effects in the real world. The findings suggest a potential role of a supportive school ethos for student well-being in school.
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