Global Health Promotion最新文献

{"title":"Implemented to last? Schools' strategies for promoting the sustainability of the '60 minutes a day of physical activity' initiative in Quebec primary schools.","authors":"Suzanne Laberge, Véronique Gosselin","doi":"10.1177/17579759241303488","DOIUrl":"10.1177/17579759241303488","url":null,"abstract":"<p><strong>Background: </strong>Many studies have investigated the adoption and implementation of school-based physical activity interventions, but only a few have reported on their sustainability. Understanding the factors contributing to school-based physical activity interventions being maintained or abandoned is necessary to ensure that resource investments are effective.</p><p><strong>Objective: </strong>This study aims to contribute to this understanding. We investigated the actions and strategies developed by the school teams participating in the Quebec <i>Active at school!</i> initiative in ensuring that the tailored interventions they had developed over the three-year degressive funding were maintained.</p><p><strong>Methods: </strong>Target population was the 415 schools that reached the end of the three-year funding period in 2020. An online survey consisting of 27 multiple choice questions, each followed by open-ended questions in which respondents explained or justified their choice, was sent to all participating schools.</p><p><strong>Results: </strong>A total of 397 of the 415 schools responded to the survey. The analysis showed that the school teams have integrated actions to foster sustainability during initial project planning and adoption. Eight main strategies were deployed to sustain the interventions: maintenance of the most popular physical activities, inclusion of the 60-min daily physical activity (DPA) initiative in the school Educational Project, student involvement in implementing DPA, maintaining a person in charge of DPA implementation, maintaining the committee in charge of DPA implementation, training new staff, researching new sources of funding, maintaining developed collaborations.</p><p><strong>Conclusion: </strong>The initiative's bottom-up approach has favored school teams developing various sustainability strategies, whether at the institutional, organizational or community level. Given the acceleration of contemporary changes, it is inevitable that DPA interventions will need to be adapted and transformed. Therefore, what should be sustained is the schools' capacity building and innovativeness that has been generated by the new program implementation.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"32 1_suppl","pages":"91-100"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12705864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La conducta de actividad física durante el horario escolar: contribución a las recomendaciones diarias en edad infantil.","authors":"Sergio Montalt-García, Israel Villarrasa-Sapiña, Gonzalo Monfort-Torres, Javier Molina-García","doi":"10.1177/17579759241270980","DOIUrl":"10.1177/17579759241270980","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"43-51"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Émergence de communautés et d'actions pour définir et développer le bien-être en milieu scolaire : évaluation d'un dispositif-pilote « Cellules bien-être » dans les établissements scolaires de la Fédération Wallonie-Bruxelles.","authors":"Chantal Vandoorne, Gaëtan Absil","doi":"10.1177/17579759251333336","DOIUrl":"https://doi.org/10.1177/17579759251333336","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"32 1_suppl","pages":"71-80"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research into health promotion in schools to combat cancer.","authors":"Norbert Ifrah, Didier Lepelletier, Jean Hubac, Nicolas Prisse","doi":"10.1177/17579759251393595","DOIUrl":"https://doi.org/10.1177/17579759251393595","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"32 1_suppl","pages":"3-5"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewers list / Liste des réviseurs(es) / Lista de revisores(as).","authors":"","doi":"10.1177/17579759251409589","DOIUrl":"https://doi.org/10.1177/17579759251409589","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"32 1_suppl","pages":"165"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Achieving health-promoting schools, the <i>Alliance for Health</i> experiment: setting up an interventional research protocol and evaluating a health-promotion program in primary schools.","authors":"Daphné Desmoriaux, Marine C Genton, Carine Simar, Véronique Regnier-Denois, Philippe Cury, Julie Pironom, Didier Jourdan, Franck Chauvin","doi":"10.1177/17579759251320649","DOIUrl":"https://doi.org/10.1177/17579759251320649","url":null,"abstract":"<p><p>The early years in life are critical in many ways as they significantly impact future health outcomes. In line with the 2018-2022 National French Health Strategy, <i>Alliance for Health</i> is a complex intervention that deploys a health-promotion program based on a health determinants approach and oriented toward 8- to 11-year-olds. It aims to increase their psychosocial competencies and health literacy levels. The objective of the study was to understand and assess the outcomes and implementation process of an evidence-based health-promotion program targeting both primary schools and the children's local environment. To reach this goal, pupils were exposed to health-promoting actions carried out by their teachers and a health-promoting environment, both inside and outside the school. A multisite cluster trial involving a complex intervention in the population was performed with one experimental group and one control group during three academic years. The project took place in four districts of the Auvergne-Rhône-Alpes region and involved 101 schools (10,000 pupils: intervention group 5000 + control group 5000). This research intervention program gathered local policy makers, regional education authorities, the regional public health agency, and researchers (education and public health). The intervention's focus was on its sustainability, its integration in the everyday practices of the professionals, and its impact on the children's psychosocial competencies and health literacy. This paper describes the project's protocol, the research design, and the interventions deployed to improve health-promotion services provided in primary schools and the children's local environment.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"32 1_suppl","pages":"81-90"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promotion de la santé dans la Zone de santé d'Ibanda au Sud-Kivu en RD Congo : évaluation de l'application des principes de la charte d'Ottawa.","authors":"Hermès Karemere, Arlette Buhendwa, Binja Biani Daniella, Kabika Kitoka, Paul Bahati Hombo, Asifiwe Mpuruta, Munatsi Bikulo Noble","doi":"10.1177/17579759251320650","DOIUrl":"10.1177/17579759251320650","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"127-135"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How norms-shifting interventions foster community-level social and behavior change: new insights from a synthesis of realist evaluations of community-level interventions.","authors":"Susan Igras, Mariam Diakité, Anjalee Kohli, Carley Fogliani","doi":"10.1177/17579759241277493","DOIUrl":"10.1177/17579759241277493","url":null,"abstract":"<p><p>Social norms, the informal rules that influence behavior, play essential roles in shaping people's behavior. Community-based norms-shifting interventions (NSIs) identify gender and other social norms linked to unhealthy behaviors and implement activities to promote collective change by encouraging communities to reflect on and question these norms. Though NSIs are gaining international traction in social and behavior change programming for health promotion, how change occurs needs to be clearly understood in African and other contexts. To build understanding and guidance for future NSI design, the applied-research Passages Project and collaborating non-governmental organizations in West and Central Africa conducted realist evaluations of four NSIs focused on adolescent/youth sexual and reproductive health, operating in Democratic Republic of Congo, Niger, and Senegal. The evidence base for the realist synthesis came from four quasi-experimental outcome evaluations and 19 rapid implementation studies, which confirmed the four program Theories of Change. The synthesis findings identified eight norms-shifting mechanisms common across NSIs: information provision; dialogical, experiential approaches; role modeling; safe spaces; within-community meetings; planned diffusion; cross-community meetings of change agents; and community-service linkages. NSIs directly, at times indirectly, engaged reference groups that uphold norms, explaining their theoretical roles operationally. These findings led to middle-range theory showing how NSI activities, mechanisms, and reference group engagement should, over time, lead to norms-shifting outcomes. Design implications include developing a fuller understanding of how program components, as norms-change mechanisms, lead to effects; being deliberate about when and how to engage reference groups; and recognizing systems complexity and the subsequent need for NSI implementation elasticity.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"94-107"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumo de alcohol, tabaco y cannabis en profesionales sanitarios en España durante la fase pandémica aguda de COVID-19.","authors":"Víctor Jose Villanueva-Blasco, Carlos Guillamó-Mínguez, Adelaida Lozano-Polo, Verónica Villanueva-Silvestre, Andrea Vázquez-Martínez","doi":"10.1177/17579759241254346","DOIUrl":"10.1177/17579759241254346","url":null,"abstract":"<p><p>Introducción:la pandemia de la COVID-19 expuso a los profesionales sanitarios a circunstancias que incrementaron su estrés, recurriendo al consumo de sustancias como estrategia de afrontamiento.</p><p><strong>Objetivos: </strong>conocer el patrón de consumo de alcohol, tabaco y cannabis en profesionales sanitarios españoles en el periodo prepandemia y durante la fase pandémica aguda (FPA), diferenciando en función de la profesión y estableciendo si hubo diferencias entre ambos periodos.Métodos:estudio descriptivo no probabilístico con muestreo por conveniencia. Participaron 630 profesionales sanitarios. Se utilizó una encuesta en línea con categorización de la profesión sanitaria, AUDIT-C para consumo de alcohol, preguntas <i>ad hoc</i> para tabaco, y CAST para cannabis. Se realizó análisis de frecuencia y diferencia de medias (<i>t</i> de Student, <i>Z</i> Wilcoxon), reportando el tamaño del efecto y Phi.</p><p><strong>Resultados: </strong>el 57.1 % de los profesionales sanitarios mostró consumo de la riesgo de la alcohol antes de la FPA; disminuyendo al 42.4 % en la FPA. Entre los consumidores, la proporción de consumidores de riesgo previa a la FPA fue del 95 % en todas las profesiones sanitarias y superior al 65 % durante la FPA. Entre ambos periodos, únicamente hubo un descenso significativo en médicos/as (χ² MN = 8.108; <i>p</i> < 0.004). Respecto al tabaco, el 14.1 % afirmó consumirlo, observándose un incremento significativo del consumo medio de cigarrillos entre ambos periodos (<i>t</i>(80) = -3.994; <i>p</i> < 0,001), explicado por el incremento entre psicólogos/as (<i>t</i>(42) = -3.245; <i>p</i> < 0.002). Respecto al cannabis, el 2.7 % afirmó haberlo consumido, presentando el 14.3 % adicción moderada y el 7.1 % dependencia.</p><p><strong>Conclusiones: </strong>durante la crisis sanitaria se produjo una reducción del consumo de alcohol, tabaco y cannabis entre profesionales sanitarios, siendo desigual por categoría profesional. Sin embargo, se detectaron incrementos del consumo y consumos de riesgo en algunos colectivos, señalándose las implicaciones para su salud y labor sanitaria. Se propone impulsar medidas de promoción de la salud mental en los centros sanitarios que incorporen estrategias de abordaje de sustancias.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"25-32"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surmonter les défis de la promotion de la santé en milieu scolaire : proposition d'une modélisation pragmatique par une approche qualitative.","authors":"Rémi Valter, Brigitte Moltrecht, Sylvain Gautier","doi":"10.1177/17579759251330652","DOIUrl":"https://doi.org/10.1177/17579759251330652","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"32 1_suppl","pages":"119-128"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}