A A Look at the Effectiveness of Health Promotion Programs in Schools: Scoping Review

Authors

DOI:

https://doi.org/10.36489/saudecoletiva.2024v14i92p13825-13842

Keywords:

Program Evaluation, Health Promotion, Primary Prevention, Secondary Prevention, Basic Education

Abstract

Objective: To analyze the state of the art in evaluating the effectiveness of health promotion and disease prevention programs in schools. Method: The recommendations of the Joanna Briggs Institute were adopted. The search was carried out in BVS Saúde, PubMed, Scopus, Embase and PsycInfo. A total of 55 articles were selected. Results: 25 programs were considered effective (45.5%), 14 partially effective (25.5%) and 16 not effective (29%). There were studies carried out on 5 continents, addressing issues of health promotion and disease prevention. Eleven evaluation domains were identified to measure the effectiveness of the actions studied. Conclusion: We suggest the importance of different methodologies and methods for evaluating the effectiveness of health promotion actions from the perspective of triangulation of methods. In addition, an analysis of symbolic and power relations should be included, seeking to contemplate complexity, especially in relation to the integral development of children, adolescents and young people in a school context.

Author Biographies

Erika Barbosa Camargo, Oswaldo Cruz Foundation Brasilia

Collaborating Researcher, PhD in Internal Medicine and Therapeutics.

Luciana Garritano Barone

Nutritionist graduated from the Federal University of Rio de Janeiro, Specialist in Education and Health and Master in Public Health from the National School of Public Health of the Oswaldo Cruz Foundation.

Maria Edna Moura Vieira

Historian, PhD in Public Health from the University of Brasília and in Medicine from the University of Valencia, Spain.

Marta Azevedo Klumb Oliveira

Psychologist, Master in Psychology from the Catholic University of Brasília.

Rimena Gláucia Dias de Araújo

Dentist, Master in Public Health from the Federal University of Minas Gerais.

Samia Kelle de Araújo, Makida Instituto de Formação

Nurse, Researcher and Master in Human Development and Health Processes from the University of Brasília.

Simone Alves-Hopf

Physiotherapist graduated from the University of Pernambuco, Master in Human and Health Development from the University of Brasília, Intern in the Medicine Course at the Friedrich-Schiller University of Jena, Germany.

References

Figueiredo TA, Machado VL, de Abreu MM. A saúde na escola: um breve resgate histórico [Health at school: a brief history]. Cien Saude Colet 2010;15(2): 397-402.

Graciano AMC, Cardoso NMM, Mattos FF, Gomes V E, Borges-Oliveira AC. Promoção da Saúde na Escola: história e perspectivas. J Health & Biol Sci 2015; 3(1): 34-38.

Potvin L, McQueen DV. Practical Dilemmas for Health Promotion Evaluation. In Potvin L, McQueen DV. (eds) Health Promotion Evaluation Practices in the Americas, New York, Springer; 2008.

World Health Organization (WHO). Guidelines and indicators for health promoting schools. Genebra: WHO-WPRO, 2009.

Lee A, Lo A, Li Q, Keung V, Kwong A. Health Promoting Schools: An Update. Appl Health Econ Health Policy 2020; 18(5): 605-623.

Leger L, Buijs G, Keshavarz N, Lee A. Health-Promoting Schools. In: Kokko, S., Baybutt, M. (eds) Handbook of Settings-Based Health Promotion. Springer; 2020.

Rossi PH, Lipsey MW, Henry GT. Evaluation: A systematic approach (8th ed.). Sage Publications; 2019.

Köptcke LS, Pinto AR, Soares BC, Silva DF, Oliveira EA, Camargo EB, Pereira FM, Elias FTS, Cardoso GCP, Silva GJ, Barone LG, Vieira MEM, Padrão MRAV, Oliveira MAK, Araújo RGD, Araújo SK, Alves-Hopf S. Pesquisa nacional de avaliação da gestão intersetorial do Programa Saúde na Escola (PSE) 2021-2022: estudo de avaliabilidade/Luciana Sepúlveda Köptcke (org.). Brasília-DF, Fiocruz; 2023.

Brasil. Ministério da Saúde. Caderno do gestor do PSE [recurso eletrônico]/Ministério da Saúde. Brasília-DF: Ministério da Saúde, 2022.

Burches E, Burches M. Efficacy, effectiveness and efficiency in the health care: The need for an agreement to clarify its meaning. Arch Public Health Community Med 2020; 4(1): 1-3.

Institute TJB. Joanna Briggs Institute Reviewers' Manual [Internet]. Adelaide: Joanna Briggs Institute, 2014.

Tricco AC, Lillie E, Zarin W, O'Brien K, Colquhoun H, Kastner M, Levac D, Ng C, Sharpe JP, Wilson K, Kenny M, Warren R, Wilson C, Stelfox HT, Straus SE. A scoping review on the conduct and reporting of scoping reviews. BMC Med Res Methodol 2016; 16: 15.

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev 2016; 5(1): 210.

V, Reichelt J. Mendeley: a Last.fm for research. Presented at IEEE Fourth International Conference on eScience; 2008. 327–8.

Mayring P. Qualitative Inhaltsanalyse–ein Beispiel für Mixed Methods. In Mayring P. Mixed Methods in der empirischen Bildungsforschung. SAGE Publications Ltd 2012; 1: p. 27-36.

Ferriani LO, Silva DA, Molina MDCB, Mill JG, Brunoni AR, da Fonseca MJM, Moreno AB, Benseñor IM, de Aguiar OB, Barreto SM, Viana MC. Depression is a risk factor for metabolic syndrome: Results from the ELSA-Brasil cohort study. J Psychiatr Res 2023;158: 56-62.

Ramirez I, Alves DE, Kuchler PC, Madalena IR, Lima DC, Barbosa MCF, Oliveira MAHM, Thedei Júnior G, Baratto-Filho F, Küchler EC, Oliveira DSB. Geographic Information Systems (GIS) to Assess Dental Caries, Overweight and Obesity in Schoolchildren in the City of Alfenas, Brazil. Int J Environ Res Public Health 2023; 20(3): 2443.

Gori D, Guaraldi F, Cinocca S, Moser G, Rucci P, Fantini MP. Effectiveness of educational and lifestyle interventions to prevent pediatric obesity: systematic review and meta-analyses of randomized and non-randomized controlled trials. Obes Sci Pract 2017; 3(3): 235-248.

Marinho VC, Chong LY, Worthington HV, Walsh T. Fluoride mouthrinses for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2016; 7(7): CD002284.

Hettler B. The six dimensions of wellness. National Well Institute; 1976..

Treweek S, Zwarenstein M. Making trials matter: pragmatic and explanatory trials and the problem of applicability. Trials 2009; 10: 37.

Schwartz D, Lellouch J. Explanatory and pragmatic attitudes in therapeutical trials. J Chronic Dis 1967; 20 (8): 637-48.

Rice ME. Assessment for and Evaluation of Healthy Settings. In: Kokko, S., Baybutt, M. (eds) Handbook of Settings-Based Health Promotion. Springer; 2022.

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Published

2025-01-27

How to Cite

Koptcke, L. S., Camargo, E. B., Barone, L. G., Vieira, M. E. M., Oliveira, M. A. K., Araújo, R. G. D. de, Araújo, S. K. de, & Alves-Hopf, S. (2025). A A Look at the Effectiveness of Health Promotion Programs in Schools: Scoping Review. Saúde Coletiva (Barueri), 15(92), 13825–13842. https://doi.org/10.36489/saudecoletiva.2024v14i92p13825-13842

Issue

Vol. 15 No. 92 (2025)

Section

Artigos Cientí­ficos

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