08 SES 12 A, Researching Health Promoting Schools: Potentials and Challenges of Mixed Methods
Parallel Paper Session
Even thought, in the official texts, especially in the last one published relating to the educational health policy (1), health is presented as a component of the mission of all the professionals working within the school setting,, schools set a low priority on health promotion (HP) (2) andprofessionals in the workplace are not always aware of their HP role (3;4). A HP initiative was designed specifically for this context to address these issues and enable the school staff to implement an HP policy (5;6). This initiative aimed to promote children’s social, emotional and physical health by contributing to children’s well-being at school. Its objective was to develop sustainable HP projects in school settings by the empowerment of local actors. The main strategy was the development of teachers’ health promoting practices and school’s health promoting environment. The initiative was implemented in 115 primary schools in 6 French regions. The project started in 2007. In each region, a steering committee was created, composed of school board representatives, parent representatives, other regionally relevant actors, and a support team (teacher trainers, pedagogical advisers, members of HP services and members of local HP non-governmental organizations). This team was in charge of the program implementation. These six support teams, one per region, were trained to deliver training and support to the teachers and the schools concerning the principles, values, resources and evaluation of the HP program. Pedagogical resources were also provided to each school. The project was supervised by a scientific committee formed of health and educational experts and practitioners.
The research part of this project is based on a realistic approach (7) and aimed at contributing to answer the main following research questions:
1. What are the mechanisms and contextual factors that allow the regional team to develop a HP approach in their region?
2. How do the strategies developed through the HP program influence the development of teachers’ HP practices and the schools’ health promoting environment? How do these practices influence children’s perception of their life in school?
The objective of this paper is to present the methodological issues as well as the first results concerning the mechanisms and the contextual factors that allow the development of such program and to present the first results of the factors that influence children’s’ perception of school well-being.
Reference List (1) Politique éducative de santé dans les territoires académiques, Circulaire n°2011-216 du 02/12/2011 - BOEN n°46 du 15/12/2011, Ministère de l'Education nationale, (2011). (2) Pommier J, Jourdan D. La santé à l'école dans les pays européens. Paris: Sudel; 2007. (3) Jourdan D, Piec I, Aublet-Cuvelier B, Berger D, Lejeune ML, Laquet-Riffaud A, et al. Education à la santé à l'école: pratiques et représentations des enseignants du primaire. Santé Publique 2002;14(4):403-23. (4) Jourdan D, Pommier J, Quidu F. Practices and representations of school health education among primary school teachers. Scandinavian Journal of Public Health 2010;38(1):86-94. (5) Simar C, Jourdan D. Education et santé: étude de l'impact d'un dispositif de formation et d'accompagnement sur l'implication des enseignants dans une démarche de promotion de la santé. Revue Recherches et Educations 2009;3. (6) Pommier J, Guével MR, Jourdan D. A health promotion intervention in French primary schools based on teacher training and support: Actionable evidence in context. Global Health Promotion 2011;18(1):34-8. (7) Pawson R, Tilley N. Realistic evaluation. London: Sage Publications; 1997. (8) Nutbeam D. Evaluating health promotion - progress, problems and solutions. Health Promotion International 1998;13(1):27-44. (9) Tones K, Tilford S. Health promotion: effectiveness, efficiency and equity. 3 ed. Cheltenham: Nelson Thornes; 2001. (10) Morse JM. Principles of mixed methods and multimethod. In: Tashakkori A, Teddlie C, editors. Handbook of mixed methods in social and behavioral research.Thousand Oaks: Sage Publications; 2003. p. 189-208. (11) Pommier J, Guével MR, Jourdan D. Evaluation of health promotion in schools: a realistic evaluation approach using mixed methods. BMC Public Health 2010;10(43).
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