Journal of School Health最新文献

{"title":"Evaluation of the Reliability and Validity of the Perceptions of Skills Enhanced Through School Health Education (PSE-SHE) Measure","authors":"HeeKyoung Chun,&nbsp;Leigh E. Szucs,&nbsp;Ari Fodeman,&nbsp;Emily Young,&nbsp;Lexie Zimbelman","doi":"10.1111/josh.70038","DOIUrl":"10.1111/josh.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>School health education promotes health knowledge and skills, yet measurement of teens' health skills is limited. We psychometrically assessed the perceptions of skills enhanced through school health education (PSE-SHE) measure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional data (<i>n</i> = 471) were collected from teens using Teen and Parent Surveys of Health, conducted through AmeriSpeak Panels. The survey included one 5-item question assessing teens' perceptions of health skills enhanced through school health education—including getting health information and services, and understanding factors influencing health, communication, decision-making, and advocacy. For each PSE-SHE item, a 3-level categorization measure was examined (strongly agree/agree, neither agree nor disagree, and strongly disagree/disagree). Cronbach's alphas and confirmatory factor analysis (CFA) examined PSE-SHE measures' reliability and validity. Structural equation modeling used the CALIS procedure (SAS 9.4).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>High Cronbach's <i>α</i> = 0.91 was observed for the PSE-SHE measure, indicating internal consistency. Polychoric correlations among PSE-SHE items (0.68–0.81) were found. CFA confirmed substantial factor loadings (0.72–0.84, <i>p</i> &lt; 0.0001) of each item on the latent factor (CFI = 0.98), supporting construct validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>The reliable and valid PSE-SHE measure may inform skills-focused health education research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Psychometric results confirm the PSE-SHE measure is valid in capturing perceptions of skills enhanced through school health education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 9","pages":"677-685"},"PeriodicalIF":1.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576836","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":"Infection Control Measures in the Classroom During and in the Aftermath of the COVID-19 Pandemic: A Multidimensional Analysis of Secondary Student Well-Being and Emotions","authors":"Tina Hascher,&nbsp;Tanja Held,&nbsp;Jakob Schnell,&nbsp;Nicolas Banholzer,&nbsp;Kathrin Zürcher,&nbsp;Lukas Fenner,&nbsp;Pascal Bittel,&nbsp;Philipp Jent","doi":"10.1111/josh.70039","DOIUrl":"10.1111/josh.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In our research, we investigated student state and habitual well-being in school during and in the aftermath of the COVID-19 pandemic (after schools reopened) and analyzed their associations to measures in schools aimed at preventing ongoing infectious diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Measures</h3>\u0000 \u0000 <p>We conducted two interventional field studies in Swiss lower secondary education (Grades 8 and 9, students aged 13–15 years) to compare trait and state well-being during three different study conditions: no infection control measure, facial mask mandates, and the temporary installation of portable air cleaners in classrooms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In Study 1, student enjoyment in school significantly decreased over time and their physical complaints increased. Students reported significantly higher negative activation with masks and air filters when compared to no infectious control measures. However, their negative activation significantly decreased over time with the mask, whereas it increased without measures. In Study 2, student worries in school significantly decreased over time. In one class, students reported an increase in positive activation and valence without air cleaners. In the other class, positive activation and concentration increased with air cleaners and negative activation decreased without air filters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health and Conclusions</h3>\u0000 \u0000 <p>Results suggest that infection control measures in school can have short term positive and negative effects on students' self-reported state well-being while not significantly impeding student's habitual well-being. For school health, students might benefit psychologically in times of crisis when they understand the implementation of measures as actions of care and safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 9","pages":"686-698"},"PeriodicalIF":1.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561785","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":"Differences Exist in Utilization of School Based Health Centers by School Semester and by Proportion of Low-Income Students*","authors":"Jenna Van Draanen,&nbsp;Taylor C. Ryan,&nbsp;Luciano Garofalo,&nbsp;Brenda Y. Goh,&nbsp;Sara Rigel,&nbsp;Samantha T. Yeun,&nbsp;Erin MacDougall,&nbsp;Michael Nash","doi":"10.1111/josh.70045","DOIUrl":"10.1111/josh.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>School based health centers (SBHCs) are essential for providing health care to students. Literature demonstrates student characteristics such as race and income are associated with SBHC utilization; however, little data exists on temporal trends in utilization. This gap in knowledge is crucial for informing policies and resource allocation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study examined utilization across 27 SBHCs at elementary, middle, and high schools in King County, Seattle from 2017 to 2021. Negative binomial models with random intercepts were constructed to evaluate semester-level variation in utilization, accounting for school-level differences in race, income, and attendance. Interaction models were constructed to test for effect modification of utilization by race, income, and attendance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings indicate that higher rates of utilization occurred in the fall. There was a decrease in utilization during the study, potentially due to the pandemic. Lower school-level income was positively and significantly associated with higher utilization and none of the interaction models were significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Our study holds important implications for planning and policy recommendations surrounding SBHC care delivery, such as the potential need for more staffing to meet the higher demand in the fall.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SBHC utilization varies by semester and schools serving low-income communities may experience higher rates of utilization, requiring increased staffing needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 9","pages":"723-730"},"PeriodicalIF":1.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561760","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":"Availability and Implementation Characteristics of Nutrition Health Promotion Interventions in Quebec Elementary Schools","authors":"Erin K. O'Loughlin,&nbsp;Mounia Naja,&nbsp;Robert J. Wellman,&nbsp;Katerina Maximova,&nbsp;Jennifer L. O'Loughlin","doi":"10.1111/josh.70043","DOIUrl":"10.1111/josh.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Availability and quality of nutrition-related health-promoting interventions (N-HPIs) vary across primary schools. We examined whether school contextual factors (e.g., socioeconomic deprivation) were associated with N-HPI availability in Quebec, Canada, and whether available N-HPIs incorporated evidence-based implementation characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In a cross-sectional study (2016–2019), informants from 171 primary schools reported on N-HPI availability. Availability was analyzed in relation to 10 school-level contextual indicators. A subset of 52 N-HPIs was examined in-depth for alignment with 15 evidence-based implementation characteristics identified in a literature review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>N-HPIs were reported in 120 schools (70%, including 77% serving disadvantaged populations). Among the 52 N-HPIs examined in-depth, over 75% demonstrated four core characteristics: Staff involvement, integration of multiple core competencies, innovative teaching strategies, and alignment with school context. Fewer HPIs included formal evaluation (46%), were delivered over multiple sessions (35%), or engaged students in design or implementation (15%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>To strengthen N-HPIs, policymakers should support flexible, theory-informed interventions that incorporate evaluation from the outset. Greater involvement of students, staff, and families in planning may help address persistent barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>While N-HPIs are widespread and often incorporate evidence-based implementation characteristics, there is room to enhance student participation, extend program duration, and strengthen evaluation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 9","pages":"710-722"},"PeriodicalIF":1.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561759","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":"School Connectedness Boosts Mental Health in Indigenous Adolescents With Adverse Childhood Experiences: Mediation Analysis of a Longitudinal Study in Australia","authors":"Md Irteja Islam,&nbsp;Vaikunth Sia Cheruvu,&nbsp;Caitlin Laska,&nbsp;Tuguy Esgin,&nbsp;Alexandra Martiniuk","doi":"10.1111/josh.70047","DOIUrl":"10.1111/josh.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The study examined whether school connectedness mediates the association between Adverse Childhood Experiences (ACEs) and mental health conditions among Indigenous adolescents, and if this mediation varies by school type—Public versus Private/Catholic</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using data from 13 waves of the Longitudinal Study of Indigenous Children (LSIC) in Australia (2008–2020), the present study examined the potential mediating effects of school connectedness in the association between exposure to ACEs and adolescent mental health conditions (anxiety/depression) in 636 Indigenous adolescents aged 12–17 years. Based on Baron and Kenny's approach, modified Structural Equation Modeling (SEM) techniques were employed to examine the mediating effect. All models were adjusted for covariates including age, sex, location, and socioeconomic position.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The longitudinal analysis revealed that strong school connectedness and no/limited ACE exposure positively influenced mental health, regardless of school type (<i>p</i> &lt; 0.05). Mediation analysis indicated that school connectedness significantly mediated the association between ACE exposure and mental health conditions for Indigenous adolescents who attended public schools (<i>p</i> &lt; 0.05) but not for those who attended Private/Catholic schools.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>These results underscore the critical role of school connectedness in supporting the mental health of Indigenous adolescents who have faced early childhood adversity. Notably, it highlights the unique needs of students in different school types and calls for further research to better understand how schools can foster well-being for Indigenous adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Strengthening school connectedness offers a valuable avenue for promoting mental health among school-going Indigenous adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 9","pages":"731-740"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545853","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":"Resiliency of the Comprehensive School Health Approach in Canadian Schools Throughout the COVID-19 Pandemic","authors":"Danielle Klassen,&nbsp;Genevieve Montemurro,&nbsp;Jenn Flynn,&nbsp;Kim Raine,&nbsp;Kate Storey","doi":"10.1111/josh.70044","DOIUrl":"10.1111/josh.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Contributions to Practice</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 9","pages":"776-782"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545852","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":"Advancing Condom Availability in Chicago Public Schools: Lessons From a Multi-Sector Partnership","authors":"Julia Liu,&nbsp;S. Parchem,&nbsp;M. DiPaolo,&nbsp;K. Ramirez-Mercado,&nbsp;T. DeClemente,&nbsp;E. Jarpe-Ratner","doi":"10.1111/josh.70046","DOIUrl":"10.1111/josh.70046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Condom availability programs (CAPs) in schools are a strategy intended to reduce rates of sexually transmitted infections (STIs) and unintended pregnancies among youth. Despite evidence on comprehensive sexual health education and contraceptives, these initiatives often face inconsistent implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Contribution to Practice</h3>\u0000 \u0000 <p>This retrospective case study examines the evolution of CAP in Chicago Public Schools (CPS), emphasizing on the cooperation between CPS and the Chicago Department of Public Health (CDPH). This case study details the transition of ad-hoc distribution to a universal condom distribution. Through interagency collaboration, CPS and CDPH developed a sustainable and scalable model for increasing access to sexual health resources into school settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>This initiative highlights the importance of policy-driven health intervention in school settings and how structured collaboration can ensure equitable access to condoms. This demonstrates how institutional relationships can work together to enhance adolescents' health and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The success of a universal CAP in school districts illuminates the value of cross-sector partnerships that strengthens health equity and can serve as a blueprint for other districts who face similar challenges in adolescent reproductive health services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 9","pages":"783-790"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545851","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":"Impact of the COVID-19 Pandemic on Prevalence of Cardiorespiratory Fitness in Public School Students","authors":"Russell R. Pate,&nbsp;Marsha Dowda,&nbsp;Morgan N. Clennin,&nbsp;Gregory J. Welk","doi":"10.1111/josh.70041","DOIUrl":"10.1111/josh.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To determine if the COVID-19 pandemic influenced students' cardiorespiratory fitness (CRF), this study examined the prevalence of meeting a health-related standard for CRF in public school students before, during and after the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A repeated cross-sectional study design was used, and multilevel logistic regression was employed to compare the prevalence of students meeting the CRF standard during the four school years preceding the pandemic (2016–2017 to 2019–2020) with the 2 years during the pandemic (2020–2021 to 2021–2022) and with 2 years after the pandemic (2022–2023 to 2023–2024). Students' CRF data were provided by 21 school districts that, between 2016–2017 and 2023–2024, consistently participated in a statewide survey of health-related fitness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Before the pandemic 52.4% of students met the standard for CRF. This prevalence was reduced to 44.3% during the pandemic (AOR = 0.69, 95% CI = 0.67, 0.70) and remained reduced at 47.1% after the pandemic (AOR = 0.77, 95% CI = 0.76, 0.79).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health</h3>\u0000 \u0000 <p>During periods of societal disruption, such as a pandemic, school personnel should adopt practices aimed at supporting students' CRF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The COVID-19 pandemic was associated with reduced CRF in public school students, and this trend persisted for at least two school years following the pandemic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"639-648"},"PeriodicalIF":1.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530791","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":"Investigating Primary School Nurses' Activities That Are Effective in Health Promotion and Primary Prevention: A Systematic Review","authors":"Lisa Kühne,&nbsp;Faith Mugo","doi":"10.1111/josh.70027","DOIUrl":"10.1111/josh.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>School nurses that are regularly present at school can influence health behaviors in the early lifespan, establishing a foundation for healthy growth. This systematic review identifies activities targeting health promotion and primary prevention and assesses the activities that are effective in improving students' health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The protocol was registered on PROSPERO (CRD42023471364). The search was conducted in the databases MEDLINE, PsycINFO, CINAHL, ERIC, Scopus, and ASSIA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The 19 identified studies include seven RCTs, four quasi-experimental studies, four cross-sectional studies, one secondary data analysis, one qualitative study, and two reviews published between 2012 and 2023. The activities were categorized as health education, screening, and structural prevention. Certain health education activities, commonly in short sessions and incorporating interactive and creative features, effectively improved health behavior, knowledge, and physical health outcomes. One screening intervention reliably identified children with vision abnormalities at an early stage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice, and Equity</h3>\u0000 \u0000 <p>By implementing these activities, school nurses enhance students' health behaviors of nutrition, physical activity, toothbrushing, and nail-biting, among others. In this way, they promote children's well-being and are well positioned to reduce health inequalities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Primary schools are an ideal setting to engage students and their families in enhancing their health literacy, with school nurses incorporating significant potential for public health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"649-667"},"PeriodicalIF":1.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499025","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":"Screening Tools in School-Based Health Centers for Children With Asthma","authors":"Vanessa F. Maier,&nbsp;Olivia Dhaliwal,&nbsp;Amanda Liu,&nbsp;Kim Foreman,&nbsp;Matthew Linick,&nbsp;Katie Feldman","doi":"10.1111/josh.70033","DOIUrl":"10.1111/josh.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is a large body of research suggesting the role of school-based health centers (SBHCs) in improving outcomes for children with asthma, but there are no evidence-based guidelines for the care of children with asthma in SBHCs. We conducted a randomized trial to assess screening in children with asthma in an urban SBHC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were screened for asthma triggers. The intervention group received home assessments and medical legal partnership (MLP) referrals as indicated. The primary outcome of asthma severity was assessed using the asthma control test (ACT). All participants completed semi-structured interviews to evaluate their experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All families randomized to intervention qualified for and completed home remediation. There were no statistically significant differences in asthma severity. There was 100% retention of participants, and all participants rated their experience as good or excellent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for School Health Policy, Practice and Equity</h3>\u0000 \u0000 <p>This study demonstrates a high prevalence of home-based asthma triggers for children with asthma who receive care in SBHCs. Although not large enough to demonstrate significance in primary outcomes, participants were successfully recruited from a diverse population and retained through completion of the study. Participants rated their experience as good or excellent, suggesting that the recruitment and retention of diverse participants for clinical trials in SBHCs can be successful.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Home-based asthma triggers for children with asthma who receive care in SBHCs are prevalent. Although complex collaborations are required, SBHCs are a viable site for clinical trials. More research is needed to understand the benefit of interventions in SBHCs to reduce asthma severity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":"95 8","pages":"622-630"},"PeriodicalIF":1.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/josh.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334275","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}