Healthy Happy Schools: Myth or Reality?
Author(s):
Sharon Moynihan (presenting / submitting) Patricia Mannix McNamara
Conference:
ECER 2014
Format:
Paper

Session Information

08 SES 12, Health Promoting Schools: Evidence and Future Perspectives

Paper Session

Time:
2014-09-05
09:00-10:30
Room:
B101 Sala de Aulas
Chair:
Monica Carlsson

Contribution

The aim of this research was to identify the level of post primary school engagement in Health Promoting Schools in Ireland.

 Schools are an important setting for the promotion of health and well-being (WHO, 2010). The promotion of health in schools is believed to promote student health resources and to positively contribute to learning outcomes of students (Stewart-Brown, 2006, St. Leger et al., 2007). Traditionally health education focused on curing disease and behavioural change however, research has confirmed that knowledge alone is insufficient to empower people to make better lifestyle choices and behavior change (Klepp et al., 1994). Schools are recognised as important settings for health promotion (Mukoma & Flisher, 2004; St. Leger, 2010) because of the wide audience they encapsulate and also the length of time that children remain in school. They can have a huge influence on people’s decision making, and perception of health. Many behaviours that have a profound effect on health status, such as physical activity levels and dietary choices are established during the schooling years of many young people (Mohammadi et al., 2010). The foundation of health promoting schools has its origins in the Ottawa Charter for Health Promotion (WHO, 1986), where schools were named as an important health promoting setting. The Ottawa Charter states that health promotion involves “enabling people to learn, throughout life” and acquire the competence to “exercise more control over their own health and over their environment” (WHO, 1986:3). The principles outlined in the charter were adopted by the World Health Organisation and became known as the Health Promoting School concept (Whitman & Aldinger, 2009).

The health promoting schools concept is a whole school approach to enhance health and educational outcomes of students through teaching and learning experiences initiated in school (SHE, 2009). It enables adolescents to take action themselves and this is partly done via curriculum and partly via a whole schools approach (Barnekow et al., 2006). Ireland was an early adopter of the HPS approach and was enthusiastically supported in the pilot phase (Lahiff, 2000). However, although progress in HPS has been widely documented across the European countries, Ireland has not gathered evidence on the progress of HPS nationally and this is a significant gap.

The Irish Education Act (1998) emphasises the need for schools to promote the social and personal development of students and provide them with health education. Ireland has taken a specific curricular approach to this and introduced the subject Social, Personal and Health Education (SPHE) into the curriculum in 2000. No research as yet has provided evidence of the link between SPHE and the health promoting school and this research aims to make this link explicit. 

Method

This study was conducted through the use of a questionnaire. The questionnaire contained a mixture of open and closed questions. The first section asked background information of the school and the teacher completing the survey. The second section contained 15 statements pertaining to the school as a health promoting setting and respondents were asked to rate their level of agreement with the statement in relation to their own school. The third section contained fourteen questions and asked specific information on the Health Promoting School approach and Social Personal and Health Education in their school. The questionnaire was sent to every post primary school in Ireland. The source used to obtain the names and addresses of all secondary schools in the country was the Department of Education and Skills website database. Of the 721 schools that were listed, 17 were taken off the list as they were colleges of further education, therefore, offering a population sample of 704 schools. All the surveys were coded in order to be able to send reminder letters to schools who had not responded. One survey together with a letter and information sheet was sent to each school for an SPHE teacher to complete. Each pack contained a pre-paid envelope, for teachers to return the survey. The questionnaire was sent out to teachers in February 2012 and for schools who had not responded a reminder with another copy of the questionnaire was sent again in March 2012. Ethical approval was sought and granted by the University of Limerick ethics committee in December 2010 (EHSREC10-42). A pilot study was also conducted using a convenience sample of teachers and questions asked using Bell's pilot framework (2005). Following the pilot, changes were made to content and layout, according to the recommendations made by participants. Upon receiving the surveys, the data was inputted into SPSS and Survey Monkey. This was done in order to cross reference the information and to reduce the risk of making any mistakes when inputting the data. Statistical analysis was undertaken using SPSS on the closed questions while thematic analysis was used for the open questions in the survey. MaxQDA was the software package used to aid thematic analysis of the qualitative data.

Expected Outcomes

A response rate of 56% (n=394) was achieved. Over half of these schools (56%) identified themselves as health promoting. Some models of good practice emerged from the data but these were in the minority. Conversely, many when asked to describe health promotion in their school, placed emphasis on physical health (diet and exercise) and curriculum predominately rather than the broader whole school conceptualisation. Only 24% of schools had a team supporting HPS developments. Only 26% identified the existence of a school policy to support HPS. This suggests that further coherence for sustained and comprehensive implementation of HPS is necessary. The majority (88%) participants who responded to the survey were female and points to the gendered nature of the teaching of health education. The research was conducted with teachers, in the first instance who self-reported their school’s level of HPS engagement. Further research could be done with other stakeholders in the school in this process, such as pupils, principals, parents and other school staff. This paper offers the first national baseline data available in relation to engagement in health promoting schools in Ireland. It provides a valuable starting point from which further research with schools in this field can be conducted.

References

Barnekow, V., Buijs, G., Clift, S., Jensen, B.B., Paulus, P., Rivett, D. & Young, I. (2006) Health Promoting Schools: a resource for developing indicators, WHO regional office for Europe, Copenhagen. Bell, J. (2010) Doing your research project, 5th ed.,London: McGraw-Hill Klepp, K., Oygard, L., Tell Grethe, S. and Vellar Odd, D. (1994) Twelve year follow up of a school-based health education programme. European Journal of Public Health, (4) p.195-200. Lahiff, J. (2000) The Development of the Irish Network of Health Promoting Schools. Health Education, 100(3) p.111-116. Mohammadi, N.K., Rowling, L. And Nutbeam, D. (2010) Acknowledging educational perspectives on health promoting schools, Health Education, 110(4) pp.240-251 Mukoma, W & Flisher, A.J. (2004) Evaluation of health promoting school: a review of nine studies, Health Promotion International, 19(3), p.357-368. St. Leger, L., Kolbe, L. J., Lee, A., McCall, D., & Young, I. (2007), “School health promotion: achievements, challenges and priorities”, in Mc Queen, D.V. & Jones, K. (Eds.), Perspectives on Health Promotion Effectiveness, Saint-Denis France: Springer, pp.107-124. St Leger, L., Young, I., Blanchard C., Perry, M. (2010) Promoting Health in Schools: from Evidence to Action. An International Union for Health Promotion and Education (IUHPE) publication. Available at: http://www.iuhpe.org/index.html?page=516&lang=en#sh_advevid Accessed on: 30 Sept 2011 SHE (2009) Vilnius Resolution: better schools through health, NIGZ, Woerden, the Netherlands. Available at: http://www.schoolsforhealth.eu/upload/Vilnius_resolution.pdf Accessed on: Jan ‘11 Stewart-Brown S. (2006), What is the evidence on school health promotion in improving health or preventing disease and, specifically, what is the effectiveness of the health promoting school approach? WHO Regional Office for Europe; p.26, available on: http://www.euro.who.int/document/e88185.pdf (accessed on 02 September 2010). Whitman, C. and Aldinger, C. (eds) (2009) Case Studies in Global School Health Promotion, New York: Springer World Health Organisation (2010) Health Promoting Schools, Available at http://www.who.int/school_youth_health/gshi/hps/en/print.html [Accessed Dec 2010]. World Health Orgaisation (1986) Ottawa Charter for Health Promotion, Geneva, World Health Organisation, Available at: http://www.who.int/hpr/NPH/docs/ottawa_charter_hp.pdf Accessed on 10 September 2011.

Author Information

Sharon Moynihan (presenting / submitting)
University of Limerick
Department of Education and Professional Studies
University of Limerick
University of Limerick, Ireland

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