Catherine M DuBreck, Richard C Sadler, Godwin Arku, Jason A Gilliland
Examining community and consumer food environments for children: An urban-suburban-rural comparison in Southwestern Ontario
Social science & medicine (1982)
schools play important role health promotion improving students health literacy attitudes healthrelated behaviours social connection selfefficacy interventions particularly valuable low middleincome countries low health literacy high burden disease however existing literature provides poor guidance implementation schoolbased interventions lowresource settings paper describes development pilot testing multicomponent schoolbased health promotion intervention adolescents 75 governmentrun secondary schools bihar india intervention developed three stages evidence review content delivery effective school health interventions formative research contextualize proposed content delivery involving intervention development workshops experts teachers students content analysis intervention manuals pilot testing situ optimize feasibility acceptability threestage process defined intervention elements refining content format delivery intervention focused promoting social skills among adolescents engaging adolescents school decision making providing factual information enhancing problemsolving skills specific intervention strategies delivered three levels whole school student group individual counselling either trained teacher lay counsellor pilot study 50 schools demonstrated generally good acceptability feasibility intervention though coverage intervention activities lower teacher delivery schools due competing teaching commitments participation male students lower females one school dropped concerns regarding reproductive sexual health content intervention seher approach provides framework adolescent health promotion secondary schools lowresource settings using clusterrandomized trial evaluate effectiveness costeffectiveness