Divera Twisk, Simone Wesseling, Willem Vlakveld, Jan Vissers, Geertje Hegeman, Nikki Hukker, Erik Roelofs, Wilma Slinger
Higher-order cycling skills among 11- to 13-year-old cyclists and relationships with cycling experience, risky behavior, crashes and self-assessed skill
Journal of safety research
context schoolbased healthpromoting interventions implemented key delivery success interventions however little known whether school culture differs school deprivation using data promess crosssectional study 161 elementary schools qubec canada drew health promoting schools theoretical framework develop four measures healthpromoting school culture ie school physical environment schoolteacher commitment student health parentcommunity engagement school ease principal leadership using exploratory factor analysis oneway anova posthoc tukeykramer analyses used examine associations measure social material deprivation school neighborhood factor loadings supported content school culture measures cronbachs alpha indicated good reliability range 068077 social deprivation school neighborhood increased scores schoolteacher commitment student health parentcommunity engagement school decreased implementation healthpromoting interventions schools located socially deprived neighborhoods may require adapted strategies address challenges related staff commitment parental community involvement measures developed herein used investigate school culture interventions health equity