This study aimed to provide tailored health economics support to three local authorities and evaluate its impact by using a range of methods.
November 2012 - August 2015
Implementation of health promotion in schools: a realist review
Research Team: Dr Rob Anderson, Helen Buckley Woods, Professor Rona Campbell, Dr Mark Pearson, Dr Roy Chilton, Professor Charles Abraham, Professor Katrina Wyatt & Professor Tamsin Ford
Who's involved: University of Exeter & University of Bristol
April 2012 - April 2013
Researchers conducted a review of evidence to identify what influences the successful implementation of health promotion in UK schools. The review aimed to answer the following questions:
a) What are the main factors that are thought to explain the success or failure of the implementation of health promotion in schools?
b) Is there an association between these factors and the successful implementation of health promotion in schools?
c) For what public health problems and in what circumstances do schools provide a feasible and sustainable setting for effective health promotion in the UK?
This is the first review of the implementation of health promotion programmes in schools to have been conducted using a recognised and fully-documented review method. Researchers were able to improve understanding of transferable mechanisms rather than simply identifying generic implementation processes.
The review has refined existing conceptual frameworks and used evaluations in UK schools of a range of health promotion topic areas to specify particular mechanisms operate in certain contexts to produce outcomes. Research findings have identified key transferable mechanisms (e.g. reciprocity) that impact on implementation and which apply to both teachers and pupils.
Researchers have also been able to specify how an accepted principle of implementation, such as compatibility between existing school activities and proposed health promotion activities, can operate differently (but beneficially) according to context – for example, by meeting unmet needs, complementing existing activities, or driving change so that compatibility is achieved.
The findings have also identified where the mechanisms that underpin implementation differ between primary and secondary schools, and between health promotion topics.
SPHR final report: Implementation of health promotion in schools
NIHR Dissemination centre discover portal: How to successfully implement a school-based health promotion programme.
Pearson M, Chilton R, Wyatt K, Abraham C, Ford T, Woods HB, Anderson R. Implementing health promotion programmes in schools: a realist systematic review of research and experience in the United Kingdom. Implementation Science 2015 10:149.
Pearson M, Chilton R, Buckley-Woods H, Wyatt K, Ford T, Abraham C, Anderson R. Implementing health promotion in schools: protocol for a realist systematic review of research and experience in the United Kingdom (UK). Systematic Reviews 2012 1:48.
Bonell C, Humphrey N, Fletcher A, Moore L, Anderson R, Campbell R. Why schools should promote students’ health and wellbeing. BMJ 2014; 348:g3078.
Chilton C, Pearson M, Anderson R. Health promotion in schools: a scoping review of systematic reviews. Health Education 2015 115:3/4.
SPHR project poster: Implementing health promotion in UK schools