Background: In 2023, the US state of Texas passed a bill on vaping in school -- House Bill 114 (HB 114) -- which took effect in Texas public schools on 1 September of that year. HB 114 mandates that any student caught vaping in school be placed on a Disciplinary Alternative Education Program (DAEP). The efficacy of HB 114 may be contingent, at…

Background: Comprehensive health education in schools can effectively prevent drug use and related outcomes, but successful implementation remains challenging. Contextual determinants, including intervention-setting compatibility, focus on the intervention, available resources, and leadership support, influence implementation success. This study…

Many factors impact an adolescent's willingness to appropriately use health-care services and intent to begin the health-care transition process. Published literature continues to show that the way adolescents experience and utilize health-care services is ineffective and has long-term impacts on individuals and systems. Building upon the success…

Background: Most adolescents in the United States do not obtain sufficient sleep. Early school start times play a significant role in adolescent sleep deprivation. Most primary and secondary schools begin classes earlier than the 8:30 am. Perceived barriers to implementing a delayed school start time have been suggested in the literature but have…

For sexual health education implementation, program fidelity, defined as whether prescribed curricular components are delivered as prescribed, is critical. Whereas fidelity data is often collected quantitatively with little to no information about what changes were made and why, this mixed methods case study evaluation aimed to understand what…

Objective: The ability of schools, school leaders and teachers to promote critical health literacy in teaching and learning is central to the development of health literacy in schools. However, research focusing on teachers and planning for health literacy through health programmes in school is minimal. This paper describes how one school Health…

As described in the Framework for 21st Century School Nursing Practice, school nurses bridge the realities of health and education policy within the school community every day. This role is inclusive of helping teach sexual health education (SHE) to students. We were interested in characterizing how school nurses navigate requirements of health…

Region One Education Service Center (Region One) was awarded an Investing in Innovation (i3) development grant funded by the Office of Innovation and Improvement, U.S. Department of Education, entitled Project Health Education for ALL (HEAL[superscript 2]). Project HEAL[superscript 2] i3 initiative served a pipeline of high school grades 9 to 12…

Background: The school environment has the potential to influence student body mass index (BMI) through programs and policies. Our objective was to examine the effect of modifying obesity-related school policies and programs on youths' BMI trajectories. Methods: Obesity-related school policies and programs related to physical activity and healthy…

The aim of health and physical education (HPE) is to help children and youth develop physical activity and health behaviors that will benefit them throughout their lives. However, adolescent girls are often disengaged in HPE. Girls place considerable importance on having a socially supportive learning environment. Therefore, teachers should try to…

Community development research suggests that positive partnerships and connections between groups can result in stronger, more resilient and productive communities. Despite community connections featuring increasingly at a curriculum level in countries such as Australia and New Zealand, research is only beginning to explore the nuanced processes…

Purpose: Implementing health promotion programmes in schools is key to improving children's health and well-being but difficulties in achieving expected results are often reported in the research literature. Discrepancies between expected and achieved outcomes can originate from differences in contexts. Understanding how interactions between…

Despite national guidelines for regular physical activity, most adolescents are not physically active. Schools serve an estimated 60 million youth and provide an educational environment to meet the current physical activity guidelines. The obesity epidemic and chronic disease comorbidities associated with physical inactivity are not likely to be…

Background: Comprehensive School Health models offer a promising strategy to elicit changes in student health behaviours. To maximise the effect of such models, the active involvement of teachers and students in the change process is recommended. Objective: The goal of this project was to gain insight into the experiences and motivations of…

Purpose: The purpose of this paper is to add to the evidence of best practice in the implementation of the Health Promoting Schools (HPS) framework by examining the process of creating readiness for change in a large international school in South-East Asia. Using a settings-based approach and guided by readiness for change theory the data…