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…

Background: School-based health education efforts can positively affect health behaviors and learning outcomes; however, there is limited available time during the school day for separate health education classes. The purpose of this study was to assess the feasibility and sustainability of implementing a classroom-based health education program…

Background: The school-based Dutch Obesity Intervention in Teenagers (DOiT) program is an evidence-based obesity prevention program. In preparation for dissemination throughout the Netherlands, this study aimed to adapt the initial program and to develop an implementation strategy and materials. Methods: We revisited the Intervention Mapping (IM)…

Background: To monitor priority health risk behaviors and school health policies and practices, respectively, the Centers for Disease Control and Prevention (CDC) developed the Youth Risk Behavior Surveillance System (YRBSS) and the School Health Profiles (Profiles). CDC is often asked about the use and application of these survey data to improve…

Background: School environment and policy changes have increased healthy eating and physical activity; however, there has been modest success in translating research ?ndings to practice. The School Environment Project tested whether an adapted version of Intervention Mapping (AIM) resulted in school change. Methods: Using a pair randomized design,…

Developed a behaviorally-based health education instruction model from a review of successful interventions, identifying three principles common to health behavior improvement among program participants (experiential, awareness, and responsibility); organizing these principles and several theoretical premises into a structural framework for the…

A comprehensive school-based prevention program based on an ecological model is recommended. Important components include staff training; classroom interventions; integration of relevant material into the existing curriculum; individual counseling and small group work with high-risk students; referral systems; opportunities for healthy eating;…

The Claxton Elementary School Health Program was developed to improve school/community health. Using the Community Oriented Primary Care process, a health advisory board was organized and a comprehensive needs assessment was implemented. Teachers, parents, students, and professionals agreed on perceived health problems. The board selected two…

Outlines innovations needed in school health education programs at four levels--national, state, school district, and school site. Implications for health education program developers at each level are indicated. (SM)

The Bienestar Health Program is a diabetes risk-factor prevention program targeting Mexican American fourth graders. Program goals are to decrease overweight and dietary fats. The program is based on social cognitive theory and uses culturally relevant material. Preliminary evaluation indicates the program significantly decreases dietary fat,…