BACKGROUND: The purpose of this study was to assess the effects of the Bienestar/NEEMA Coordinated School Health Program (BN CSHP) on cardiorespiratory fitness (CRF) of preschool children. METHODS: A cluster randomized trial was conducted of preschools in South Texas. Of 48 eligible schools, 28 were randomly assigned (14 intervention, 14 control).…

Overweight and obesity are common in school-age children. Policy, system, and environmental (PSE) approaches--which entail making upstream changes to a school's context--can be leveraged to reduce childhood obesity. Nurses can advance PSE approaches in schools to promote healthy living habits. This review examines the effect of nurse-involved PSE…

In response to their experiences of heteronormative and cisnormative cultures in school contexts, some young people undertake various forms of action within their schools with the intention of changing practices, school environments, or school policies. This student-led action can be understood as a form of activism but it may also be seen as the…

Role breadth self-efficacy captures how professionals feel about their ability to undertake expanded occupational roles. For physical education teacher education (PETE) faculty, integrating Comprehensive School Physical Activity Program (CSPAP) learning experiences into PETE is beyond traditional requirements that follow national and/or state…

Background: School-based health centers (SBHCs) can integrate health and educational services to achieve common goals of student wellness and success. As no method exists to quantify the degree of integration for clinics and partner schools, this study aimed to design such a measure. Methods: Measure items were drafted from the literature. Eleven…

Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency…

We examined students' perspectives on well-being and youth engagement in schools using a Youth Participatory Action Research approach. Students (N = 11) trained as peer researchers and then interviewed their peers. Interviews (N = 21) were analyzed using reflexive thematic analysis and six themes were developed: desire for versus reality of a…

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…

Comprehensive school health (CSH) is a framework that can support teachers in the delivery of health-related content as well as supporting health promotion within the school community. In this study, 222 Bachelor of Education students completed surveys at the beginning and end of a mandatory six-week course on CSH with a body weight-neutral focus.…

This study aimed to identify barriers and facilitators to comprehensive, school-based physical activity (PA) promotion among adolescents prior to and during the coronavirus disease of 2019 (COVID-19) pandemic, considering the perspectives of students, parents, and school staff. Data were collected from 2020 to 2021 using semi-structured individual…

Background: Improving the academic achievement of youth in the United States is an area of interest and a critical indicator of the future success of the youth. The purpose of this study was to examine the impact of a comprehensive school physical activity and healthy eating program on 5th-grade students' academic achievement, specifically reading…

Objective: Health and self-care education to 5- to 11-year olds is key to disease prevention and health promotion. This study aimed to evaluate how self-care education is delivered to primary school-aged children in England. Design: Non-participant ethnographic observation. Setting: A sample of primary schools, extracurricular clubs and religious…

Background: Teacher instructional competency, the set of essential knowledge and skills needed to guide teaching practice, is critical to the successful implementation of school health education. The purpose of this paper is to introduce the Health Education Teacher Instructional Competency (HETIC) framework, a new conceptualization describing…

Background: In this study, we explore how a health education course may play a role in pre-service teachers' perceptions in teaching and integrating health education activities to nurture K-8 students' health literacy. Methods: We used mixed methods to examine the effect of a health education course in a teacher education program. Of 55…

Background: District wellness policies provide an avenue to advance the Whole School, Whole Community, Whole Child (WSCC) model. The extent to which wellness policies currently align with WSCC is unclear; to-date, tools have been unavailable to examine this issue. Methods: We reviewed written health-focused policies among 37 school districts in…