Health Promoting School: initial implementation process in Belo Horizonte/MG/Brazil
Notice bibliographique
Résumé
The Health Promoting Schools (HPS) program aims to provide students with access to health promotion actions, leading to improvements in their quality of life and school performance. However, the implementation of the program on a large scale has been successful in only a few countries. Additionally, there is a scarcity of studies addressing the challenges of HPS implementation and strategies to overcome them. This thesis evaluates the initial implementation process of the HPS model proposed by the Affordable Health Initiative (AHI) in schools attending socially vulnerable communities, in Belo Horizonte (BH). The AHI HPS model is based on the Ottawa Charter and Implementation Research (IR) and includes dental care among its interventions. The first stage of this thesis involved qualitative research to assess the acceptability, adoption, sustainability, and feasibility of the AHI HPS model. Content analysis was conducted on 10 records of meetings held by the Implementation Committee (IC). Additionally, five interviews were conducted with key informants who attended the meetings. The participants expressed acceptance and willingness to contribute to the implementation of the model, recognizing its simplicity and suitability for schools. Facilitating factors included joint planning, intersectoral collaboration, and alignment with existing policies and actions. However, barriers such as parental engagement, limited resources, funding, and time constraints were acknowledged, which must be addressed for successful implementation. The second stage comprised a scoping review to map and synthesize the literature on implementation research that assessed the cost of health-promoting interventions in elementary schools. The searches were conducted in the databases: LILACS, MEDLINE, Cochrane, Scopus, Web of Science, Embase, Eric, and in gray literature (Google Scholar), in January 2022, using filters for publication date and language. A total of 492 articles were selected, and 11 met the eligibility criteria. As the studies involved interventions from different health promotion areas, it was impossible to compare costs and effects. The results pointed out that despite the cost being widely referred to as a barrier to implementing school health interventions, there are still few studies on the subject. The reporting of economic evaluations requires attention as they failed to report data, such as the analytical perspective, methods of measuring costs, and treatment of uncertainty. As a result of this thesis, it was decided to conduct an ongoing systematic review of the literature on the cost components of school-based oral health-promoting programs to provide tools for the cost analysis of dental care proposed by the AHI HPS model. It is expected that the findings of this thesis will contribute to improvements in the implementation process of the program in the participating schools, and encourage and support its expansion to others.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,033 | 0,050 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,003 | 0,003 |
| Études des sciences et des technologies | 0,004 | 0,002 |
| Communication savante | 0,004 | 0,002 |
| Science ouverte | 0,001 | 0,004 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».