Background: Implementation of school-based health promotion programs requires contextual fit. To strengthen the nutrition education program "Krachtvoer" (ENG: "Power Food") and learn general lessons about contextual fit, this study examined how the program, the context, and program-context interactions affected teachers'…

Purpose: To evaluate the efficacy of a PRECEDE model-based educational program in enhancing awareness, attitudes and preventive behaviors against diabetes complications among rural patients with type 2 diabetes mellitus (T2DM). Design/methodology/approach: This quasi-experimental study included 160 T2DM patients from rural health centers in…

This article examines the implementation, participation rates, and potential determinants of participation in the digital addiction prevention program "ready4life." A two-arm cluster-randomized trial recruited German vocational students via class-based strategies. Intervention group received 16 weeks of in-app coaching; the control group…

The usefulness of health communication in promoting health programs through various communication strategies plays a key role in raising awareness on the prevention of diseases within the community. However, there are currently no existing studies that focus specifically on community diseases such as dengue fever. Therefore, this study aimed to…

Purpose: This paper describes the effectiveness of the sustainability-based action teacher model in distance learning, focusing on health and teacher performance. Design/methodology/approach: In this quasi-experimental research, 34 primary school teachers (B accredited) from three areas participated in a one-group pretest-posttest design. Health…

Purpose: This paper describes the planning and implementation program of Remaja Berdaya Sehat Tanpa Rokok (JayaStar) or Empower Youth Healthy without Smoking (EYHWS). This is a pilot tobacco control program for smoking behavior with a community-based participatory research (CBPR) approach in a rural area of Indonesia. Design/methodology/approach:…

Aim: This study aims to evaluate the impact of a novel multicomponent nutrition education program (United for Healthier Kids; U4HK) on the diet consumed during school lunch among preschool children. Methods: The program comprised four tools: hero plates, hero content, hero menus, and hero books and stickers. The program was implemented for 16…

Irish children's physical activity (PA) levels are below national guidelines. Schools are an ideal setting to promote PA but it remains challenging. This study evaluates the effectiveness of a step-back approach to Project Spraoi (PS); a facilitator (Energizer) led school-based PA intervention. Each Energizer in year one had 2 contact days per…

Purpose: Adapting the Health Promotion School (HPS) approach to context specifics is acknowledged as being essential for implementation and achieving optimal effectiveness. This study aims to explore implementation variations on seven HPS spectra (such as top-down to bottom-up involvement of stakeholders) on which implementation of the HPS…

Social media plays a significant role in adolescents' lives, with both positive and negative effects. Implementing interventions to mitigate the negative aspects and enhance the positive ones could improve adolescents' well-being. Unfortunately, there is a scarcity of evidence-based interventions available. To fill this gap, we have developed a…

Drug take-back system provides a legal, safe and eco-friendly avenue to appropriately dispose of unwanted medicines, contributing to both environmental sustainability and reducing medication misuse. This study designed and implemented a brief educational intervention, which took <1 min on average, to enhance awareness of community residents…

Poor nutritional choices and unhealthy behaviors are considered responsible for the rise in childhood overweight and obesity and may reinforce each other, creating a vicious cycle. This paper studies a primary school intervention designed to break the cycle early in life by replacing date bars with calorie-equivalent meals lower in sugar and fat.…

To develop positive learning environments, it is important that supporting mental health and wellbeing is a priority. Whole-school programmes are considered an effective way of developing provision in schools; however, poor implementation can limit the impact of such programmes, and there is a lack of clarity about the key factors affecting the…

Background: It is vital to improve the mental health (MH) of young people in Hong Kong, where the suicide rate has nearly doubled among those aged 15-29 years since 2014. This multi-method evaluation aimed to assess Coolminds, which promoted MH literacy by engaging students, parents, and educators in secondary schools in Hong Kong. Methods:…

This study aimed to evaluate the efficacy of an intensive lifestyle modification program tailored to rural Chinese women with prior gestational diabetes mellitus compared with usual care. In a cluster randomized controlled trial, 16 towns (clusters) in two distinct rural areas in China were randomly selected (8 towns per district); and 320 women…