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A complementary ecological model of the coordinated school health program
1Department of Applied Health Science, Indiana University, Bloomington, IN 47405, USA. dlohrman@indiana.edu
Public Health Reports (Washington, D.C. : 1974)
|August 29, 2009
Summary
This study proposes an updated ecological model for Coordinated School Health Programs (CSHP), integrating environmental and policy factors. The model enhances CSHP practice, evaluation, and research for improved student well-being.
Area of Science:
- Public Health
- Child Development
- Ecological Models
Background:
- Coordinated School Health Programs (CSHP) have evolved over 20 years.
- Existing models may not fully capture the complex interplay of factors influencing student health.
- A need exists for an updated conceptual framework for CSHP.
Purpose of the Study:
- To propose a complementary ecological model for Coordinated School Health Programs (CSHP).
- To reflect 20 years of changes and advancements in the field.
- To provide an additional conceptual approach for CSHP practice, evaluation, and research.
Main Methods:
- Consulted public health and child development theories.
- Incorporated ecological concepts influencing health behavior.
- Integrated concepts with the eight components of CSHP.
Main Results:
- Developed an ecological model with six inner program/service components.
- Surrounded the inner components by four concentric rings: healthy school environment, CSHP structures, district governance, and family/community involvement.
- The model reflects the complex interrelationships of intrapersonal, interpersonal, institutional, community, and policy factors.
Conclusions:
- The proposed ecological model offers a comprehensive framework for CSHP.
- It is particularly useful for practitioners and researchers with existing CSHP knowledge.
- This model can enhance the practice, evaluation, and research of CSHP.
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