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Evaluating the Implementation of Health Promoting School Program by RE-AIM Model Based
Jong- Long Guo
Health Promoting School (HPS)
hierarchical regression analysis
The objective of this research is to explore the implementation of the program HPS (health promoting school) and to study the relationship between the background of the staff and the school. The research framework was on the basis of the RE-AIM model. This research adopted mainly quantitative research, and supplemented by qualitative research. From the quantitative research, the HPS promoting staff who attended the seminar of HPS training in 2008 served as the subjects of this study. Self-administered questionnaires were provided after the seminar. A total of 848 valid questionnaires were collected. From the qualitative research, 16 HPS promoting staffs from four HPS excellent schools and four HPS moderate schools served as the interviewees. The result indicated that, in the aspect of Reach, HPS promoting staffs who are male, with higher seniority, with higher position at school or non-health-and-physical-education specialists tend to have more effective promotion. In the aspect of Efficacy, those who have higher position at school have more effective promotion. In the aspect of Adoption, HPS promoting staffs who are male, with higher seniority, or with higher position at school have more effective promotion. In the aspect of Implementation, HPS promoting staffs who have higher position at school have a tendency to have more effective promotion. In the aspect of Maintenance, HPS promoting staffs having higher seniority, higher position at school and non-health-and-physical-education specialists tend to have more effective promotion. In the aspect of HPS overall promoting effectiveness, HPS promoting staffs who are male, with higher seniority, with higher position at school and as non-health-and-physical-education specialists have more effective promotion. Thus, from the study we found that, the school background of the promoting staff is more influential in implementation. The gross amount of explanation of HPS promoting staffs’ personal background is 5.1%, and only the position at school is relatively predictable. By adding the factor of the staff’s school background, the gross amount of explanation reached up to 6.5%. Factors of school background, GNP, educational background, location of the school and the ratio of children of immigrant mothers attending elementary and junior high also have significant predictions to HPS implementation (total score of RE-AIM). Finally, the results of this study, which provided suggestions and recommendations, will be a great value to HPS promotion and evaluation in the future.
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