@article{ref1,
title="Changing multiple adolescent health behaviors through school-based interventions: a review of the literature",
journal="Journal of school health",
year="2013",
author="Busch, Vincent and de Leeuw, Johannes Rob Josephus and de Harder, Alinda and Schrijvers, Augustinus Jacobus Petrus",
volume="83",
number="7",
pages="514-523",
abstract="BACKGROUND: In approaches to health promotion in adolescents, unhealthy behaviors are no longer regarded as independent processes, but as interrelated. This article presents a systematic literature review of school-based interventions targeting multiple adolescent behaviors simultaneously. METHODS: A systematic literature search was performed using PubMed, Science Direct, and PsychInfo. Only papers written in English and describing original research were included. RESULTS: Of 33 papers included, 23 focused on quantitative behavioral changes, and 10 on the evaluation of intervention development, implementation, and/or institutionalization. Parental and community involvement in the intervention seemed to be positively associated with effective changes in student health behaviors, whereas creating a healthy school environment and/or policies were less strongly associated with intervention effectiveness. Findings indicated that, for adequate implementation, an intervention should be integrated in pre-existent school settings, fine-tuned to its target population or environment, involve family and the community, and be led by the school itself, with there being a &quot;healthy school coordinator&quot; to coordinate the program. CONCLUSION: A multi-behavior, multi-actor approach would appear to be the most effective way to promote, at school, healthy behaviors among adolescents.<p /> <p>Language: en</p>",
language="en",
issn="0022-4391",
doi="10.1111/josh.12060",
url="http://dx.doi.org/10.1111/josh.12060"
}