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Children and youth in contemporary western society spend less time outdoors compared to previous generations. Increased use of technology, lack of green space, and concerns for risk and safety have contributed to a generation of children spending too much time indoors. A disconnection between children and nature has occurred. Our team conducted a research synthesis review of several empirically defined non-traditional literacies (physical literacy, media literacy, health literacy, nutrition literacy, and ecological literacy) to identify common components used to conceptualize, define, and describe a new nature-based literacy. Findings included four common components: (a) Motivation, (b) Knowledge, (c) Competence, and (d) Confidence. Operationalizing nature-based literacy into a set of capability domains are described as a practical way of re-engaging children and youth with the natural world. Recommendations for future research and practice are shared.

The purpose of this study was to examine the association between perceived weight change since high school and perceived factors contributing to weight change, or lack thereof, among college students. Students from a large university in the Northeast of the United States self-reported socio-demographic characteristics, and perceived factors contributing weight change (or lack thereof) via an online survey; and, completed an objective health assessment that included the anthropometric measurements. Of all participants (n = 183), most were men (61.2%), juniors/seniors (89.5%), non-Hispanic white (65.9%). Most participants reported gaining weight since high school (n = 113, 62.1%), and these participants had significantly greater abdominal girth, weight, and body fat percentage than those who maintained their weight (p < 0.005). Perceived factors contributing to weight change explained a significant portion of the variance in perceived weight change, and perceived factors contributing to weight change differed significantly between those who perceived that they had lost or gained weight. In summary, perceived weight gain despite awareness of contributing health behaviors among some students reinforces that supporting/facilitating actual health behavior changes, rather than mere awareness of healthy behaviors, should be the focus of health promotion efforts.

Background: Traditional workplace interventions have targeted sedentary behavior using standing desk-based interventions delivered in the physical workplace. However, little is known about standing desk interventions designed for employees in flexible positions working at home and in the workplace. Purpose: The purpose of this study was to determine factors associated with the motivation to participate in and perceived benefits of a mobile standing desk intervention. Methods: After participating in an 8-week intervention using a mobile standing desk, employees (n = 20) completed one focus group session. Focus groups were audio recorded, transcribed verbatim, and analyzed using thematic analysis in NVivo. Results: Themes associated with motivation to participate included: 1) trialability; 2) previous experience; 3) health concerns; and 4) difficulty accessing a standing desk. Themes about perceived benefits of the intervention included: 1) awareness of workday behavior; 2) productivity; and 3) usefulness in the home setting. Discussion: Employees perceived work-related and health-related benefits from the mobile standing desk intervention. Motivating factors to use a mobile standing desk should be considered when recruiting employees for workplace interventions and programs. Translation to Health Education Practice: Findings from this study may help health education specialists design standing desk-based interventions for employees with remote and flexible work schedules. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars http://portal.shapeamerica.org/trn-Webinars

Most people start experimenting with and/or initiating health-compromising behaviors and establishing behavioral patterns during adolescence. Possible selves and episodic future thinking have been used to foster behavioral changes. In this study, we aimed to: (1) develop a program incorporating possible selves and episodic future thinking to decrease the risks associated with health-compromising behaviors, and (2) examine the feasibility and fidelity of implementing this intervention among Taiwanese adolescents. A novel combination of existing intervention approaches tailored for the Taiwanese context was applied to develop a school-based intervention, which we named the Future Mapping Master program. This program contains four core units: exploring the self, setting goals, developing strategies and problem solving, and understanding the threats of health-compromising behaviors. It includes daily episodic future thinking visualization exercises. The feasibility evaluation was conducted with 88 adolescents aged 12-14 years. Feedback from teachers and students supported the proposed program's feasibility and revealed favorable reactions to the intervention. The Future Mapping Master program is feasible and offers promising strategies for implementation in Taiwanese school settings.

Children should engage in at least 60 min of physical activity daily to develop or maintain healthy habits (Centers for Disease Control and Prevention, 2021a). Previous research suggests that contingent attention is a powerful tool for increasing moderate to vigorous physical activity. In this study, the researchers examined the effects of a group game on steps per minute at recess in an inclusive classroom with preschoolers. The researcher taught the game called the T-Rex game in which the game rules (chasing students who were moving) involved contingencies for natural attention to follow moderate to vigorous physical activity. The results showed a functional relation between step count and the group game in which students engaged in higher step counts when the group game was in place than during baseline. These findings extend other work by demonstrating that contingent attention embedded in group games can increase step count.

Health education can elevate health literacy, which is associated with health knowledge, health-seeking behaviors and overall improved health outcomes. Refugees are particularly vulnerable to the effects of low health knowledge and literacy, which can exacerbate already poor health stemming from their displacement experience. Traditional learning methods including classroom-based instruction are typically how health-related information is presented to refugees. Through a series of interactive classes focused on specific health topics relevant to the resettled refugee population, this study evaluated the effectiveness of a classroom-based health education model in enhancing the health knowledge of recently resettled refugees. We used the Wilcoxon signed-rank test to evaluate differences in pre- and post-class knowledge through test performance. We found a significant improvement in health knowledge in two refugee groups: females and those who were employed. Culturally and socially sensitive considerations including language inclusiveness, class timing, transportation and childcare provisions are important when creating an educational program for individuals with refugee backgrounds. Developing focused approaches to instruction that enhance health knowledge could lead to better health literacy and ultimately improve health-related behaviors and outcomes in the refugee population.

People from culturally and linguistically diverse (CaLD) backgrounds in Australia generally experience poorer health outcomes, explained in part by low levels of health literacy. We conducted a systematic review to examine the development and evaluation of health education resources designed for CaLD populations. Five electronic databases were searched for English language, peer-reviewed studies published between 1980 and 2020. Thirty-four studies met the inclusion criteria. Twenty-four different health education resources were described and broadly categorized into four types: media campaigns (n = 10), text-based materials (n = 5), films (n = 8) and radio (n = 1). Studies were assessed against domains adapted from a health literacy guideline incorporating: need, collaboration, audience, health literacy, theory, test and process and impact evaluation. All but one study met the majority of the domains. All studies reported positive evaluation outcomes; this may be due to studies involving community early in resource design and including health literacy considerations in their design. Reporting resource design and evaluation against standard practice controls is recommended to build a more robust evidence base for developing effective health education resources for use by audiences from CaLD backgrounds.

Farm to school education connects learning to the real world by helping students foster a deeper appreciation for local agriculture and healthy eating habits. Students experience and understand how nature supports life and the food they eat. Farm to school can take many forms, from classroom lessons to field trips in the school garden. Many programs include meeting farmers and farm workers to learn about the hard work that goes into growing food and about the ecosystems that support healthy crops. Educators can incorporate local food into the curriculum as a hands-on and engaging approach to teaching essential concepts about food, health, agriculture, and nutrition. When educators bring cultural relevance to farm to school education, they can create meaningful and engaging learning experiences for all students. And when this happens, students' health, attendance, participation, and academic success can all improve. The "Eating Learning Growing" guide and its framework, activities, and reflections are designed to help educators easily enrich existing lessons to include diverse topics, histories, learning styles, and customs.

Physical activity promotion is a best buy for public health because it has the potential to help individuals feel better, sleep better, and perform daily tasks more easily, in addition to providing disease prevention benefits. There is strong evidence that individual-level theory-based behavioral interventions are effective for increasing physical activity levels in adult populations but causal inference from these interventions often is unclearly articulated. A directed acyclic graph (DAG) can be, but rarely is, used to determine if the causal effect of an individual-level theory-based physical activity-promoting intervention is identifiable (e.g. stripped of any spurious association). The primary objective of the current study was to demonstrate how a DAG can be used to determine if the total causal effect of an individual randomized physical activity-promoting intervention is identifiable. The demonstration was based on the Well-Being and Physical Activity study (ClinicalTrials.gov, identifier: NCT03194854). Annotated files from DAGitty and Mplus are provided.

Purpose: Child-to-Child (C-to-C) approach is an evidence-based approach that ensures the child's participation in bringing about positive changes in healthcare. By systematically investigating the literature, the study aimed to evaluate the effectiveness of the approach and recognize associated themes, methodologies and outcomes. Design/methodology/approach: An extensive search on PubMed, ProQuest, Cochrane and Dimensions AI databases was performed for original research articles on C-to-C intervention, with no time and geographical restrictions. Following PRISMA and PICO, the Joanna Briggs Institute (JBI) critical appraisal tool assessed the studies. A data tabulation technique was used to summarize these studies. Findings: The approach shows promising results in enhancing children's understanding of health issues and their participation in community health promotion. This, in turn, encourages the adoption of better healthcare practices and shows improved health outcomes. Research limitations/implications: Further research is required to understand the long-term impact of the approach on populations from diverse socioeconomic statuses in different study settings. Practical implications: The findings will be helpful for practitioners, educators, policymakers and other stakeholders in creating more successful and effective C-to-C intervention programs to make informed decisions, achieve sustainable behavior change and improve health. Originality/value: The originality of this review paper is evident in its unique focus on the C-to-C approach, which empowers children not only as recipients of health education but also as active contributors to promoting health. Further, the present research also explores the intricacies of how children learn from each other, offering new insights into effective educational practices.

New approaches are needed when working in rural communities to identify and communicate holistic evaluation impacts related to community-based health promotion efforts of Cooperative Extension. Specifically, there is a lack of recorded long-term programmatic impacts of these programs, including behavior changes related to consuming nutritious and healthy food. The current study explored rural community members' experiences with cognitive dissonance in relation to decreased adult obesity and the adoption of healthier food consumption practices related to an extension health promotion program, as cognitive dissonance can help explain several motivational components of potential behavior change. Through a qualitative research design using a thematic analysis of focus group data, the authors observed an overall positive association between community members' experiences with cognitive dissonance, resulting in the acceptance of healthier food choices over inherited unhealthy practices, increased knowledge and awareness about nutrient-dense food, and increased physical activity. The cognitive dissonance framework revealed positive indicators of long-term programmatic impact related to food choice and consumption patterns. However, the analysis also indicated that while interventions improved access to resources, socio-economic barriers still existed that would ensure sustainability and depth of positive changes leading to long-term behavioral change in rural communities.

Although sexual and reproductive health is critically important for women with intellectual and developmental disabilities (IDD), there is limited research elucidating the role of family caregivers in assisting women with IDD access sexual and reproductive health services and information. Understanding the family caregivers' attitudes and perspectives is essential to improving access to sexual and reproductive health services and information for women with IDD. A cross-sectional online survey of family caregivers of women with IDD was administered between June and October 2018. Quantitative analysis was conducted for closed-ended responses, and qualitative analysis was conducted for open-ended responses. The analytic sample included 132 family caregivers. Most participants were parents and reported being closely involved in their family member's access to sexual and reproductive health services and information. Although most participants expressed that sexual and reproductive health services and information are essential for women with IDD, qualitative analysis of participants' open-ended responses revealed both supportive and restrictive attitudes and perspectives on sexual and reproductive health services and information for women with IDD. Supportive attitudes and perspectives included (1) "knowledge is power;" (2) supported decision-making; and (3) protection against sexual abuse. Restrictive attitudes and perspectives included (1) dependent on the individual; (2) lack of autonomy; and (3) placing responsibility on disability. Greater attention from policymakers and practitioners to systems-level changes, including universal and accessible sexual education for women with IDD, supported decision-making, and sexual abuse prevention measures, are urgently needed.

This original teaching idea for a semester-long course encompasses a team-based project in which students worked together to create persuasive campaign materials for a local community health organization. The purpose of this project was for students to apply learned concepts related to theories and principles of persuasion to a real-world situation. As a team, students engaged in working sessions to develop persuasive messages related to a health issue and create campaign materials that could be used by the organization to reach target audiences. Students produced a comprehensive final report and presentation documenting the development process and showcasing their work. Overall, while there are opportunities to shrink, expand, and otherwise customize this type of project, it produced an exciting and engaging experience for students. They reported development of their small-group communication skills, greater confidence in their unique leadership capabilities, and a greater understanding of how to connect communication theory to professional experiences. Courses: Persuasion or related graduate or upper-level undergraduate courses focusing on message design, social influence, or public communication campaigns. Objectives: This semester-long, team-based project, designed for a seminar on persuasion, required a graduate class to partner with a local community health center to: identify a specific, relevant community health concern; develop theoretically grounded, evidence-based persuasive campaign materials suitable for the organization to use on social media platforms and/or in print format; and deliver a comprehensive project report and presentation of the materials to the community organization at the end of the semester.

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 weeks. Food consumption and the quality of the menus were examined pre- and post-intervention. Results: The lunch nutrient profiling scores for fat and vitamin C improved from moderate (9.95) to good (10.87) and moderate (9.50) to very good (13.83), respectively. Vegetable and fruit consumption also increased significantly by 127.2% (6.0 (3.2, 12.9) grams to 13.7 (6.7, 18.9) grams, p<0.001) and 44.8% (8.1 (3.9, 12.4) grams to 11.7 (5.4, 21.8) grams, p<0.001), respectively. Compared to those in the Thai school lunch guidelines, the percentages of vegetable and fruit consumed increased by 16.0% (12.1% (6.4, 25.9) to 28.1% (13.4, 43.4)) and 8.8% (14.0% (6.8, 28.3) to 22.8% (8.5, 33.4)), respectively. Energy, carbohydrate, and fat intake increased significantly by 13.2% (179.1 (137.9, 220.8) to 202.7 (163.0, 243.2) kcal), 18.9% (18.1 (14.3, 21.7) to 21.6 (17.2, 25.6) grams), and 23.2% (6.7 (4.9, 9.9) to 8.2 (6.7, 10.2) grams), respectively. Conclusions: The U4HK program adopted all aspects that foster healthy eating, including a healthy environment, an attractive role model and increased repeatability of the exposure to healthy foods.

Public health education is a powerful tool for improving communicable disease awareness and prevention protocols. Despite the fact that health education is crucial for the advancement of COVID-19 awareness and vaccination decisions, how a teacher approaches students to learn about health education during COVID-19 vaccination is a challenging issue. This study aimed to assess the preferences for public health education during COVID-19 vaccination intervention and compare the predictors of preferences between science and non-science university students in Bangladesh. A multi-item questionnaire was developed and an online link was conveniently sent to the encounters between 31st May, 2023 and 15th August, 2023. Binary logistic regression analysis was applied to rationalize the research objective. The pooled preference for public health education was 71.3% (95% Confidence Interval [CI] 67.7-74.3) vs. 81.5% (95% CI 79.3-84.7) between science and non-science students. Out of twelve predictors "vaccine agreement", "bio-safety behavior", and "disease awareness" were significantly associated (p < 0.01, p < 0.05) with the preference for public health education in both groups. Varied effects were also observed for some predictors: vaccine "safety" and "side effects" were significant (p < 0.05, p < 0.01) in science and non-science students, respectively. To address the conflict in decisions, non-science students significantly preferred "prevention alliance" whereas science students preferred "environmental health" issues (p < 0.05).Public health education was more preferred by non-science university students than by science students in making COVID-19 vaccine decisions. The focus of transformative public health education should be interdisciplinary, including information on communicable diseases, public health measures, and prevention alliances, as well as information about vaccines' side effects and safety.

Adults with autism spectrum disorder and intellectual disability often do not engage in healthy levels of physical activity despite its many benefits. We conducted a randomized control trial to evaluate the effectiveness and feasibility of the Step It Up program, which used supported self-management strategies, on daily step counts, health measures, and perceived quality of life for adults with autism spectrum disorder and intellectual disability. Forty participants, ages 18 to 57, were randomly assigned to a control or intervention group. Males accounted for 70.6% of participant gender. Both groups received Fitbits and Fitbit training, and they participated in pre- and post-assessments. The intervention group participated in the Step It Up program. Participants in the intervention group had significantly higher step counts and lost more weight. Feasibility and acceptability were also high. This study provides valuable data on using a supported self-managed exercise program as well as insight into its feasibility in home settings.

The Youth Enjoy Science -Teach To Beat Cancer program funded by the National Cancer Institute utilizes the resources of the Case Western Reserve University School of Medicine and Case Comprehensive Cancer Center to provide experiences and training for grade 6-12 teachers so that they are expertly equipped to develop curricular approaches to take back to their classrooms to enhance science education, introduce concepts of cancer biology, encourage cancer risk reduction activities, foster disparity elimination and to motivate middle and high school students to pursue careers in biomedical sciences and cancer research. The program focuses on four aspects of teacher engagement and education: (1) Research Engagement, (2) Curriculum Development, (3) Risk Reduction and Disparity Elimination, and (4) Advocacy for Cancer Research and Cancer Research Careers. This program has been crucial to achieve the National Cancer Institute's goal of educating students from diverse backgrounds underrepresented in biomedical research in the Cleveland area as each teacher influences a significant number of students in their classrooms each year, and are introducing students to cancer biology, exciting them to consider careers in cancer prevention, diagnosis, control, treatment, and research. This article provides an overview of the program including its impact on the teachers and their students.

Access to youth-friendly services is critical to ensuring Sexual and Reproductive Health and Rights (SRHR) and the psychological well-being of adolescents. This qualitative study explored the innovative teaching approaches to adolescents' sexual and reproductive health and rights education during the COVID-19 pandemic in the Oluno circuit. A sample of 10 Life Skills teachers was purposively selected and individual face to face interviews were conducted. Data was analysed using a thematic approach. The findings revealed that the radio, WhatsApp, recorded audios and handouts were used to engage learners on sexual reproductive health information when schools were closed. It is further established that WhatsApp and the radio were the mainly used methods because they were appropriate and user friendly. The findings also indicate contradictions in the Life Skills teachers' experiences on the use of social media approaches due to poor internet connectivity in remote areas. The study suggested the provision of free data to learners and teachers to enable the timely teaching and learning of the right and age-appropriate Sexual Reproductive Health and Rights information (SRHR). That underscores the urgent need for schools to adopt modern learning to be proactive in training of both teachers and learners on the use of various technological devices in case another pandemic hits the country in the future.

The role of regular physical activity and healthy eating in preventing obesity is well documented. Research has suggested that lifestyle interventions, i.e., programs comprising exercise, nutrition education, and behavior modification, are the preferred, non-invasive strategies to prevent childhood obesity. However, minority groups, e.g., underserved Latinx adolescents, experience high attrition rates and other barriers that limit their participation in obesity prevention programs. The purpose of this study was to examine indicators of the feasibility of the remotely delivered BRAVO! lifestyle intervention in preventing obesity among Latinx youth. This pilot study was a quasi-experimental trial with a sample of 11 pediatrician-referred participants (M[subscript age]=13.73±1.10) assigned to two parallel arms: 1) BRAVO! and 2) as-usual control arms. Researchers designed the BRAVO! lifestyle intervention program comprising 16 hours of remotely instructed (via zoom) exercise training and six hours of family nutrition education. Behavior modification strategies were based on the self-determination theory. The results showed high demand with program adherence being 93.3% and 86.7%, for exercise and nutrition, respectively. There was a statistically significant intervention effect on PA (F[1,8]=7.88, p=0.006, [eta]p2=0.42), integrated (F[1,8]=20.00, p=0.002, [eta]p[superscript 2]=0.71), introjected regulation (F[1,8]=7.94, p=0.008, [eta]p[superscript 2]=0.60), and amotivation (F[1,8]=18.24, p=0.002, [eta]p[superscript 2]=0.69), and psychological well-being (F[1,8]=12.31, p=0.008, [eta]p[superscript 2]=0.61). Finally, interview analyses showed that participants were highly satisfied with the BRAVO! program and they perceived BRAVO! suitable for them. In conclusion, our pilot study findings supported feasibility of the remotely delivered BRAVO! lifestyle intervention.

Background: Adolescents are considered to be vulnerable to particulate matter (PM). This study aims to develop and verify the effectiveness of the "school-based education program for coping with particulate matter (SEPC_PM)." This program was designed by employing the health belief model. Methods: High school students between the ages of 15 and 18 in South Korea participated in the program. This study employed a nonequivalent control group pretest-posttest design. A total of 113 students participated in the study; of these, 56 students participated in the intervention group, and 57 in the control group. The intervention group received 8 intervention sessions the SEPC_PM over the course of 4 weeks. Results: After the completion of the program, the intervention group's knowledge about PM showed a statistically significant increase (t = 4.79, p < 0.001). The practice of engaging in health-managing behaviors to protect against PM also showed statistically significant improvement in the intervention group, with the greatest progress in practicing precaution when outdoors (t = 2.22, p = 0.029). No statistically significant changes were observed regarding other dependent variables. However, a subdomain of the variable of perceived self-efficacy for engaging in health-managing behaviors to protect against PM (degree of body cleansing after returning home) demonstrated a statistically significant increase in the intervention group (t = 1.99, p = 0.049). Conclusions: The SEPC_PM may be proposed for incorporation into regular high school curricula to improve students' health by encouraging them to take necessary actions against PM.

The delivery of comprehensive sexuality education to adolescents at school is recognized as a long-term strategy to support adolescent health. Suboptimal sexual and reproductive health (SRH) outcomes among South African adolescents necessitate the ongoing development and optimization of SRH education and promotion models. We conducted a cluster-randomized controlled trial amongst secondary schools (n = 38) in Cape Town, South Africa, to evaluate a sport-based, near-peer-led SRH curriculum, SKILLZ, amongst female learners (n = 2791). Biomedical (sexually transmitted infections [STIs], human immunodeficiency virus [HIV] and pregnancy) and socio-behavioural (social support, gender norms and self-concept) outcomes were assessed pre and post intervention. Attendance at SKILLZ was low and intervention participants did not show an improvement in SRH outcomes, with HIV and pregnancy incidence remaining stable and STI prevalence remaining high and increasing in both control and intervention arms. Although evidence of positive socio-behavioural measures was present at baseline, participants with high attendance showed further improvement in positive gender norms. SKILLZ did not demonstrate the capacity to significantly impact clinical SRH outcomes. Modest improvements in outcomes amongst high attenders suggest that the impact may be possible with improved attendance; however, in the absence of optimal attendance, alternative intervention strategies may be required to improve SRH outcomes amongst adolescents.

The restriction measures put in place during the COVID-19 pandemic posed notable challenges for formal teaching-learning processes because they had to be adapted to ensure health security. An active learning programme applied to three environments (indoors, outdoors, and online) was tested with 273 undergraduate university students in a within-subjects experimental study. Each student was assigned to two indoor and two outdoor seminars, with a subsample (n = 30) also participating in online seminars implemented in response to the university's lockdown protocols. The learning experience and learning conditions were evaluated through six dimensions: learning, evaluative impact, hedonic experience, technical conditions, environmental conditions, and health security. Outdoor seminars were more effective than indoor seminars in terms of the learning experience, with greater differences in hedonic experience, while the indoor seminars were rated more highly than the outdoor seminars in terms of learning conditions, with a larger difference in the environmental conditions. No differences were found between online and face-to-face environments in terms of the learning experience, even though the online environment yielded better scores in the learning conditions. Apparently, this adaptation to both outdoor and online contexts through active methodologies allows overcoming of technical, environmental, and teaching limitations and improves health security, while ensuring a good learning experience and added flexibility to teaching-learning processes.

In 2021, guidelines for early childhood education and care were released recommending children are provided access to outdoor areas during all free play sessions to reduce the risk of coronavirus disease of 2019 transmission, aligning with the existing recommendations to increase children's physical activity. There is a need to understand how to disseminate guidelines in this setting as dissemination is a prerequisite of adoption and implementation. This randomized controlled trial explored the impact of a video-based strategy to disseminate guidelines on family day care educators' intentions to adopt outdoor free play guidelines. Educators (N = 255) were randomized to receive a video (intervention) or text-based (usual care) resource via email describing recommendations. Educators were invited to participate in a post-intervention survey at 5-week follow-up assessing intentions to adopt guidelines. The secondary outcomes included knowledge, beliefs about capabilities, beliefs about consequences, social/professional role and identity, goals, implementation of guidelines, acceptability of resource and intervention reach. There was no statistically significant difference between groups in intentions to adopt guidelines [[Beta] = 0.01 (95% confidence interval -0.50 to 0.52), P = 0.97], nor for any secondary outcomes. Further investigation is needed to identify effective dissemination strategies in the family day care setting to increase the adoption of public health guidelines.

Background: The worldwide COVID-19 government restrictions imposed on young people to limit virus spread have precipitated a growing and long-term educational and health crisis. Contributions to the Theory: This novel study used Sen's Capabilities Approach as a theoretical framework to examine the current health and educational impacts of COVID-19 on youth, referencing emerging literature. The objective was to inform the design of an internationally relevant framework for school health promotion to support young people through and after the COVID-19 pandemic. Mapping of existing health resources, internal/external conversion factors and capabilities were used to identify classroom, school and system level strategies that will enable young people to flourish. Four central enablers were identified and used in the design of the International Framework for School Health Promotion (IFSHP). Implications for School Health Policy, Practice, and Equity: The IFSHP can be used by educational institutions, school leaders and teachers to innovate existing health promotion programs, policies and practices to support young people through and after the COVID-19 pandemic. Conclusions: School systems, schools and teachers are encouraged to utilize the IFSHP to review and innovate existing school health programs to ensure they meet the increased physical and mental health needs of young people.

Parents are key to promoting children's healthy growth and development. However, school nurses need knowledge about how to best support parents' health-promoting activities. This study aimed to explore parents' thoughts regarding their normal-weight 6-year-old children's food and physical activity behaviors as expressed during health conversations with the school nurse. Qualitative content analysis of audio-recorded conversations (n = 30) showed that parents think of their children's behaviors in terms of: (a) children's personality in relation to food and physical activity; (b) recognizing children's food and physical activity behaviors; (c) parenting in relation to food and physical activity; (d) interaction with children in situations around food and physical activity; and (e) contextual circumstances to promote children's healthy food and physical activity behaviors. The study contributes with novel knowledge regarding clinical work in health promotion, with suggestions for how school nurses can engage parents in promoting and sustaining healthy food and physical activity behaviors.

Limited health literacy and access to engaging, relevant, understandable health promotion and disease prevention materials are barriers to achieving and maintaining health. The We-Engage-4-Health program co-created the graphic-style story "Foamy Soap Fun" with community members to reinforce the importance of the primary preventive strategy--handwashing--in limiting spread of COVID-19. Pre/postsurveys were administered, and a modified focus group was conducted to learn community participants' preferences for reading stories (aloud together and/or silently to themselves), versus reading typical health promotion information sheets. Three themes were identified related to reading the story aloud: increased enthusiasm, increased attentiveness, and improved interpretation skills, vocabulary, and information processing skills. Educational constructs included: empathy with the story's characters, engagement with previous health experiences, enthusiasm with sharing health information, and explanation of complex health topics. This study supports the value of graphic-style stories in helping communities to better understand the science behind health topics.

Electronic cigarettes are the most widely used tobacco product among youth in the United States. Although rapidly growing, research on effective message strategies for e-cigarette use prevention is still limited. This study examined the relative effectiveness of gain framing versus loss framing in youth-targeting prevention text messages delivered either as individual expository texts or simulated text exchanges between a youth patient and a pediatrician. A national sample of 1,084 youth susceptible to future e-cigarette use was randomized to condition in an online message testing experiment featuring a 2 (framing: gain vs. loss) × 2 (format: individual texts vs. simulated exchange) factorial design. Results revealed a consistent interaction between framing and messaging format in message liking, positive affect, attitude toward e-cigarette use, and future e-cigarette use intentions. The gain frame outperformed the loss frame in the simulated exchange conditions while the reverse trend was true for the individual text conditions. Furthermore, the main effect of messaging format was significant on multiple outcomes in favor of simulated text exchanges. The main effect of framing was only significant on negative affective response with the loss frame eliciting stronger responses. These findings suggest that the relative effectiveness of gain framing versus loss framing depends on how messages are presented in youth-targeting text messaging interventions. When messages are likely to be delivered in a discrete manner, the loss frame should be preferred. When greater interactivity and narrative development are possible, the gain frame should be favored. E-cigarette prevention efforts should leverage these insights to enhance message effectiveness.

Poor mental well-being has been associated with negative student success outcomes among college students. Health and wellness coaching programs have been implemented in college campuses to address gaps in well-being support services. This pilot study evaluated a health and wellness coaching program at a large, urban university. A total of 499 students expressed interest in the program with 120 responding to a retrospective survey about their experience. Findings revealed that most students attended coaching for issues related to time and stress management or factors that commonly influence stress. Overall, students who participated in coaching were successful at improving their self-efficacy toward behavior change, changing their behavior, and achieving their goals. Students reported attending an average of four sessions with number of sessions attended being associated with increased confidence and motivation. In addition, autonomy, competence, and relatedness felt within the relationship with the coach were correlated with increased motivation, confidence, and readiness for behavior change. There was some relapse in terms of goal attainment observed with 17.4% of students who met their goals being unable to maintain progress. The program participants appeared to have enjoyed the process with 96% of students saying they would recommend the program to a friend. Health and wellness coaching programs may alleviate the burden of stress and other subclinical mental health concerns as well as decrease the number of students requiring services from more intensive mental health resources on campus.

The aim of this study was to describe school nurses' experiences with health dialogues and elicit their thoughts about how schools can reach the full potential in promoting students' health literacy and learning. The phenomenological analysis resulted in four themes: (i) A golden opportunity…or not, (ii) Like a double-edged sword, (iii) Able or unable organizations, and (iv) Visions of good conditions for health and learning. School nurses' experiences revealed that health dialogues are beneficial and can be valuable tools in promoting health and learning when (1) the health dialogues are an important part of the educational assignment, (2) school nurses are valued for fulfilling the educational assignment, and their work conditions are reasonable, (3) the results from the health dialogues and health questionnaires are used systematically to promote health and learning, (4) a "whole-school approach" is used to build enabling relationships among all school staff and students.

Introduction: Cervical cancer incidence and mortality is higher among Latinas compared with non-Hispanic White women and barriers to screening include lack of knowledge, lack of access to health care, and cultural factors. Both video and printed material have been found effective as health education tools in underserved populations. The purpose of this study was to show no difference between a flipchart presentation facilitated by a community health worker and a narrative video with limited in-person interaction in increasing cervical cancer screening rates among Latinas along the U.S.--Mexico border. Methods: Study design: Randomized controlled study. Participants: women in a community-based cervical cancer screening program. Outcomes: Primary outcome was screening completion and secondary outcomes were changes in psychosocial variables. Results: Total sample size was 500. Most participants were born in Mexico, had a low annual income, preferred Spanish, and did not have a regular doctor. Overall, 371 (74.2%) participants completed screening. There was no significant difference in screening completion between educational delivery modes. The only variable significantly associated with screening completion was age, with 51- to 65-year-olds being 44% more likely than 21- to 40-year-olds to have a Pap test. The only psychosocial variable that was significantly different by delivery mode was perceived susceptibility. The majority of all participants found both the video and flipchart presentation to be acceptable. Conclusion: A health promotion program delivered via self-administered video or PowerPoint slides showed no difference in increasing cervical cancer screening rates.

Physical distancing, which is widely practiced limiting the spread of COVID-19, is recognized to contain mathematical thoughts that can be harnessed as a context for prospective teachers' practices of mathematical problem posing. The goal of this study is to investigate the profile of mathematical tasks posed by prospective mathematics teachers using the context of physical distancing that meets the criteria of numeracy tasks. Data were collected from 66 mathematical tasks posed by thirty-three prospective teachers at a public university in Surabaya, Indonesia, attending an assessment course of numeracy based on a problem-posing task. To analyze, the posed tasks were first identified as solvable or unsolvable tasks and then further categorized into the domains of the level of context use and the level of cognitive processes. Results show that the level of context use embedded in the posed tasks varies from zero to first order, with only a few of the posed tasks being coded as having second-order context. Regarding the levels of cognitive processes, most of the posed tasks reach the level of understanding, with only a small number of reasoning tasks identified. Interestingly, all the tasks coded to contain second-order context are classified as reasoning tasks. Some implications regarding designing numeracy tasks using physical distancing and interventions in teacher education related to numeracy task design are discussed.

In an era of accountability, it is vital that schools can define their success in ways that transcend a single high-stakes testing day at the end of the school year. While student growth and proficiency are important educational measures, also focusing on health and wellness, stewardship of resources, and sustainability education, offers a unique and collaborative opportunity for learning communities to engage partners, reflect on goals and practices, and empower students, staff, and community members as change agents in the work. Sustainability education informs the preparation of educators and the collaboration of educators, community members, policymakers, and university personnel. This article offers insights and examples presented by a school-university partnership seeking to vitalize the three green pillars defined by the U.S. Department of Education Green Ribbon Schools award designation amid a pandemic setting.

According to today's understanding of health, the most important responsibility for the protection of one's health falls on him. For this, it is necessary to develop a positive attitude and value towards the subject. Considering this, the importance of bringing cleanliness, hygiene and being healthy to our children as a value, especially in epidemic conditions, increases even more. Therefore, in this study, it is aimed to apply and test the effectiveness of the activities developed by using value education methods in order to help students who have negative or low attitudes towards cleanliness and being healthy to gain an understanding of hygiene and cleanliness as a value. For this purpose, experimental design with pretest posttest control group, which is one of the quantitative research designs, was used. In the collection of data, a scale form was used for cleaning, hygiene and COVID-19 pandemic measures. In the analysis of the collected data, Mann-Whitney U test was used for comparison between groups. As a result, it was seen that the application of the activities developed in accordance with the values education methods significantly increased the attitude scores of the experimental group students towards cleanliness and being healthy. No significant change was observed in the control group.

This study aims to raise awareness of dental health and care activities with pre-school children and cause desired behavioural changes in children, is basic qualitative research. The study group of the research consisted of 13 children studying in a pre-school class according to convenient/easily accessible sampling, which is one of the non-random sampling methods. For the research, data were collected through observations, interviews and research diaries, and the results were obtained by applying descriptive analysis by the researchers. For the research, data were collected through observations, interviews and research diaries, and the results were obtained by analyzing them by the researchers. In this direction, according to the descriptive analysis results obtained from the semi-structured observation form, it was seen that the preschool dental health activities increased the awareness of the children about the tools and equipment used in dental health, and thus gave the children an important tooth brushing routine. According to the descriptive analysis of the structured observation form and research diaries, the tooth brushing routine continued in the follow-up period after the application and became a behavior in children. In line with these results, suggestions were made for future studies.

The COVID-19 pandemic has deeply impacted the field of education, highlighting many problems to be considered by educational leaders as schools emerge from the pandemic. In planning to address challenges and consider innovation, school leaders are encouraged to implement changes in curriculum and assessment to meet the needs of contemporary learners, build strong home-school relationships by honouring the voices of all stakeholders, encourage direct social and emotional instruction, and execute a systemic mental health action plan. At this pivotal moment in history, school leaders play a critical role in the transformation of the current system, acting as catalysts for change in the pursuit of a new and better normal.

At the rapid rate that language. content, and preferences are changing around topics related to sexual health education, it is no wonder that curriculum in Canada is lagging behind. With a focus on the elementary classroom, this paper analyzes the problems associated with sexual health education in elementary classrooms and also takes a close look at some solutions for these issues. The purpose was to look at how outdated curriculum, heteronormative bias, and the negative messaging or outdated language have adverse consequences for LGBTQ+ students and the school space. Solutions include creating explicit policies within the school division that support inclusivity, continuous professional development opportunities for staff, and having active Gay-Straight Alliances that support safe spaces.

In this study, it is aimed to reveal the importance of physical training in e-sports. Today, with the development of technology, people have become sedentary and even carried the sports in their lives to the virtual world. E-sports is a good example of this subject. It is necessary to find an answer to the question of how this situation can be made healthier, taking into account the harm that may occur in terms of health, although it is a sport performed in the virtual environment and on the computer. At this point, the subject that should be emphasized is movement education and physical education. Physical and mental training is crucial important for e-sports players to continue their careers without losing their health. In this case, besides the technical training of the athletes, it is necessary to give importance to their mental and physical training and to add educational programs on awareness of health and performance. Articles about the requirements of e-sports, physiological and mental reflections of e-sports, negative and positive effects of e-sports on players' health, physical training, movement education and e-sports have been researched and compiled, and the importance of physical training in terms of e-sports has revealed. E-sports is a virtual competition between people and electronic games. In recent years, as the rapid development of technology and the place of digitalization in human life have increased, electronic games have taken their place in the world of sports and the number of both players and spectators has grown exponentially. This situation has created anxiety in terms of the health of the society, which is becoming more and more inactive with each passing day. In this case, the focus is to answer the question of how it can be made healthier for both the e-sports player and the society. At this point, we meet the concepts of movement training and physical training emerge. The inclusion of physical training in e-sports training and its regular implementation has critical importance.

The value of embracing a physically active lifestyle has been well documented in recent times. However, despite this knowledge, physical activity levels in many western societies remain worryingly low in both adult and youth populations. Habit formation in youth is a key indicator of engagement in physical activity as an adult; therefore, maximising opportunities to develop motivation in young people is vitally important to increase the likelihood of maintaining physical activity habits as an adult. A key factor for the development of motivation is school-based physical education. This review considers the current landscape of physical education as a vehicle for physical activity promotion, and suggests that a change of approach that moves away from physical education focusing solely on sport techniques is long overdue. A culturally relevant curriculum that includes lifestyle sports, with a focus on mastery and enjoyment through a meaningful experiences approach, is proposed as a viable update to current practice.

COVID-19 caught the world off-guard, bringing disruption and chaos to all sectors, including education. Within Caribbean Small Island Developing States (SIDS), the experiences were varied, as were the responses of educational stakeholders at all levels to the crisis of the pandemic. Stakeholders' experiences and responses should inform educational planning and policy, and it is against that backdrop that this research was conducted. This research captures the insights from three webinars sponsored by the Caribbean Centre for Educational Planning, which focused on challenges faced by educational institutions at the primary, secondary and tertiary levels of the education system. The transcripts from those webinars were used to construct this paper using a generic qualitative research design. The webinars pulled on the expertise of panelists from across the Caribbean and North America. The findings reveal that most stakeholders were unprepared for the challenges occasioned by COVID-19, which translated into further difficulties adapting to online/blended teaching/learning, psycho-social stresses, heightened economic challenges, and disruptions to examinations. In response to these challenges, among the stakeholders, training was implemented, open communication increased, technical and infrastructural resources were upgraded, health and safety protocols were enforced/reinforced, and domestic and international groups collaborated to bolster access for all students. Lessons learned included the need for collaboration, equity, access, and opportunities, and exercising the courage to radically rethink the region's 'educational futures' by incorporating the shared perspectives of key stakeholders in educational planning and policy making.

The purpose of this research were to study and compare knowledge and attitudes towards prevention of COVID-19 before and after promotion and study and compare knowledge and attitudes towards the prevention of COVID-19 of students with different genders. The sample used in the study were 50 the third year undergraduate students in Environmental Education program, Faculty of Environment and Resource Studies, Mahasarakham University, which was derived by purposive sampling. The research tools were the coronavirus disease 2019 prevention and control manual for citizens by the Ministry of Health, knowledge test about prevention of COVID-19, attitude test towards prevention of COVID-19. The statistics used for data analysis were frequency, percentage, mean, standard deviation and hypothesis testing using Paired t-test and One-Way ANOVA. The results of the research showed that the posttest, the students had average scores of the knowledge and attitude towards prevention of COVID-19 higher than the pretest statistical significance (p < 0.05). And there was no significant difference of score of knowledge and attitude towards prevention of COVID-19 of students with different genders (p > 0.05).