Abstract
Understanding the dimensions of internal and external validities (e.g., using the RE-AIM model: Reach, Effectiveness/Efficacy, Adoption, Implementation, and Maintenance) of school interventions is important to guide research and practice in this context. The aim of this systematic review protocol is to synthesize evidence on the RE-AIM dimensions in interventions based on the Health Promoting School (HPS) approach from the World Health Organization (WHO) in Latin America. Studies of interventions based on HPS-WHO that were carried out in Latin America involving the population of 5 to 18-year-olds will be eligible. Searches in nine electronic databases, a study repository, the gray literature, and the retrieved articles’ reference lists will be performed, without year or publication language limits. Study selection and data extraction will be conducted by independent researchers. Data on intervention implementation will be summarized in categories of HPS-WHO actions: (1) school curriculum, (2) changes in the social and/or physical environment of schools, and (3) actions with families and the community. A previously validated tool will be used to summarize the information on the dimensions of the RE-AIM model. The strengths and limitations of the included studies will be evaluated using the Critical Appraisal Skills Program (CASP) tool, and the confidence level of evidence will be assessed according to the GRADE CERQual tool.
Highlights
Health promotion in childhood and adolescence has a significant impact on health, society, and the economy [1,2]
This is a systematic review protocol that will evaluate whether the dimensions of internal and external validities are addressed in interventions based on the Health Promoting School (HPS)-World Health Organization (WHO) in Latin America
Evaluation: Studies will be included if they present information on one of the aims of this protocol: (1) internal and external validity (RE-AIM model) and (2) evaluation of the implementation process:
Summary
Health promotion in childhood and adolescence has a significant impact on health, society, and the economy [1,2]. A systematic review that synthesized studies on HPS-WHO in Latin America from 1996 to 2009 identified only eight studies, but only two of them had experimental designs [9,25] Considering these gaps, studies in countries and contexts of social, economic, and political vulnerabilities that impact young population’s health need to be encouraged and summarized [1,2,5,6,10,25,26]. A synthesis of evidence with methodological rigor and specific data from these countries may guide the different actors involved in their schools (politicians, managers, teachers, family members, and scholars) in the development and implementation of viable strategies for health promotion in Latin American schools This is a systematic review protocol that will evaluate whether the dimensions of internal and external validities (based on the RE-AIM model) are addressed in interventions based on the HPS-WHO in Latin America. A secondary aim of this protocol is to synthesize information (qualitative and quantitative) on the implementation process of the selected interventions
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
