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Key Contextual Factors in Implementing Whole-School Health Promotion within Dutch Schools: A Qualitative Comparative Analysis

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Title: Key Contextual Factors in Implementing Whole-School Health Promotion within Dutch Schools: A Qualitative Comparative Analysis
Language: English
Authors: Gerjanne Vennegoor (ORCID 0000-0002-6414-7445), Patricia van Assema (ORCID 0000-0003-4928-6495), Gerard R. M. Molleman, Pepijn van Empelen, Maria W. J. Jansen
Source: Health Education. 2025 125(3):298-315.
Availability: Emerald Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emerald.com/insight
Peer Reviewed: Y
Page Count: 18
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Education Level: Elementary Secondary Education
Descriptors: Foreign Countries, Context Effect, Health Promotion, Elementary Secondary Education, Program Implementation, School Personnel, Governance, Social Influences, Political Issues, Educational Environment, Student Characteristics, COVID-19, Pandemics, Career and Technical Education, Resources, Parent Role, Competence, Administrator Role, Principals, Coordinators, Barriers
Geographic Terms: Netherlands
DOI: 10.1108/HE-11-2024-0134
ISSN: 0965-4283
1758-714X
Abstract: Purpose: Contextual factors can influence the implementation of whole-school health promotion and compromise its impact among students. This study aimed to identify key (combinations of) contextual factors in the implementation of whole-school health promotion at Dutch primary, secondary and secondary vocational schools. Design/methodology/approach: Forty-three schools with either a high or low degree of implementation were selected. Data were collected prior to and during school visits using mixed methods, covering 36 contextual factors related to school employees, school organization, the national Health Promoting School program, socio-political environment, physical environment, implementation support, student population and COVID-19. Data were analyzed using Qualitative Comparative Analysis for primary and secondary schools and qualitative analysis for secondary vocational schools. Findings: Key combinations of conditions were (1) resources, (2) school climate, (3) implementation support, (4) identification as Health Promoting School, (5A) at primary schools: parental support and (5B) at secondary and secondary vocational schools: coordination and competencies. Often decisive to a high degree of implementation were the roles of principals and coordinators (as part of the school climate and coordination). Often decisive to a low degree of implementation were limited perspectives regarding prevention among employees (as part of the school climate). Identification as Health Promoting School and implementation support were mainly crucial when there were challenges in other key conditions. Originality/value: The findings indicate opportunities to improve embedding of school health promotion in the education sector and to invest in implementation support.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1468515
Database: ERIC
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  Data: Key Contextual Factors in Implementing Whole-School Health Promotion within Dutch Schools: A Qualitative Comparative Analysis
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Gerjanne+Vennegoor%22">Gerjanne Vennegoor</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-6414-7445">0000-0002-6414-7445</externalLink>)<br /><searchLink fieldCode="AR" term="%22Patricia+van+Assema%22">Patricia van Assema</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-4928-6495">0000-0003-4928-6495</externalLink>)<br /><searchLink fieldCode="AR" term="%22Gerard+R%2E+M%2E+Molleman%22">Gerard R. M. Molleman</searchLink><br /><searchLink fieldCode="AR" term="%22Pepijn+van+Empelen%22">Pepijn van Empelen</searchLink><br /><searchLink fieldCode="AR" term="%22Maria+W%2E+J%2E+Jansen%22">Maria W. J. Jansen</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education%22"><i>Health Education</i></searchLink>. 2025 125(3):298-315.
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  Data: Emerald Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emerald.com/insight
– Name: PeerReviewed
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  Data: Y
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  Data: 18
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  Data: 2025
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  Data: Journal Articles<br />Reports - Research
– Name: Audience
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  Data: <searchLink fieldCode="EL" term="%22Elementary+Secondary+Education%22">Elementary Secondary Education</searchLink>
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Context+Effect%22">Context Effect</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Promotion%22">Health Promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Elementary+Secondary+Education%22">Elementary Secondary Education</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Implementation%22">Program Implementation</searchLink><br /><searchLink fieldCode="DE" term="%22School+Personnel%22">School Personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Governance%22">Governance</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Influences%22">Social Influences</searchLink><br /><searchLink fieldCode="DE" term="%22Political+Issues%22">Political Issues</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Environment%22">Educational Environment</searchLink><br /><searchLink fieldCode="DE" term="%22Student+Characteristics%22">Student Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22Pandemics%22">Pandemics</searchLink><br /><searchLink fieldCode="DE" term="%22Career+and+Technical+Education%22">Career and Technical Education</searchLink><br /><searchLink fieldCode="DE" term="%22Resources%22">Resources</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+Role%22">Parent Role</searchLink><br /><searchLink fieldCode="DE" term="%22Competence%22">Competence</searchLink><br /><searchLink fieldCode="DE" term="%22Administrator+Role%22">Administrator Role</searchLink><br /><searchLink fieldCode="DE" term="%22Principals%22">Principals</searchLink><br /><searchLink fieldCode="DE" term="%22Coordinators%22">Coordinators</searchLink><br /><searchLink fieldCode="DE" term="%22Barriers%22">Barriers</searchLink>
– Name: Subject
  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Netherlands%22">Netherlands</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1108/HE-11-2024-0134
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  Label: ISSN
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  Data: 0965-4283<br />1758-714X
– Name: Abstract
  Label: Abstract
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  Data: Purpose: Contextual factors can influence the implementation of whole-school health promotion and compromise its impact among students. This study aimed to identify key (combinations of) contextual factors in the implementation of whole-school health promotion at Dutch primary, secondary and secondary vocational schools. Design/methodology/approach: Forty-three schools with either a high or low degree of implementation were selected. Data were collected prior to and during school visits using mixed methods, covering 36 contextual factors related to school employees, school organization, the national Health Promoting School program, socio-political environment, physical environment, implementation support, student population and COVID-19. Data were analyzed using Qualitative Comparative Analysis for primary and secondary schools and qualitative analysis for secondary vocational schools. Findings: Key combinations of conditions were (1) resources, (2) school climate, (3) implementation support, (4) identification as Health Promoting School, (5A) at primary schools: parental support and (5B) at secondary and secondary vocational schools: coordination and competencies. Often decisive to a high degree of implementation were the roles of principals and coordinators (as part of the school climate and coordination). Often decisive to a low degree of implementation were limited perspectives regarding prevention among employees (as part of the school climate). Identification as Health Promoting School and implementation support were mainly crucial when there were challenges in other key conditions. Originality/value: The findings indicate opportunities to improve embedding of school health promotion in the education sector and to invest in implementation support.
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        Value: 10.1108/HE-11-2024-0134
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      – Text: English
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        StartPage: 298
    Subjects:
      – SubjectFull: Foreign Countries
        Type: general
      – SubjectFull: Context Effect
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      – SubjectFull: Health Promotion
        Type: general
      – SubjectFull: Elementary Secondary Education
        Type: general
      – SubjectFull: Program Implementation
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      – SubjectFull: School Personnel
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      – SubjectFull: Political Issues
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      – SubjectFull: Educational Environment
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      – SubjectFull: Student Characteristics
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      – SubjectFull: COVID-19
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      – SubjectFull: Pandemics
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      – SubjectFull: Netherlands
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      – TitleFull: Key Contextual Factors in Implementing Whole-School Health Promotion within Dutch Schools: A Qualitative Comparative Analysis
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