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Abstract：
Health promoting schools (HPS) is recognized globally as a multifaceted approach that can support health behaviours. There is increasing clarity around factors that influence HPS at a school level but limited synthesized knowledge on the broader system-level elements that may impact local implementation barriers and support uptake of a HPS approach. This study comprised a scoping review to identify, summarise and disseminate the range of research to support the uptake of a HPS approach across school systems. Two reviewers screened and extracted data according to inclusion/exclusion criteria. Relevant studies were identified using a multi-phased approach including searching electronic bibliographic databases of peer reviewed literature, hand-searching reference lists and article recommendations from experts. In total, 41 articles met the inclusion criteria for the review, representing studies across nine international school systems. Overall, studies described policies that provided high-level direction and resources within school jurisdictions to support implementation of a HPS approach. Various multifaceted organizational and professional interventions were identified, including strategies to enable and restructure school environments through education, training, modelling and incentives. A systematic realist review of the literature may be warranted to identify the types of intervention that work best for whom, in what circumstance to create healthier schools and students.
摘要：
健康促进学校（HPS）在全球范围内被认为是可以支持健康行为的多方面方法。在学校一级影响HPS的因素越来越清晰，但对可能影响地方实施障碍和支持采用HPS方法的更广泛的系统级要素的综合知识有限。这项研究包括范围审查，以确定，总结和传播研究范围，以支持在整个学校系统中采用HPS方法。两名审评员根据纳入/排除标准筛选和提取数据。使用多阶段方法确定相关研究，包括搜索同行评审文献的电子书目数据库，手工搜索参考列表和专家的文章建议。总的来说,41篇文章符合审查的纳入标准，代表九个国际学校系统的研究。总的来说,研究描述了在学校辖区内提供高级指导和资源以支持HPS方法实施的政策。确定了各种多方面的组织和专业干预措施，包括通过教育启用和重组学校环境的策略，培训,建模和激励。可能需要对文献进行系统的现实主义审查，以确定最适合谁的干预类型，在什么情况下创建更健康的学校和学生。
