title: Impact of school-based health promotion interventions aimed at different behavioral domains: a systematic review.
abstract: OBJECTIVE
  Given that lifestyleshave similar determinants and that school-based interventions are usually targeted at all the risks that affect adolescents, the objective of this systematic review was to summarize the characteristics and effects of school-based interventions acting on different behavioral domains of adolescent health promotion.
  
  
  METHODS
  The review process was conducted by two independent reviewers who searched PubMed, Scopus, PsycINFO, and ERIC databases for experimental or observational studies with at least two measures of results published from 2007 to 2011, given that the research information available doubles every 5 years. Methodological quality was assessed with a standardized tool.
  
  
  RESULTS
  Information was extracted from 35 studies aiming to prevent risk behaviors and promote healthy nutrition, physical activity, and mental and holistic health. Activities were based on theoretical models and were classified into interactive lessons, peer mediation, environmental changes, parents' and community activities, and tailored messages by computer-assisted training or other resources, usually including multiple components. In some cases, we identified some moderate to large, short- and long-term effects on behavioral and intermediate variable.
  
  
  CONCLUSIONS
  This exhaustive review found that well-implemented interventions can promote adolescent health. These findings are consistent with recent reviews. Implications for practice, public health, and research are discussed.
authors.affiliation: Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Lima-Serrano
authors.affiliation: Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, España. Electronic address: joaquinlima@us.es.
authors.forename: Joaquín S
authors.initials: JS
authors.lastname: Lima-Rodríguez
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000067697:Adolescent Health; D006801:Humans; D012572:School Health Services
keywords: Adolescence; Adolescencia; Eomportamientos de riesgos; Estilos de vidas; Evaluación de programas y proyectos de salud; Health promotion; Lifestyles; Program evaluation; Promoción de la salud; Risk behavior