title: Expanding school-district/university partnerships to advance health promoting schools implementation and efficacy in Taiwan.
abstract: In 2011, the Taiwan government expanded its support of school-district/university partnership programs that promote the implementation of the evidenced-based Health Promoting Schools (HPS) program. This study examined whether expanding the support for this initiative was effective in advancing HPS implementation, perceived HPS impact and perceived HPS efficacy in Taiwan. In 2011 and 2013, a total of 647 and 1195 schools, respectively, complemented the questionnaire. Univariate analysis results indicated that the HPS implementation levels for six components were significantly increased from 2011 to 2013. These components included school health policies, physical environment, social environment, teaching activities and school-community relationships. Participant teachers also reported significantly greater levels of perceived HPS impact and HPS efficacy after the expansion of support for school-district/university partnership programs. Multivariate analysis results indicated that after controlling for school level, HPS funding and HPS action research approach variables, the expansion had a positive impact on increasing the levels of HPS implementation, perceived HPS impact and perceived HPS efficacy.
authors.affiliation: Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Ho-Ping E. Rd., Section 1, Taipei 10610, Taiwan.
authors.forename: Chieh-Hsing
authors.initials: CH
authors.lastname: Liu
authors.affiliation: Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Ho-Ping E. Rd., Section 1, Taipei 10610, Taiwan, fongchingchang@ntnu.edu.tw.
authors.forename: Fong-Ching
authors.initials: FC
authors.lastname: Chang
authors.affiliation: Department of Health Management, I-Shou University, Kaohsiung City, Taiwan.
authors.forename: Li-Ling
authors.initials: LL
authors.lastname: Liao
authors.affiliation: Division of Health Services, Office of Student Affairs, National Chiao Tung University, Hsinchu City, Taiwan.
authors.forename: Yu-Zhen
authors.initials: YZ
authors.lastname: Niu
authors.affiliation: Department of Public Health, Fu Jen Catholic University, New Taipei City, Taiwan, and.
authors.forename: Chi-Chia
authors.initials: CC
authors.lastname: Cheng
authors.affiliation: Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Ho-Ping E. Rd., Section 1, Taipei 10610, Taiwan.
authors.forename: Shu-Fang
authors.initials: SF
authors.lastname: Shih
authors.affiliation: Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei, Taiwan.
authors.forename: Tzu-Chau
authors.initials: TC
authors.lastname: Chang
authors.affiliation: Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Ho-Ping E. Rd., Section 1, Taipei 10610, Taiwan.
authors.forename: Hsin-Pei
authors.initials: HP
authors.lastname: Chou
mesh_terms: D003159:Community-Institutional Relations; D005260:Female; D006291:Health Policy; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D015397:Program Evaluation; D012572:School Health Services; D012931:Social Environment; D011795:Surveys and Questionnaires; D013624:Taiwan; D014495:Universities