Pré-Publication, Document De Travail (Working Paper) Année : 2025

How to develop a regional supportive environment for school health promotion: Evidence from a multiple case realist evaluation

Résumé

This working paper presents the evaluation of a school health promotion intervention using the realist evaluation framework. It looks at an intervention developed and tailored to the French context and implemented from 2008 to 2011 in 6 sites across France. This intervention aimed to develop a supportive environment for school health promotion through the implementation of local support services; the provision of training and support for schools; the improvement of the health promotion knowledge of local stakeholders; and the development of local partnerships. A realist evaluation approach was chosen for its potential to deal with the complexity of such intervention and for acknowledging the importance of context. A multiple methods approach was used. Data was collected through literature reviews and from interviews, focus groups as well as written documents. A multiple case-study design was used considering each site as a case. Carried out about fifteen years ago, our findings are still relevant in the current context of the implementation of a Health Promoting School approach at the national level (since 2018). They highlight the configurations allowing the development of health promotion supportive environments for schools at intermediate level and should inform public health and education policy makers and practitioners. It also discusses the idea that generalising an intervention requires being cautious about the interaction between the intervention and the context in which it is developed to trigger the mechanisms that would ensure success. Moreover, this study also provides methodological insights to use a realistic evaluation framework to assess the implementation of complex social interventions such as school health promotion ones. Indeed, using a realist evaluation approach is a complex, lengthy and time-consuming process that can be complicated for non-specialists to understand. Three main challenges are then discussed: the definition of the core components of the realist framework, the construction of the Context-Mechanism-Effect configurations and the issue of making the realist evaluation framework and its results accessible to all stakeholders.

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Dates et versions

hal-05074856 , version 1 (20-05-2025)

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  • HAL Id : hal-05074856 , version 1

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Marie-Renée Guével, Jourdan Didier, Jeanine Pommier. How to develop a regional supportive environment for school health promotion: Evidence from a multiple case realist evaluation. 2025. ⟨hal-05074856⟩
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