Date of Award
Doctor of Philosophy (PhD)
This study describes in detail the processes, interventions, challenges, and self-reported changes associated with implementing the Health-Promoting Schools (HPS) project in Zhejiang Province, China. It is a descriptive study, based on a case study model, using illustrative examples from nine schools. Grounded theory analysis revealed detailed pre-implementation, implementation, and monitoring and evaluation processes; classroom-based, school-wide and outreach activities; and modifications to the physical and psycho-social school environment. Schools faced a number of challenges related to understanding and integrating the HPS concept and a lack of professional development and support. Yet. participants reported many health-conducive changes in their attitudes, conceptual knowledge, and behaviors associated with this project. Theoretical analysis confirmed the applicability of a 3-part framework; key factors for changing policy and practice, the comprehensive HPS framework, and success factors of school health programs.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.
Number of Pages
Aldinger, Carmen E., "The Process of Implementing Health-Promoting Schools in Zhejiang Province, China: A Dissertation" (2006). Educational Studies Dissertations. 80.