{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:15:25Z","timestamp":1787015725272,"version":"build-2736575974"},"reference-count":66,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T00:00:00Z","timestamp":1617580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Universal prevention approaches that target the general population can be effective for promoting children's health. This overview aims to summarize evidence presented in existing reviews of school\u2010based interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We present an overview of evidence sourced from Campbell and Cochrane systematic reviews. These reviews examined randomized controlled trials concerning school\u2010based health\u2010promotion programs for children (mostly aged 4\u201018\u2009years) in the general population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>We identified 56 high\u2010quality reviews. The reviews focused on emotional and behavioral outcomes, infectious diseases, injury reduction, mental health, nutrition intake, oral health, physical and developmental changes, sense\u2010organ diseases, sexual\u2010health outcomes, and substance use\/abuse. Positive evidence\u2014such as vision screening plus provision of free spectacles for spectacle wear increase and a combination of social competence and social\u2010influence approaches for preventing illicit drug use\u2014were considered high certainty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Of the various interventions implemented in school settings that involved people from various occupations, some positive effects were found. In most cases, evidence certainty was negatively affected by a high risk of bias within studies, inconsistencies within the estimates, and insufficient sample sizes. Further primary studies in these areas would be helpful for accumulating evidence to promote stronger cooperation between health and education stakeholders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.13021","type":"journal-article","created":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T06:19:21Z","timestamp":1617603561000},"page":"499-517","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Overview of Evidence Concerning School\u2010Based Interventions for Improving the Health of School\u2010Aged Children and Adolescents"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9219-2959","authenticated-orcid":false,"given":"Maiko","family":"Suto","sequence":"first","affiliation":[{"name":"Department of Health Policy, National Center for Child Health and Development, 10\u20101, Okura 2 chome, Setagaya, Tokyo 157\u20108535  Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celine","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Health Policy, National Center for Child Health and Development, 10\u20101, Okura 2 chome, Setagaya, Tokyo 157\u20108535  Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Yanagawa","sequence":"additional","affiliation":[{"name":"Department of Health Policy, National Center for Child Health and Development, 10\u20101, Okura 2 chome, Setagaya, Tokyo 157\u20108535  Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Takehara","sequence":"additional","affiliation":[{"name":"Division of Health Policy Development and Research, (takehara\u2010k@ncchd.go.jp), Department of Health Policy, National Center for Child Health and Development, 10\u20101, Okura 2 chome, Setagaya, Tokyo 157\u20108535  Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6009-7962","authenticated-orcid":false,"given":"Tsuguhiko","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Social Medicine, National Center for Child Health and Development, 10\u20101, Okura 2 chome, Setagaya, Tokyo 157\u20108535  Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruoyan","family":"Gai","sequence":"additional","affiliation":[{"name":"Department of Empirical Social Security Research, National Institute of Population and Social Security Research, 2\u20102\u20103, Uchisaiwaicyo, Chiyoda\u2010ku, Tokyo 100\u20100011  Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Ota","sequence":"additional","affiliation":[{"name":"Global Health Nursing, Graduate school of nursing science, St. Luke's international University, 10\u20101, Akashicho, Chuo\u2010ku, Tokyo 104\u20100044  Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rintaro","family":"Mori","sequence":"additional","affiliation":[{"name":"Health Policy for Children and Families, Graduate School of Medicine, Kyoto University, Yoshida\u2010Konoe\u2010cho, Sakyo\u2010ku, Kyoto 606\u20108501  Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3016.1997.d01-7.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.0250"},{"key":"e_1_2_7_4_1","first-page":"CD007651","article-title":"School\u2010based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18","volume":"2","author":"Dobbins M","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_5_1","first-page":"CD008958","article-title":"The WHO health promoting school framework for improving the health and well\u2010being of students and their academic achievement","volume":"4","author":"Langford R","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-10-34"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049731517703748"},{"key":"e_1_2_7_8_1","unstructured":"HigginsJP.Cochrane handbook for systematic reviews of interventions. 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