{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T02:44:31Z","timestamp":1784342671092,"version":"3.55.0"},"reference-count":72,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T00:00:00Z","timestamp":1768089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T00:00:00Z","timestamp":1768089600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The well\u2010being of school principals and the factors that influence it is a research area that is gaining increasing attention in the literature. School principals experience high levels of work\u2010related stress with potential negative effects for work\u2010ability, climate, and school effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study examined the work and health outcomes of Italian comprehensive and high school principals during the COVID\u201019 pandemic. This study was part of the Global Health Literacy Research Network. Two hierarchical multiple binary logistic regression models were performed with exhaustion and well\u2010being as outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>School principals reported high levels of exhaustion and low levels of well\u2010being. School principals from high schools were more likely to report exhaustion. Exhaustion was positively associated with work extensification and perceived helplessness and negatively associated with work\u2010related sense of coherence. Well\u2010being was positively associated with work\u2010related sense of coherence and perceived self\u2010efficacy and negatively associated with work extensification and perceived helplessness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>These findings highlighted the importance of job\u2010related perceptions and self\u2010endangering behaviors for exhaustion and well\u2010being, suggesting concrete recommendations for health\u2010promoting interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results provide an overview of the well\u2010being of Italian school principals during the COVID\u201019 pandemic, highlighting the importance of different dimensions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70111","type":"journal-article","created":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T09:39:48Z","timestamp":1768124388000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["How to Promote School Principals' Well\u2010Being? 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