Studies evaluating of health interventions at schools: an integrative literature review.
Eliabe Rodrigues de Medeiros, Danielle Gonçalves da Cruz Rebouças, Alany Carla de Sousa Paiva and 3 others
PMID 30020339WHAT IT FOUND
Most evaluations of school health interventions judged outcomes, not process.
For nurses running school health programs, published evaluations may not show how care was delivered.
Key findings
01The review included 121 evaluation studies of school health interventions.
02Among the 121 included studies, 97 used a quantitative approach, 118 were published in English, and 66 were in the Region of the Americas.
03Among the 121 included studies, 85 evaluated programs, 89 assessed the result dimension, and 101 were at judgment level.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included only free full-text articles from the last five years, so paid-access or older studies were not considered. The search was done in May 2017, so 2017 publications were incomplete. It excluded review studies, so evidence already synthesized elsewhere may be missing. The included studies varied widely in intervention type, region and evaluation level, so the review reports counts rather than clinical effects. The authors state that using more than one researcher may influence the results.
The easy way to misread this
Do not read this as evidence that school health programs improve student health. It reviewed how 121 studies evaluated interventions, but it did not test whether any intervention worked.