Visualizing contextual determinants in and across heterogeneous settings: a qualitative study on structured school health promotion implementation.

ABSTRACT:

Background

Schools have the potential to promote equitable health from early life onwards yet require sufficient organizational capacity to achieve sustained action. Structured improvement approaches, such as PDSA cycles, may help strengthen this capacity by guiding systematic implementation processes. However, their potential in school health promotion remains insufficiently understood, particularly regarding the heterogeneous contextual factors shaping their application. This study examined which contextual determinants shape schools' perceived implementability of the PDSA cycle for health promotion and how these conditions differ across schools.

Methods

Nine German primary schools participating in a holistic health promotion program were purposively sampled to capture het

SUBMITTER: Sterr K 

PROVIDER: S-EPMC12836875 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature