Keywords: Health promotion, Primary schools, Nutrition, Physical activity
 

"The Integration of Health Promotion in Primary School Settings: Challenges and Opportunities"

This thesis investigated the implementation and effectiveness of various health-promoting activities in complex and diverse primary school settings in the Netherlands (e.g., the Healthy Primary School of the Future intervention). To gain more insight into children’s health literacy (HL) and its potential role in health promotion in children, two studies on the translation of an instrument to measure children’s HL and the subsequent investigation of a potential relationship between children’s HL and various health outcomes were presented. Furthermore, the included studies investigated how and to what degree health-promoting activities were developed and implemented in diverse school settings, which factors were important during the development and implementation process, and to what extent and in what way the implemented activities influenced children’s health (behaviours) and wellbeing.

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