Helene Wells

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1Centre for Evidence Based Intervention, Department of Social Policy and Intervention, University of Oxford, Oxford, UK 2Institute for Health and Human Development, University of East London, London, UK 3Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK 4Department of Quantitative Social(More)
The "Roaring Adventures of Puff" (RAP) is a childhood asthma education program that targets children 7 to 12 years of age and their families. This program is designed to improve the quality of life of these children and improve asthma management for optimal asthma control. The program uses interactive educational strategies based on the principles of the(More)
Health outcomes vary between schools and it is theorised that this may be partly attributable to variation in the school environment. Existing systematic reviews have not drawn authoritative conclusions because of methodological limitations in the review or studies available. We identified 42 multi-level studies, ten of which were judged of sufficient(More)
BACKGROUND There is increasing interest in promoting young people's health by modifying the school environment. However, existing research offers little guidance on how the school context enables or constrains students' health behaviours, or how students' backgrounds relate to these processes. For these reasons, this paper reports on a meta-ethnography of(More)
Public-health interventions informed by theory can be more effective but complex interventions often use insufficiently complex theories. We systematically reviewed theories of how school environments influence health. We included 37 reports drawing on 24 theories. Narrative synthesis summarised and categorised theories. We then produced an integrated(More)
BACKGROUND Schools may have important effects on students' and staff's health. Rather than treating schools merely as sites for health education, 'school-environment' interventions treat schools as settings which influence health. Evidence concerning the effects of such interventions has not been recently synthesised. METHODS/DESIGN Systematic review(More)
To evaluate the effectiveness of a comprehensive asthma management education program for 7- to 12-year-old children with asthma, entitled Roaring Adventures of Puff (RAP), 18 elementary schools in Edmonton were randomized to intervention and control groups. Participating in the program were 76 students with asthma in the intervention schools and 86 in the(More)