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Health Education Research Advance Access published online on October 19, 2009
Health Education Research, doi:10.1093/her/cyp058
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© The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Factors influencing the adoption of a Health Promoting School approach in the province of Quebec, Canada

M. Deschesnes1,*, F. Trudeau2 and M. Kébé1

1 Department of Development of Individuals and Communities, Quebec National Institute of Public Health, Quebec G1V 5B3, Canada
2 Department of Physical Education Sciences, University of Quebec in Trois-Rivières, Trois-Rivières G9A 5H7, Canada

Correspondence to: * Correspondence to: M. Deschesnes. E-mail: marthe.deschesnes{at}inspq.qc.ca

This study examined a prediction model that integrated three categories of predictors likely to influence adoption of the Quebec Healthy Schools (HS) approach, i.e. attributes of the approach, individual and contextual characteristics. HS receptivity was considered as a potential mediator. For this study, 141 respondents representing 96 schools participated in a postal survey. We used bivariate logistic regression to assess factors associated with HS adoption and Baron and Kenny's method to test the mediation effect of HS receptivity. Four predictors related to school organizational characteristics had more weight in influencing the adoption of HS: the ‘presence of leaders within schools’, ‘perceived school contextual barriers’, ‘school investment in healthy lifestyles’ and ‘beliefs in collective efficacy’. The influence of the latter two predictors was not direct but mediated by HS receptivity. Our findings showed that standard attributes generally considered as predictors of the adoption of an innovation are not the strongest determinants to explain HS adoption in the present context. The results shed light on the crucial role of organizational context in the adoption of this type of approach.

Received on April 23, 2009; accepted on September 18, 2009


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