A Health Promoting School (HPS) approach is now widely accepted internationally, with a focus on children’s health, the school curriculum, and whole school environment. In Thailand, the health and well-being of children is a fundamental value. HPS programmes have been implemented in schools as a strategy to focus on young people’s health. A number of barriers to successful HPS have been identified. While there is international evidence to show the steps and the key factors in creating successful HPS, little is known about successful HPS in the Thai context, in particular, in Northeastern Thailand which has been classified the poorest region. Ethnographic methods were used to examine what understanding of the meaning of HPS is necessary for a successful school, and how all those involved acted from the adoption of the HPS programmes by the local school until it achieved HPS status. A rural school which was successful in a HPS programme was selected, in Mahasarakham province, Northeastern Thailand. The data were obtained through participant observation, ethnographic interviews, and ethnographic records, and data analysis took place simultaneously with data collection. In this study, Lofland’s strategy for the analysis of the structure of human interaction was used. A variety of techniques for improving and documenting the credibility of the study such as prolonged engagement, persistent observation, and triangulation were used. This research revealed that the informants’ views reflected diverse understandings of the meaning of HPS. Those views were based on their experiences of HPS which differed according to the degree of participation, different levels of knowledge about HPS, and in the roles they played in the implementation of HPS in the school. Thai culture and school ethos influenced the success of HPS. Community participation was also crucial in supporting the school’s achievement. Key factors that underpinned success are identified. Implications of the findings for the HPS programme, health professionals, the school and community are discussed.

A Health Promoting School (HPS) approach is now widely accepted internationally, with a focus on children’s health, the school curriculum, and whole school environment. In Thailand, the health and well-being of children is a fundamental value. HPS programmes have been implemented in schools as a strategy to focus on young people’s health. A number of barriers to successful HPS have been identified. While there is international evidence to show the steps and the key factors in creating successful HPS, little is known about successful HPS in the Thai context, in particular, in Northeastern Thailand which has been classified the poorest region. Ethnographic methods were used to examine what understanding of the meaning of HPS is necessary for a successful school, and how all those involved acted from the adoption of the HPS programmes by the local school until it achieved HPS status. A rural school which was successful in a HPS programme was selected, in Mahasarakham province, Northeastern Thailand. The data were obtained through participant observation, ethnographic interviews, and ethnographic records, and data analysis took place simultaneously with data collection. In this study, Lofland’s strategy for the analysis of the structure of human interaction was used. A variety of techniques for improving and documenting the credibility of the study such as prolonged engagement, persistent observation, and triangulation were used. This research revealed that the informants’ views reflected diverse understandings of the meaning of HPS. Those views were based on their experiences of HPS which differed according to the degree of participation, different levels of knowledge about HPS, and in the roles they played in the implementation of HPS in the school. Thai culture and school ethos influenced the success of HPS. Community participation was also crucial in supporting the school’s achievement. Key factors that underpinned success are identified. Implications of the findings for the HPS programme, health professionals, the school and community are discussed.

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No. of bitstreams: 2 Dissertação - Samara Marques de Moura - 2014.pdf: 1961051 bytes, checksum: 176e712199880a7df9362796d6935e6f (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2014-02-04 / Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG / Health Promotion is one strategy that seek to improve the population´s quality of life. For that reason, intersectoral partnerships are necessay, since they require knowledges´ articulation, commitment between institutions, organizations and individuals to reach solutions for complex problems. One example of a public initiative of intersectoral action is the School Health Program (PSE), established in 2007 by the Brazilian Ministries of Health and Education, on the perspective of comprehensive healthcare (prevention, promotion and assistance) of children, adolescents and young people enrolled in the public schools in partnership with basic health units. The evaluation of this policy and its implementation may legitimate Health Promotion and generate evidence that their actions may produce significant changes in the life conditions of individuals, groups and communities. The aim of this study was to analyze the potential of PSE as an instrument of intersectoral action in the context of health promotion in a large municipality. Through a qualitative approach, education professionals and their corresponding teams of the Family Health Strategy were interviewed , and also students who benefited from the program, as well as members of the municipal Working Group of the Intersectoral PSE of Goiânia. The interviews were transcribed and analyzed using content analysis to formulate emerging analytical categories. From the interviews, the process of implementation of PSE, the perceptions of respondents of the themes developed in the PSE´s projects regarding intersectoral matters, the impact of actions developed in the school community, the facilitators and the shortcomings in undertaking the actions, the PSE´s potential to induce intersectoral actions and future perspectives were described. The results allowed a better understanding of the PSE, showing that there is no evidence of the consolidation of intersectoral actions, but there was an approximation and the emergence of important partnerships and actions aiming the establishment of healthy school environment within the Health Promotion. / A Promoção da Saúde é uma das estratégias para a melhoria da qualidade de vida da população. Para isso, há necessidade de parcerias intersetoriais, já que elas pressupõem articulação de saberes, compromisso entre instituições, organizações e pessoas para o alcance de soluções de problemas complexos. Exemplo de iniciativa pública de intersetorialidade é o Programa Saúde na Escola – PSE, instituído em 2007 pelos Ministérios da Saúde e da Educação, na perspectiva da atenção integral (prevenção, promoção e atenção) à saúde de crianças, adolescentes e jovens do ensino público básico, no âmbito das escolas e unidades básicas de saúde. A avaliação dessa política e sua prática podem conferir legitimidade à Promoção da Saúde se gerar evidências de que suas ações são capazes de produzir mudanças significativas nas condições de vida das pessoas, grupos e comunidades. O objetivo do presente estudo foi analisar o potencial do PSE como instrumento de intersetorialidade no contexto da Promoção da Saúde em um município de grande porte. Por meio de uma abordagem qualitativa foram entrevistados profissionais da educação com suas correspondentes Equipes da Estratégia Saúde da Família, estudantes beneficiados com o programa, além de integrantes do Grupo de Trabalho Intersetorial Municipal do PSE de Goiânia. As entrevistas foram transcritas e os dados analisados por meio da análise de conteúdo com formulação de categorias analíticas emergentes. A partir das entrevistas, descreveu-se o processo de implementação do PSE e as percepções dos respondentes sobre as temáticas desenvolvidas nos projetos do PSE quanto à intersetorialidade, os impactos das ações desenvolvidas junto à comunidade escolar, os fatores considerados facilitadores e dificultadores para a realização das ações, percepção sobre a potencialidade do PSE em induzir ações intersetoriais e as perspectivas futuras com o programa. Os resultados permitiram entender sobre o PSE, mostrando que ainda não há de fato a consolidação da intersetorialidade, mas que houve aproximação e o surgimento de parcerias importantes para a construção de ações saudáveis no ambiente escolar e no âmbito da Promoção da Saúde.

Bakgrund: Hälsopromotion/hälsofrämjande arbete innebär att man arbetar med hälsa ur ett holistiskt synsätt där strävan är balans i hälsans alla delar. Hälsopromotion har sedan World Health Organization’s (WHO) lansering av Ottawadokumentet utvecklats till en inriktning som tydligt skiljer sig från sjukdomsbehandlande och sjukdomsförebyggande arbete. Livsstilsrelaterad ohälsa i Sverige kostar samhället upp till 55 miljarder kr per år. Åtgärder i människors livsstil kan ge vinster för individ, organisation och samhället med bl.a. minskad belastning i sjukvården, vilket rimligtvis kan minska kostnader för sjukvården och samhället i helhet. Primärvården kan som första vårdinstans betraktas ha goda förutsättningar till att på ett tidigt stadium nå patienter oavsett socioekonomisk status & då främja en jämlik hälsoutveckling i befolkningen. Syfte: Att undersöka hälsopromotivt arbete inom primärvården i en medelstor stad i Norrbotten. Vad är arbetsledares perspektiv på hälsopromotivt arbete inom primärvården? Hur arbetar medarbetare hälsopromotivt inom primärvården? Vilket stöd behövs för att utveckla det hälsopromotiva arbetet i primärvården? Metod: Kvantitativ deskriptiv studie. Resultat: Arbetsledare har en medvetenhet kring det hälsofrämjande uppdraget och en vilja att implementera och utveckla det arbetet, det finns en ambition att arbeta befolkningsinriktat för en jämlik hälsa för alla och en tro på att primärvårdens roll kommer att vara viktigare i framtiden för främjandet av hälsan hos individer och grupper i befolkningen. Samtidigt uttrycks ett tydligt behov av resurser, kompetens och samverkan inom området då primärvårdens totala uppdrag inklusive främjandet av hälsan uppfattas som för brett och därmed svårgreppbart. Medarbetarna arbetar med samtliga delar av hälsa varav fysisk, psykisk och social hälsa uppger majoriteten sig arbeta med. Motivation via samtal samt utredning via samtal anges som primära arbetsmetoder inom samtliga områden av hälsa. Även receptordination och remittering till specialist anges som vanliga arbetssätt. Medarbetarna uttrycker ett tydligt behov av tid, resurser, kompetens och samverkan för ett ökat hälsopromotivt arbete, i likhet med arbetsledarnas uttryckta behov. Vår slutsats är att genom samverkan där både promotivt och preventivt arbete praktiseras, kan både tid och övriga resurser hos primärvårdens nuvarande vårdpersonal besparas. / Background: Health promotion means working with health from an holistic approach where the endeavor is balance concerning all aspects of health. Since the World Health Organization's (WHO) launch of the Ottawa document, health promotion has obviously distinguished from disease treatment and disease prevention. In Sweden, health problems related to lifestyle costs society up to SEK 55 billion a year. Measures in people's lifestyles can give benefits to individuals, organizations and society with a reduced burden on healthcare. Action can reduce costs regarding both healthcare and society as a whole. Primary care can be regarded as the first healthcare provider to have good conditions for reaching patients at an early stage regardless of socioeconomic status and thereby promote equal health development among the population. Purpose: To investigate health-promoting work in primary care in a medium-sized city in Norrbotten. What is the supervisor's perspective on health-promoting work in primary care? How do employees work in a health-promoting field in primary care? What support is needed to develop the health-promoting work in primary care? Method: Quantitative descriptive study. Result: Supervisors have an awareness of the health promotion mission and a willingness to implement and develop that work, there is an ambition to work population-oriented towards equal health for all and a belief that primary care will be more important in the future regarding promotion of the health of individuals and groups among the population. Meanwhile, there is a clear need for resources, skills and collaboration in the area, as the mission of primary care, including health promotion, is perceived as too broad and thus difficult to handle. The staff work with all parts of health, whereof physical, mental and social health are embraced by the majority. Motivation via conversation and inquiry via conversation are indicated as primary working methods in all areas of health. Recipe ordination and remittance to specialist are also stated as common practices. The staff expresses a clear need for time, resources, skills and collaboration for increased health-promoting work, similar to the expressed needs of supervisors. Our conclusion is that through collaboration where both promotional and preventive work is practiced, both time and other resources could be spared concerning primary care's current healthcare staff.

Bakgrund: Forskning idag uppmärksammar och lyfter barns och ungdomars psykiska hälsa och huruvida den försämrats på senare tid eller inte och vad en nedåtgående hälsotrend i sådana fall kan bero på. Stress är ett begrepp som nämns i stor omfattning och skolstress anses vara en potentiell förklaring. Vidare beskrivs faktorer så som socioekonomi, familjeförhållanden, relationer, utbildning, levnadsvanor och livsstilar som faktorer av betydelse för ungdomars välbefinnande, både främjande och hämmande. Det handlar om faktorer som ungdomar aktivt kan påverka men även faktorer de inte kan styra över i det livsskede de befinner sig i.    Syfte: Syftet med studien var att undersöka ungdomars upplevelser av välbefinnande och vad som bidrar till ett gott välbefinnande. Metod: En kvalitativ ansats valdes och tio ungdomar i åldrarna 15–16 år intervjuades med en semistrukturerad intervjumetod. Intervjuerna spelades in och transkriberades. Därefter genomfördes en kvalitativ innehållsanalys. Resultat: Analysen av intervjumaterialet resulterade i ett tema: ”Nycklar till ett gott välbefinnande”, med två tillhörande kategorier: ”Socialt kapital” som vidare består av subkategorierna: familjen av störst betydelse, vänner och skolklimat och tryggt samhälle. Vidare kategorin: ”Rörelse och kraft” som består av subkategorierna: stress och motiverande faktorer, fritid och fysisk aktivitet och hantering av vardagliga stressorer. Slutsats: Välbefinnandet framkom som en viktig förutsättning för att främja hälsa på lika villkor och det innebar vidare att vara frisk, må gott psykisk och fysiskt och att vara glad. Familjen, vännerna och skolan var de främsta faktorerna som påverkade och främjade välbefinnandet positivt. Skolan och samhället var också viktiga och positiva faktorer som påverkade välbefinnandet men medförde också stress. Stress och utmaningar sågs som både positivt och negativt men var även utvecklande och gynnade välbefinnandet. För hanteringen av stressorer framkom det olika strategier som ungdomarna använde sig av; skriva listor, spela spel, lyssna på musik, träna, planera, prata ut och promenera för att upprätthålla ett gott och stabilt välbefinnande. Nyckelord: Ungdomar, Strategier, Stress, Hälsofrämjande, Hälsa, Välbefinnande. / Background: Research highlights child and adolescent mental health and whether it has deteriorated in recent years, and what the causes are of a possible negative health trend. Stress is a term that is mentioned extensively and school stress is considered to be one possible explanation to the problem. Research also describes factors such as socioeconomic status, family relationships, relationships, education, habits and lifestyles factors relevant to the health of adolescents. Factors that both promote and inhibit, which adolescents actively can influence but also factors they cannot control in the stage of life they are in. Aim: The aim of the study was to examine adolescent's perceptions of well-being and what contributes to a good well-being. Method: A qualitative approach was used and ten adolescents aged 15–16 years were interviewed with a semi-structured interview method. The interviews were recorded and transcribed. Thereafter a qualitative content analysis was performed. Results: The analysis of the material resulted in the theme: “Keys to a good well-being”, with two related categories: "Social capital", which further consists of the subcategories: family of greatest importance, friends and school climate and safe society. Further category: "Movement and power", which consists of the subcategories: stress and motivational factors, leisure and physical activity and the management of everyday challenges. Conclusion: Well-being appeared to be important for promoting health on equal terms and it further meant to be healthy, feeling well mentally and physically, and being happy. Family, friends and leisure were the main factors that affected and promoted the well-being positively. The school and the society were also important and positive factors that affected well-being, but it also caused stress. Stress and challenges were, both positive and negative, but were also seen as developing and benefiting to the well-being. To cope with everyday stressors, a variety of strategies that the adolescents used emerged. For example, they wrote lists, played games, listened to music, practiced, planned, communicated and took walks to maintain good and stable well-being. Keywords: Adolescents, Strategies, Stress, Health promoting, Health, Well-being.

Bakgrund Ohälsosam stress och utmattningssyndrom ökar i samhället idag och kan leda till allvarliga psykiska och fysiska besvär hos människor. Det höga antalet sjukskrivningsdagar som ohälsosam stress leder till ger stora ekonomiska konsekvenser för samhället. Det är vetenskapligt bevisat att avslappningsövningar såsom meditation, mindfulness och yoga kan få kroppen att slappna av. Det identifieras däremot en kunskapslucka inom delar av hälso- och sjukvården om hur avslappningsövningar kan användas som egenvårdsåtgärd i omvårdnaden av patienter med symptom på ohälsosam stress. Syfte Syftet var att beskriva upplevelser av avslappningsövningar som egenvårdsåtgärd hos personer med symptom på ohälsosam stress. Metod Icke systematisk litteraturöversikt har använts som metod för att sammanfatta tidigare gjord forskning. Sökningar i databaserna PubMed och CINAHL har gjorts och det har gett 16 vetenskapliga artiklar som har svarar mot syftet. Integrerad dataanalys användes för att få en bra bild över resultaten. Resultat I resultatet av litteratursökningen identifierades två huvudkategorier med sammanlagt sex underkategorier. Den första huvudkategorin var “Avslappningsövningars påverkan på ohälsosam stress och utbrändhetsvariabler” med underkategorierna: “Påverkan på ohälsosam stress”, “Mätbar minskning av stressnivåer”, “Påverkan på utbrändhetsvariabler” och “Långvarig påverkan på stress och utbrändhetsvariabler”. Huvudkategori två var “Hindrande och möjliggörande faktorer för att utföra avslappningsövningar” med underkategorierna: “Hindrande faktorer” och “Möjliggörande faktorer”. Slutsats Avslappningsövningar som egenvårdsåtgärd visade sig minska människors stressymptom och främja den psykiska hälsan. Stressreduceringen orsakade även positiva fysiologiska effekter i kroppen. Att utföra avslappningsövningar som egenvård var dock komplicerat för en del stressade deltagare i de undersökta studierna. Denna litteraturöversikts resultat kan vara till hjälp för vårdpersonal som vårdar människor som upplever stressrelaterade besvär. Avslappningsövningar som egenvårdsåtgärd kan ha en betydande roll i omvårdnaden av dessa patienter och de är även till hjälp för stressade yrkesgrupper i samhället såsom till exempel vårdpersonal. / Background Unhealthy stress problems and burnout are increasing in society today and the high number of sick leave days that unhealthy stress entails leads to high costs for society. It is scientifically proven that relaxation methods such as mindfulness, meditation and yoga help people relax and calm down. In healthcare, stressed patients can be helped to perform relaxation exercises, but there is a knowledge gap in how the exercises should be taught as a self-care method to the patients. Aim The purpose was to describe experiences of relaxation therapy as a self-care method for people who experience unhealthy stress problems. Method A non-systematic literature review has been used as a method to summarize previously done research. Searches in the databases PubMed and CINAHL have been done and it has yielded 16 scientific articles that have answered the purpose of the study. Integrated data analysis was used to get a good picture of the results. Results In the result of the literature search, two main categories were identified with a total of six subcategories. The first main category was "Impact of relaxation exercises on unhealthy stress and burnout variables" with the subcategories: "Impact on stress", "Measurable reduction of stress levels", "Impact on burnout variables" and "Long-term impact on stress and burnout variables". The main category two was "Obstructive and enabling factors for performing relaxation exercises" with the subcategories: "Obstructive factors" and "Enabling factors". Conclusions Relaxation exercises were shown to reduce people's stress symptoms and promote mental health. The stress reduction also showed positive physiological effects on the body. But performing relaxation exercises as a self-care method was complicated for some stressed participants in the studies. The results of this study can be helpful for healthcare professionals who take care of people who experience stress-related problems. Relaxation exercises as a self-care measure can play a significant role in the care of these patients and it is also helpful for stressed professional groups in the society, such as caregivers.

I samband med Covid-19-pandemins utbrott 2020 skedde många förändringar i arbetslivet. En av de största förändringarna var att många verksamheter som inte tidigare arbetat på distans var tvungna att skicka hem sina anställda. Detta skapade nya förutsättningar för både ledare och medarbetare, inte minst när det kom till hälsofrämjande insatser. I denna studie har det undersökts vilka utmaningar och möjligheter ledare med personalansvar möter när det kommer till att leda hälsofrämjande på distans. Forskning om hur ledare upplever detta är sällsynt varvid denna studie har haft som avsikt att bidra med ny kunskap inom området. De tre delarna av hälsofrämjande ledarskap - att organisera hälsofrämjande aktiviteter, stödjande ledarskapsstil samt utveckla en hälsofrämjande arbetsplats - har använts för att skapa struktur genom studien. Transkriberingen från åtta semi-strukturerade intervjuer har kodats och tematiskt analyserats med hjälp av tidigare teorier kring hälsofrämjande ledarskap och distansarbetets möjligheter och utmaningar. Studien har flera nyckelresultat. En utmaning varit att hitta nya former för att organisera hälsofrämjande aktiviteter. En annan utmaning har varit att kommunikationen med medarbetarna förändrats och det därmed blivit svårare för ledarna att “känna in” hur medarbetarna mår. Studien har visat att distansarbetet därför utmanat och påverkat ledarna att vara mer relationsinriktade och ledarna har upplevt att de fått lägga mer tid och resurser på emotionella insatser. Ytterligare resultat visar att medarbetarnas förmåga att leda sig själva har fått ökad betydelse. Därav har ledarskapet utmanats till att bli mer individualiserat stöttning till självledarskap har använts i större omfattning då det setts som en möjlighet att öka medarbetarnas delaktighet i det hälsofrämjandet arbetet. Bra kommunikation, mer kommunikation, tydlig struktur och en sedan tidigare väl inarbetad kultur är delar som ledarna upplevt möjliggjort det hälsofrämjande ledarskapet på distans. De flesta av ledarna har också upplevt att distansarbetet möjliggjort mer än utmanat det hälsofrämjande ledarskapet när det kommer till att skapa balans mellan arbete och fritid. I bredare perspektiv har studiens slutsatser bland annat varit att ledarna behöver ha kreativitet att bevara och att hitta nya former för hälsofrämjande aktiviteter som fungerar vid distansarbete, samt förmåga att inspirera och motivera till medarbetarnas individuella ansvar och deltagande i hälsofrämjande arbete. Studien har även pekat på att distansarbetet ställt krav på en större emotionell förmåga vilket kan vara viktigt att tänka på vid rekrytering av framtidens hälsofrämjande ledare. / In 2020 the Covid-19 pandemic forced significant changes to work life. One of the most crucial changes was the increasing number of workers who started to work remotely. This created a new basis for both employees and leaders, not least when it came to efforts aimed at promoting health. This study has therefore examined the opportunities and challenges faced by leaders responsible for efforts promoting remote-based health in personnel. Research showing leaders' experience in this matter is sparse, thus the aim of this study is to bring new knowledge to this field. Three different aspects have been focused on regarding health-promoting leadership: organizing health promoting activities; supportive leadership; and creating a health-promoting workplace. Transcripts from eight semi-structured interviews have been coded and thematic analyzed using theories of health-promoting leadership and challenges and possibilities arising when working remotely. The study has several key findings. One challenge has been to find new forms of health-promoting activities. A further finding revealed that the communication with the employees has changed, and it has therefore been more difficult for the leaders “to sense” the wellbeing of their employees. Furthermore, the results showed that working remotely challenged the leaders’ needs for more relationship-oriented health-promoting leadership and leaders experienced they spent more time and effort on emotional interventions. Another finding was that the workers' ability to self-leadership has been given increased meaning. Hence leadership has been challenged to become more individualized and supportive to self-leadership to encourage employees’ participation in health-promoting work. More and better communication, transparent and clear routines of the working structure and incorporated organizational culture have all helped the leaders to continue their health-promoting leadership when working remotely. Most of the leaders also experienced that working remotely has enabled, rather than challenged, health-promoting leadership regarding the creation of work/private life balance. In a broader perspective the conclusions of this study have been that leaders need creativity to preserve and find new forms of health-promoting activities suitable for remote work. Leaders also need the ability to inspire and motivate the workers to have a sense of individual responsibility for taking part in and creating a health-promoting work-place. The study also shows leading workers remotely demands more emotional capacity which is an important indication for recruiters of future health promotion leaders.

Thesis (Ph.D. (Health Sciences)) -- University of Limpopo, 2021 / Background: The purpose of this study was to develop, implement and evaluate a Health Promoting School (HPS) training programme for educators in the high schools of the Mankweng Circuit, Limpopo Province, South Africa. Methods: This is an explanatory mixed method study conducted among high school learners to identify risk behaviours, physical environmental and school climate factors to develop, implement and evaluate a Health Promoting School training programme for educators in the high schools of Mankweng Circuit. A structured questionnaire and a semi-structured interview guide were used to collect data. Quantitative data was collected from a total of (n=828) learners on risk behaviours, environmental and the school climate factors including curriculum and policy factors from (n=12) schools, while the key informants involved in decision making at the schools provided qualitative data on the same topics. The study highlighted potential areas for the initiation of Health Promoting Schools in Limpopo Province. Results: About 828 learners participated in this study, of which, 416 (50.2%) were males and 412 (49.8%) were females. More males than females indicate that they consumed alcohol (47% versus 24%, p<0.05), while 11% (90/840) of the learners report to have smoked cigarettes, a higher proportion of which are males rather than females (18% versus 4%, p<0.05). Quantitative results were further explored through analysis of the qualitative data from key informants who confirmed that the use of substances such as tobacco, alcohol and dagga (marijuana) is rife among school learners. Factors relevant to develop a training programme for educators were identified from the findings. The identified factors informed the development of the HPS training programme. Educators received training on HPS programme and the implementation was evaluated. Conclusion: The Health Promoting School (HPS) Training Programme improved the educator’s knowledge, understanding and skills of how schools can become Health Promoting Schools.

En stor andel av dagens barn och ungdomar är inte tillräckligt fysiskt aktiva, vilket är oroande då det finns ett positivt samband mellan pulshöjande fysiska aktiviteter och hälsa. Insatser för att öka barn och ungdomars fysiska aktiviteter är därför viktiga, där skolan som arena har en betydande roll. Skolan ska arbeta hälsofrämjande och ge eleverna en miljö där deras hälsa och lärande främjas. En viktig del i den stödjande skolmiljön är att stärka elever till att kunna ta makten över sina egna liv (egenmakt) där delaktighet är ett viktigt inslag. Tidigare studier visar på att pulshöjande fysiska aktiviteter kan ha en positiv effekt på koncentrationen, minnet och förbättra de akademiska prestationerna hos barn och ungdomar. Dock visar andra studier på motstridiga resultat och ifrågasätter även tidigare studiers resultat. Mer kunskap om skolpersonalens uppfattningar om pulshöjande fysiska aktiviteter i skolan behövs för att bättre kunna möta utmaningarna som uppstår samt få mer kunskap om vilka fördelar som pulshöjande fysiska aktiviteter i skolan för med sig. Studiens syfte var därför att utforska och beskriva hur skolpersonal uppfattar en pulshöjande fysisk aktivitetsintervention (PuLH). För att kunna svara på syftet användes följandefrågeställning: Vilka fördelar och utmaningar uppfattar skolpersonalen med PuLH? PuLH har genomförts i åtta kommuner i Jönköpings län. Interventionen har innehållit tre pulshöjande fysiska aktivitetspass i veckan, förutom de två obligatoriska idrott och hälsa lektionerna. Studien är en fallstudie med en explorativ design. Datainsamlingen genomfördes genom fokusgruppsintervjuer, öppna frågor och enskilda intervjuer. Totalt har 32 personer deltagit i studien varav 10 ämneslärare, 14 idrott och hälsa lärare samt åtta skolsköterskor. Datainsamlingen bearbetades och analyserades med hjälp av kvalitativ innehållsanalys. Dataanalysen ledde fram till tre teman och sex subteman. Skolpersonalen beskrev flera fördelar med PuLH både för elevernas hälsa, välbefinnande och deras villkor för lärande. De uppfattade även att de flesta av eleverna deltog och uppskattade de pulshöjande fysiska aktiviteterna. PuLH kan vara ett sätt att arbete hälsofrämjande i skolan eftersom det skapas förutsättningar till delaktighet och eleverna coachas att delta utifrån deras egna behov och de får delta på sina egna villkor. Skolpersonalen beskrev strukturella barriärer och divergens kring PuLH som utmanande. / A large proportion of today's children and adolescents are not sufficiently physically active, which is worrying as there is a positive relationship between moderate to vigorous physical activities (MVPA) and health. Efforts to increase the physical activity of children and adolescents are therefore important, where school as an arena plays a considerable role. The school aims to promote health and provide pupils with an environment where their health and learning are promoted. An important part of the supportive school environment is that pupils are strengthened to be able to take control of their own lives (empowerment) and where participation is important. Previous studies show that MVPA can have a positive effect on concentration, memory and improve the academic performance for children and adolescents. However, other studies show contradictory results and question previous studies' results. More knowledge about school staff's perceptions of MVPA at school is needed to better meet the challenges that arise and gain more knowledge about the benefits that MVPA at school brings. The purpose of the study was therefore to explore and problematize how school staff perceive a MVPA intervention (PuLH). In order to answer the purpose, the following question was used: What advantages and challenges do school staff perceive with PuLH? PuLH has been implemented in eight municipalities in Jönköping County. The intervention included three MVPA sessions a week, in addition to the two compulsory sports and health lessons. The study is a case study with an explorative design. The data collection was conducted through focus group interviews, open questions and individual interviews. A total of 32 people participated in the study, of which 10 subject teachers, 14 sports and health teachers and eight school nurses. The data collection was processed and analyzed using qualitative content analysis. The data analysis led to three themes and six subthemes. School staff described several advantages of PuLH both for pupils' health, well-being and their conditions of learning. They also perceived that most of the pupils participated and appreciated the MVPA. PuLH can be a way to work health promotion in school because opportunities are created for participation and pupils are coached to participate according to their own needs and they can participate on their own terms. School staff described structural barriers and divergence around PuLH as challenging.

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