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Table 3 Categories of general mechanisms and contextual factors that may play a role in the desired outcomes

From: Evaluation of health promotion in schools: a realistic evaluation approach using mixed methods

Mechanisms

Contextual factors

Outcome 1: Development of an HP approach at the school level

- Development of collective work skills

- Integration of HP in the school's project

- Common perception of HP

- Presence of a leader

- National institutional will

- Local institutional support

- Training means and trained resources

- Availability of resources

- Community involvement

Outcome 2: Development of teachers' HP practices

- Development of personal skills

- Perception of HP

- Perceived self-efficacy

- Capacity to use resources

- Capacity to integrate HP considerations in their practices

- Motivation and interest

- Teachers' empowerment

- Local institutional support

- HP integrated in the school's project

- Training means and trained resources

- Availability of resources

- Existence of an HP approach within the school

- Perceived needs of children

Outcome 3: Development of children's school well-being

- Health education activities

- Involvement of children in HP project

- Development of personal life skills

- Development of a global HP school approach integrating parents and wider community

- Teachers having HP practices

- Development a supportive psychosocial and physical environment

  1. HP: health promotion
  2. These items are based on the literature and the personal experience of the researchers (for example, from the pilot study). The mechanisms and contextual factors vary within each school.