Health-promoting schools in Taiwan: School principals’ and teachers’ perspectives on implementation and sustainability

Chieh Hsing Liu, Fong Ching Chang, Li Ling Liao, Yu Zhen Niu, Chi Chia Cheng, Shu Fang Shih

Research output: Contribution to journalArticle

1 Citation (Scopus)


Objective: This study assessed school principals’ understanding, attitudes and willingness to influence the implementation of the health-promoting schools (HPS) programme in Taiwan and teachers’ willingness to sustain it. Method: In 2014, a total of 1,140 school principals and 1,110 teachers (HPS coordinators) completed questionnaires concerning their perspectives on implementation and sustainability. Results: Compared with teachers, school principals reported higher levels of willingness to sustain HPS implementation. School principals’ levels of understanding of HPS and willingness to sustain it were significantly associated with higher levels of HPS implementation and an increase in teachers’ willingness to sustain HPS implementation. Conclusion: School principals’ understanding and willingness to support are central to the effective implementation and sustainability of initiatives such as HPS.

Original languageEnglish
Pages (from-to)163-175
Number of pages13
JournalHealth Education Journal
Issue number2
Publication statusPublished - 2019 Mar 1



  • Health-promoting schools
  • implementation
  • school principals
  • sustainability
  • Taiwan
  • teachers

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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