# Evaluating school health practices in Pennsylvania: Development, results, and insights of the revised 2024–2025 healthy champions assessment

**Authors:** Allison M. Linton, Alicia M. Hoke, Lindsay A. Aluquin, Erik B. Lehman, Deepa L. Sekhar

PMC · DOI: 10.1016/j.pmedr.2026.103386 · Preventive Medicine Reports · 2026-01-14

## TL;DR

This study evaluates how well Pennsylvania schools follow updated health practices and finds that while most meet standards, there are gaps in creating a comprehensive wellness environment.

## Contribution

The paper introduces an updated school health assessment aligned with post-pandemic policies and identifies current gaps in school wellness practices.

## Key findings

- Two-thirds of schools meet or exceed health standards across five domains.
- Lowest scores were in School Health Environment and Culture.
- Gaps remain in achieving comprehensive wellness despite adherence to basic standards.

## Abstract

This manuscript describes updates to the Healthy Champions school health assessment, revised to align with evolving Pennsylvania and national policies. For the 2024–2025 program year, the tool was updated to reflect best practices that emerged since COVID-19, and current trends in school health.

Data were collected via the web-based Healthy Champions assessment, open from April–June 2024. The assessment, including five sections – Physical Activity and Education; Nutritional Environment; Counseling and Psychological Services; Health Services and Education; and School Health Environment and Culture, surveyed schools on best practices and regulatory standards. Responses were scored as section scores and analyses examined differences by respondent role type.

Among the 328 responding schools, two-thirds (n = 216, 65.9%) meet or exceed standards in all five sections. The highest scores were observed in Health Services and Education, and Psychological Services and Education, while lowest scores fell in the School Health Environment and Culture section.

Despite high reports of adherence to standards, findings reveal challenges in achieving comprehensive practices. Strengthening school health councils and wellness policies, in concert with improved policies, represent key opportunities to enhance school health in Pennsylvania.

•Pennsylvania schools report meeting or exceeding standards across health domains.•Schools consistently report achieving standards in basic health practices.•Reported practices reveal gaps in achieving comprehensive school wellness.•School health best practices and standards have evolved since the COVID-19 pandemic.

Pennsylvania schools report meeting or exceeding standards across health domains.

Schools consistently report achieving standards in basic health practices.

Reported practices reveal gaps in achieving comprehensive school wellness.

School health best practices and standards have evolved since the COVID-19 pandemic.

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382)

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12860691/full.md

## References

34 references — full list in the complete paper: https://tomesphere.com/paper/PMC12860691/full.md

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Source: https://tomesphere.com/paper/PMC12860691