[A participatory approach to general health promotion in secondary schools: "diagnosanté" in the Rhône-Alpes region]. / Démarche participative de santé globale en collège et lycée : le « diagnosanté ¼ en Rhône-Alpes.

A diagnosis questionnaire ("diagnosanté", or health diagnosis program) was administered in 10 secondary schools in the Rhône-Alpes region of France. The study was based on a sample of 2,553 students. The health diagnosis program includes questions about lifestyle, the environment, risk behaviors, emotional life and self-esteem. The students were asked to respond to 18 components with an impact on wellbeing (perceived health) and to describe how they experience these components (experienced health). Beyond providing individual diagnoses, the data could be used by secondary school staff to focus health education programs on real needs and to promote local health education. The diagnosis questionnaire, which does not focus on individual behaviors, provides a new tool for developing a school-community approach, for motivating teaching staff and for promoting partnerships. The diagnosis questionnaire is also participatory insofar as it encourages discussion among students, educators, teachers and staff on health promotion in schools.