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In this study, we examined the sustainability of health-promoting practices in Norwegian schools that wereenrolled in the European Network of Health-Promoting Schools from 1993 to 2003. The research questions were: How dothe principals perceive that health-promoting practices have been sustained in the schools following the schools’membership of the health-promoting schools network? In what way is school leadership related to the sustainability ofhealth promotion? The study draws on qualitative data consisting of interviews with seven principals in 2008 and schooldocuments. The schools determined their own priorities for action based on assessment of needs in 1994. After 14 years,health promotion practices were sustained in six of the seven schools. Two factors emerged as vital for sustained healthpromotion practices: the health-promoting school experience and the maintenance and development of practice. Thehealth-promoting school experience relates to staff who internalized the potential link between health promotionpractices, school satisfaction, and learning. This also emphasizes the importance of the transfer of experience insustaining health promotion practices as the staff turned over. The maintenance of vision and practice relates to theprincipals’ commitment to school health promotion, leadership practices that encourage health promotion practices, andexternal collaboration with the surrounding community in health promotion

A Fourteen Year Follow-Up Study of Health Promoting Schools in Norway: Principals` Perceptions of Conditions Influencing Sustainability