Objective:Photovoice as a participatory research method seeks to capture and share participants’ perspectives and experiences. It has been widely used in school settings to prioritise student voice in health research. Photovoice also presents opportunities for health education. There is limited synthesis on school-based Photovoice focused on nutrition and physical activity (PA). This systematic review examined the use of school-based Photovoice in relation to nutrition and PA for 10- to 18-year-olds. The research questions explored were twofold: what Photovoice approaches and implementation processes have been used in schools with respect to nutrition and PA; and what were the student learning outcomes?Methods:Six electronic databases were searched: MedLine, PsycInfo, EMBASE, ProQuest Education Journal, Cochrane Central and ERIC. The Participant, Intervention, Comparison, Outcome and Study (PICOS) framework was used to specify inclusion/exclusion criteria. Nineteen articles were selected from the search results of 2,305 articles based on fit with the established criteria. Iterative inductive thematic analysis was used to analyse the data with a focus on (1) approaches and implementation, and (2) student learning outcomes.Results:Nineteen studies were included in the review. Themes related to approaches and implementation were the importance in introductory sessions; processes for meaning-making; student-led community engagement and health promotion; and learning from challenges and limitations. Themes related to student learning outcomes included critical awareness of nutrition and PA environmental influences; capability development; and agency and empowerment.Conclusion:School-based Photovoice benefits health research by generating data with a focus on student voice. An under-valued and under-reported benefit relates to student learning outcomes, supporting the potential for healthy behaviour change. Multisectoral education and health research should value both types of goals. Photovoice can be used as a curriculum-linked pedagogical tool to add value to the pursuit of educational goals in school.

中文翻译：

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使用 Photovoice 促进学校营养和体育活动学习：系统评价

目的：照片语音作为一种参与式研究方法，旨在捕捉和分享参与者的观点和经验。它已广泛应用于学校环境，以优先考虑学生在健康研究中的声音。照片语音还提供了健康教育的机会。以学校为基础的 Photovoice 重点关注营养和体育活动 (PA) 的综合有限。这项系统回顾调查了学校 Photovoice 与 10 至 18 岁青少年营养和 PA 的关系。探讨的研究问题有两个：学校在营养和公共活动方面使用了哪些 Photovoice 方法和实施流程；学生的学习成果是什么？方法：检索了六个电子数据库：MedLine、PsycInfo、EMBASE、ProQuest Education Journal、Cochrane Central 和 ERIC。参与者、干预、比较、结果和研究 (PICOS) 框架用于指定纳入/排除标准。根据符合既定标准，从 2,305 篇文章的搜索结果中选择了 19 篇文章。采用迭代归纳主题分析来分析数据，重点关注 (1) 方法和实施，以及 (2) 学生学习成果。 结果：评价中纳入了 19 项研究。与方法和实施相关的主题是介绍性会议的重要性；意义创造的过程；以学生为主导的社区参与和健康促进；并从挑战和限制中学习。与学生学习成果相关的主题包括对营养和 PA 环境影响的批判性认识；能力发展；结论：基于学校的照片语音通过生成关注学生声音的数据，有利于健康研究。一个被低估和低估的好处与学生的学习成果有关，支持健康行为改变的潜力。多部门教育和卫生研究应重视这两类目标。Photovoice 可以用作与课程相关的教学工具，为学校实现教育目标增加价值。