資金不足の学校で適応された肥満予防介入の試験:試験用クラスタ化ランダム化試験
Yuxin Nie1, Qiaoyin Tan1, Paul Son1
1School of Kinesiology, Louisiana State University, Baton Rouge, LA, 70803, USA.
Scientific reports
|August 28, 2025
まとめ
この試験試験では,デジタル支援運動と食事 (ProudMe) による肥満予防の介入を学校でテストしました. ProudMe カフェテリアは成功を示したが,他のコンポーネントは混雑した結果を示し,学生の体重状態には大きな影響はなかった.
科学分野:
- 公衆衛生
- 子供 の 肥満 の 予防
- デジタルヘルスの介入
背景:
- 子どもの肥満は公衆衛生の重要な問題であり,特に資源不足のコミュニティでは問題です.
- この問題に対処するために 効果的なスケーラブルな介入が必要です
研究 の 目的:
- デジタル支援運動と食事 (ProudMe) による肥満予防対策の試験を実施する.
- 実施成果 (浸透度,忠誠度) を評価し,統合実施研究枠組み (CFIR) を用いて促進要因と障壁を特定する.
主な方法:
- ProudMeを6つの資源不足の学校で 待機リストの対照と比較したクラスターランダム化試験です
- ProudMeのコンポーネントには,食堂の変更 (ProudMe Cafeteria),体育 (ProudMe PE),AI支援カウンセリング (ProudMe Tech) およびスタッフ開発 (ProudMe PD) が含まれていた.
- 実施結果と促進要因/障害を評価するために,混合的な方法が用いられました.
主要な成果:
- "プライド・ミー・カフェテリア"は 極めて良い成果を上げ,カフェテリアのスコアも改善しました.
- ProudMe PEは適度な浸透率と忠誠度を示したが,ProudMe PDはよく参加したが,ProudMe Techは十分に活用されなかった.
- 試験的な介入は,学生レベルでの結果に統計的に有意な影響を及ぼさなかった (p > 0.05).
結論:
- ProudMeの介入は混雑した実施結果を示し,カフェテリアコンポーネントでは顕著な成功を収めました.
- CFIRの分野におけるファシリテーターとバリアは,実施と初期効果に影響を与えました.
- 学習した教訓は,将来のイテレーションのためにProudMeの介入を洗練するための貴重な洞察を提供します.
関連する概念動画
Community Based Intervention
94
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
94
Study Designs in Epidemiology
410
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
410
Obesity
609
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
609
Models of Health Promotion and Illness Prevention II
1.7K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.7K
Models of Health Promotion and Illness Prevention I
2.2K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.2K
Levels of Health Promotion and Illness Prevention
13.2K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
13.2K


