基于学校的行为改变干预措施在降低慢性疾病风险因素的有效性在印度的钱迪加尔:一个集群随机对照试验
Sandeep Kaur1, Rajesh Kumar1, Pinnaka V M Lakshmi1
1Department of Community Medicine and School of Public Health, Post-Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
The Lancet regional health. Southeast Asia
|February 5, 2024
概括
这种以学校为基础的健康促进干预有效地减少了青少年的行为风险因素,包括减少盐摄入量和酒精使用,以及增加体力活动. 该计划还对家长和教师产生了积极的影响,证明了预防慢性疾病的整体方法.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 预防慢性疾病 预防慢性疾病
背景情况:
- 早期的行为风险因素,如饮食不良,不活动和物质使用,有助于慢性疾病.
- 基于学校的干预措施对于在成长时期解决这些风险因素至关重要.
研究的目的:
- 评估基于学校的健康促进干预措施在减少青少年慢性疾病的行为风险因素方面的有效性.
- 评估干预对青少年,家长和教师的影响.
主要方法:
- 一个集群随机对照试验在印度迪加尔的十二所公立学校进行.
- 干预包括课堂会议,青少年的体育活动会议以及父母和教师的单独会议,以"先行先行"模式为指导.
- 关于行为风险因素的数据从青少年 (n=359),家长 (n=395) 和教师 (n=94) 中收集,并使用ANCOVA进行分析.
主要成果:
- 青少年的盐摄入量减少 (-0.5g/d),酒精摄入量减少 (-5%),水果摄入量增加 (+18g/d),体力活动增加 (+0.2PAQ-A得分).
- 父母体育活动增加 (+205MET单位),水果摄入量增加 (+20g/d),蔬菜摄入量增加 (+117g/d),盐摄入量减少 (-0.5g/d) 和酒精使用减少 (-5%).
- 教师的蔬菜消费量增加 (+149g/d).
结论:
- 基于学校的干预,涉及青少年,家长和教师,是行为改变的有效模式.
- 这种综合性方法通过针对学校环境中的多个利益相关者,显示出预防慢性疾病的希望.
相关概念视频
Community Based Intervention
43
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...
43
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Stress Prevention and Stress Management Techniques VI
32
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
32
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Lifestyle Factors and Health
49
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
49


