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基于社区的健康生活方式计划对儿童和青少年肥胖的多来源过程评估
Yvonne C Anderson1,2,3,4,5, Cervantée E K Wild1, Catherine A Gilchrist1
1Department of Paediatrics: Child and Youth Health, Grafton Campus, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
Children (Basel, Switzerland)
|February 24, 2024
概括
与全国的比率相比,Whānau Pakari计划在塔拉纳基显著增加了儿童肥胖干预措施的转诊率. 这项健康生活方式计划显示了作为解决儿科肥胖症的可扩展,文化上适当的模式的承诺.
科学领域:
- 公共卫生 公共卫生
- 儿科健康 儿科健康
- 卫生干预研究 卫生干预研究
背景情况:
- 绿色处方活跃家庭 (GRxAF) 计划被新西兰塔拉纳基的Whānau Pakari取代.
- 了解转诊率的变化对于评估儿童肥胖的新公共卫生干预措施至关重要.
研究的目的:
- 在塔拉纳基的Whānau Pakari计划和国家计划之间比较儿科肥胖干预的转诊率.
- 评估 Whānau Pakari 计划对转介趋势的影响,并收集利益相关者的反.
主要方法:
- 对5年的临床数据 (2010-2015年) 的回顾性分析,将塔拉纳基转诊率与国家数据进行比较.
- 使用多种方法框架,调查计划推者和利益相关者关于他们与Whānau Pakari的经验.
主要成果:
- 在Whānau Pakari开始后,GRxAF计划的塔拉纳基推率大幅增加,超过了全国的推率.
- 通过塔拉纳基的B4学校检查对肥胖的推几乎是完整的,远远高于全国水平.
- 参加Whānau Pakari培训增加了50%的转诊概率.
结论:
- 瓦纳乌帕卡里显示出有利的转诊趋势,这表明它是儿童肥胖干预的有效模式.
- 利益相关者的反突出了该计划的优势 (多学科,以家庭为中心,以家庭为基础) 和挑战 (协作,复杂的需求,实践转换).
- 瓦那帕卡里 (Whānau Pakari) 提出了一个可行的,易于获得的,文化上适合的国家和国际规模的模型.
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