改善学校营养计划的采用:来自随机试验协作网络的研究结果
Courtney Barnes1,2,3,4, Rachel Sutherland1,2,3,4, Lisa Janssen5,6,7,8
1Hunter New England Population Health, Hunter New England Local Health District, Newcastle, NSW, Australia.
Implementation science : IS
|January 17, 2025
概括
当地促进大大提高了学校采用SWAP IT营养计划的速度. 将教育材料与当地支持相结合,比单独的材料更有效地改善儿童在学校的饮食行为.
科学领域:
- 公共卫生营养 公共卫生营养
- 实施科学 实施科学
- 预防儿童肥胖 预防儿童肥胖
背景情况:
- 基于学校的营养计划对于改善儿童饮食至关重要.
- 关于在学校实施和采用计划的有效策略的证据有限.
- 本研究使用协作网络试验设计来解决证据差距.
研究的目的:
- 评估不同实施策略对学校采用"SWAP IT"营养计划的有效性.
- 为了比较高强度实施策略与常规护理的影响.
- 确定最大限度地采用学校营养计划的关键策略.
主要方法:
- 三个平行组随机对照试验同时在新南威尔士州地方卫生区进行.
- 学校随机分为高强度 (多种策略) 或常规护理 (最小支持) 组.
- 主要结果:通过电子记录对学校采用"SWAP IT"的客观测量;使用后勤回归和元分析进行分析.
主要成果:
- 共有287所学校参加.
- 高强度策略结合教育材料和当地促进,显著增加了采用率 (OR 8.78).
- 单独使用教材并没有显著增加采用率;综合分析显示,综合方法优于单独使用教材 (OR 4.18).
结论:
- 当地促进是加强学校采用"SWAP IT"计划的关键策略.
- 调查结果表明,将教育资源与当地支持相结合,对计划的采用更为有效.
- 这种方法可以为其他以学校为基础的健康促进倡议的实施提供信息.
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