系统思维与积极实施研究 (STAIR):为预防儿童肥胖的学校随机对照试验的协议
Michelle Jackson1,2, Jillian Whelan3, Steven Allender2
1Deakin University, School of Medicine, Global Centre for Preventive Health and Nutrition, Institute for Health Transformation, Geelong, Australia.
PloS one
|June 24, 2025
概括
这项研究测试了系统思维与积极实施研究 (STAIR) 计划,以预防澳大利亚学校的儿童肥胖. STAIR旨在提供可持续健康的学校环境和有效的实施策略.
科学领域:
- 公共卫生和预防医学
- 实施科学 实施科学
- 健康中的系统动力学
背景情况:
- 儿童肥胖是一个重大的公共卫生问题,需要在学校采取有效的预防策略.
- 维持健康的学校环境需要强有力的实施策略和社区参与.
- 系统思维与积极实施研究 (STAIR) 协议通过混合试验设计来解决这些需求.
研究的目的:
- 评估STAIR干预措施在澳大利亚维多利亚州小学学生中预防儿童肥胖的有效性.
- 测试和评估实施战略,以维持健康的学校环境.
- 确定STAIR干预及其支持机制的成本效益和可行性.
主要方法:
- 一个为期3年的集群随机对照试验,采用1型混合有效性实施设计.
- 在澳大利亚西南维多利亚州的28所政府小学招聘,有3000-6000名学生 (1-6年级) 参加.
- 干预涉及共同设计的,多步骤的组建模型和行动制定,使用基于社区的系统动态;实施以积极实施框架为指导.
主要成果:
- 主要结果包括标准化体重指数 (z-BMI) 的变化和采用STAIR干预措施.
- 二次结果评估肥胖患病率,健康行为和与健康相关的生活质量 (HRQoL) 的差异.
- 实施结果侧重于战略的有效性,可接受性和利用性,并对成本效益进行经济评估.
结论:
- 该STAIR试验旨在在学校建立持久的变化,以打击儿童肥胖.
- 结果将提供有关可持续健康促进战略的成本效益和可行性的见解.
- 结果将为决策者和教育机构提供有效和可持续的健康促进举措的信息.
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