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在北克省小学营养健康促进干预措施的可用性和实施特点
Erin K O'Loughlin1,2, Mounia Naja1, Robert J Wellman3
1Centre de Recherche du Centre Hospitalier de L'université de Montréal (CRCHUM), Montréal, Québec, Canada.
The Journal of school health
|July 3, 2025
概括
与营养相关的健康促进干预措施 (N-HPIs) 在小学很常见,通常使用基于证据的策略. 然而,提高学生参与度,课程持续时间和评估对于更大的影响至关重要.
科学领域:
- 公共卫生 公共卫生
- 学校健康促进活动
- 营养教育 营养教育
背景情况:
- 与营养相关的健康促进干预措施 (N-HPIs) 在各小学的可用性和质量方面存在差异.
- 学校的背景因素,如社会经济贫困,可能会影响N-HPI的可用性.
- 在可用的N-HPI中整合基于证据的实施特征需要审查.
研究的目的:
- 调查学校上下文因素与加拿大北克省N-HPI可用性之间的联系.
- 评估可用的N-HPI在多大程度上包含基于证据的实施特征.
- 确定学校营养干预措施需要改进的领域.
主要方法:
- 在加拿大北克省 (2016-2019) 的171所小学进行了一项横截面研究.
- 分析了与报告的N-HPI可用性相关的学校级上下文指标.
- 52个N-HPI的子集进行了深入分析,以与15个基于证据的实施特征保持一致.
主要成果:
- 在70%的学校中提供N-HPI,在服务于弱势群体的学校中患病率更高.
- 超过75%的分析N-HPI纳入了员工参与,多个核心能力,创新教学和学校背景调整.
- 较少的N-HPI包括正式评估 (46%),多次会议 (35%) 或学生参与设计/实施 (15%).
结论:
- 在小学中,N-HPI很普遍,并且经常使用基于证据的实施特征.
- 加强学生参与,课程持续时间和正式评估是加强N-HPI的关键领域.
- 政策制定者应该支持灵活的,基于理论的干预措施,包括内置的评估和更多的利益相关者参与.
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