在缺乏资源的学校测试适应的肥胖预防干预措施:试点集群随机对照试验
Yuxin Nie1, Qiaoyin Tan1, Paul Son1
1School of Kinesiology, Louisiana State University, Baton Rouge, LA, 70803, USA.
Scientific reports
|August 28, 2025
概括
这项试点研究测试了在学校使用数字辅助运动和饮食 (ProudMe) 预防肥胖的干预措施. 虽然ProudMe食堂表现得很好,但其他组件的结果各不相同,对学生的体重状况没有显著影响.
科学领域:
- 公共卫生
- 预防儿童肥胖
- 数字卫生干预措施
背景情况:
- 儿童肥胖是一个重要的公共卫生问题,特别是在资源不足的社区.
- 需要有效,可扩展的干预措施来解决学校环境中的这一问题.
研究的目的:
- 在缺乏资源的学校试行使用数字辅助运动和饮食 (ProudMe) 预防肥胖的调整方案.
- 通过实施研究综合框架 (CFIR) 评估实施结果 (透率,忠实性) 并确定促进者和障碍.
主要方法:
- 群组随机试验将ProudMe与六所资源不足的学校的候选名单进行比较.
- ProudMe的组成部分包括食堂变更 (ProudMe Cafeteria),体育教育 (ProudMe PE),人工智能辅助咨询 (ProudMe Tech) 和员工发展 (ProudMe PD).
- 使用混合方法评估实施结果和促进者/障碍者.
主要成果:
- "骄傲咖啡馆"的实施成果非常积极,咖啡馆的成绩有所提高.
- ProudMe PE显示了适度的透率和忠实度;ProudMe PD得到了很好的关注,但ProudMe Tech的使用却不够.
- 总体而言,试点干预对学生水平的结果没有显著的影响 (p > 0.05).
结论:
- 这项ProudMe干预措施的实施结果不尽相同,在食堂方面取得了显著的成功.
- 在CFIR领域的促进者和障碍者影响了实施和初步有效性.
- 这些经验教训为改进ProudMe干预提供了有价值的见解.
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