学校卫生促进干预活动和实施策略:确定核心功能和形式,以促进有效干预的扩大规模
Julia Dabravolskaj1,2,3, Jodi Kalubi1,2, Julia Moore4
1MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
扩大有效的学校健康干预需要了解其核心功能和形式. 这项研究确定了APPLE学校计划的关键组成部分,以指导学校未来的健康促进工作.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 促进健康 促进健康
背景情况:
- 基于学校的健康促进对于减少疾病和健康不平等至关重要.
- 扩大像果学校这样的有效干预措施对于最大限度地提高公共卫生效益至关重要.
- 确定核心功能和干预形式有助于成功扩大规模.
研究的目的:
- 在APPLE学校计划中确定核心功能和干预活动的形式以及实施策略.
- 通过定义其基本组成部分,支持扩大APPLE学校干预的规模.
- 创建将核心功能映射到指导健康促进干预的形式的矩阵.
主要方法:
- 利用实施科学方法与监督机器学习.
- 分析了70所APPLE学校的191个年度行动计划 (2011-2021) 中的5301个行动项目.
- 将行动项目分为干预活动和实施策略,确定核心功能和形式.
主要成果:
- 确定了55种形式,用于干预活动和实施策略的17个核心功能.
- 最常见的干预活动功能:启用 (96%),建模 (66%),教育 (54%).
- 最常见的实施策略功能:关系/组织支持 (86%),伙伴关系 (84%),学生参与 (78%).
结论:
- 开发了核心功能和形式的矩阵,以指导APPLE学校干预的扩展.
- 这些矩阵可以为现有健康促进学校干预措施的改进提供信息.
- 矩阵为将有效的学校健康计划扩展到新的环境提供了一个框架.
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