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调查预防儿童和青少年肥胖的干预措施的差异效应:一个新的分析框架
Francesca Spiga1, Annabel L Davies1, Jennifer C Palmer1
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Public health research (Southampton, England)
|November 3, 2025
概括
一个新的框架有助于确定儿童肥胖预防计划的关键特征. 这项对255项5至18岁儿童的干预措施的分析揭示了影响计划有效性的因素.
科学领域:
- 公共卫生 公共卫生
- 预防儿童肥胖 预防儿童肥胖
- 干预科学 干预科学
背景情况:
- 系统性审查显示,针对儿童 (5-18岁) 的饮食和活动的干预措施具有适度的益处.
- 干预的有效性有所不同,可能是由于诸如享受或行为改变机制等特征.
- 需要一个框架来分析这些差异性影响.
研究的目的:
- 开发一种新的分析框架,以确定儿童肥胖预防干预措施的关键特征.
- 让包括儿童,家长和教师在内的利益相关者参与框架开发.
- 介绍编码干预的最终框架和结果.
主要方法:
- 文献审查以确定潜在的干预特征.
- 开发一个逻辑模型和一个全面的特征列表.
- 与儿童,家长,教师和公共卫生专业人员的研讨会,以改进特征为编码方案.
- 使用最终框架编码来自210个随机试验的255项干预措施.
主要成果:
- 最终完成的分析框架包括12个特征和25个问题.
- 特性包括设置,交付方式,目标 (饮食/活动),复杂性,强度,灵活性,选择,作用机制,共振,商业参与和"乐趣因素".
- 编码了255项干预措施,提供了用于分析的数据.
结论:
- 一个以证据为基础的分析框架,通过与利益相关者 (包括儿童) 进行商来完善,被开发并应用于255个儿童肥胖预防干预措施.
- 严格的方法和儿童参与提高了框架和编码结果的有效性.
- 该框架有助于理解影响儿童肥胖预防干预有效性的因素.
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