了解实施挪威学校水果计划的动态:整合实施科学和系统动态
Mahshid Zolfaghari1, Nanna Lien2, Caroline Løvik Brandvik2
1Department of Nutrition, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway. mahshid.zolfaghari@medisin.uio.no.
Implementation science communications
|December 10, 2025
概括
实施挪威学校水果计划 (NPPP) 需要将水果产品与学生的偏好保持一致,并改善沟通. 解决实施成本和利益相关者的参与是成功实施学校营养干预的关键.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 实施科学 实施科学
背景情况:
- 学校营养干预面临实施挑战.
- 了解学校食品计划中决定因素的相互作用至关重要.
- 挪威学校水果计划 (NPPP) 及其无家长支付计划 (NPPP) 背景需要在系统层面进行分析.
研究的目的:
- 调查挪威学校NPPP实施动态.
- 分析NPPP与学校系统结构之间的相互作用.
- 了解在NPPP中的实施研究综合框架 (CFIR) 决定因素的相互作用.
主要方法:
- 使用组建模型 (GMB) 研讨会进行定性系统动态建模.
- 促进与学校人员和学生的讨论,以绘制实施决定因素的地图.
- 编制各个学校的图表,并将CFIR映射到统一的系统图表上.
主要成果:
- 沟通缺口,外部食品的可用性和NPPP的设计阻碍了水果消费.
- 增加的实施成本 (水果废弃物,垃圾) 导致了适应性战略.
- 适应性策略的成功受到了NPPP设计和学校优先事项的限制,有时会反直觉地影响水果摄入量.
结论:
- 质量系统动态有效调查了NPPP实施.
- 建议包括将NPPP与学生的偏好保持一致,并监测水果消费.
- 涉及内部 (学生,工作人员) 和外部 (市政当局) 利益相关者对于反和监测至关重要.
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