对比量身定制的实施策略,以提高学校肥胖预防计划的干预忠实度:IMPROVE混合型III试验
Kristi Sidney Annerstedt1, Jhon Álvarez Ahlgren2, Emma Patterson2,3
1Department of Global Public Health, Karolinska Institutet, Stockholm, SE-171 77, Sweden. Kristi.sidney@ki.se.
Implementation science : IS
|December 27, 2025
概括
IMPROVE试验发现,增强的实施策略并没有显著改善儿童预防肥胖的健康学校开始 (HSS) 计划的遵守. 定制的支持和激励行动对于成功实施计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 儿童肥胖症 儿童肥胖症
背景情况:
- 在瑞典,儿童超重和肥胖率正在上升,需要可扩展的干预措施.
- 健康开学计划 (HSS) 是一种基于证据的干预措施,整合了学校和家庭的组成部分.
- IMPROVE试验评估了HSS计划的两个实施策略.
研究的目的:
- 为了比较基本与增强实施策略捆绑的有效性,对HSS程序的忠诚度进行比较.
- 评估对HSS干预组件的坚持和家长反应能力.
- 确定影响实施成功的因素.
主要方法:
- 一个混合型III集群随机试验,涉及瑞典斯德哥尔摩45所学校.
- 实施发生在两个学年与两个队伍.
- 忠诚度通过坚持得分和父母响应度来衡量;使用混合效应模型进行分析.
主要成果:
- 整体忠诚度约为75%.总的忠诚度约为75%.
- 基本和增强捆绑之间的坚持没有显著差异 (p=0.95).
- 出生在北欧国家的父母显示,完成激励性采访健康谈话的几率更高.
结论:
- 增强的实施策略并没有持续改善遵守或响应能力.
- 在第一年实施期间提供有针对性的支持很重要.
- 为了优化干预的有效性,需要调整策略并考虑社会人口统计因素.
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