健康学校认可的校园:混合型2实施-有效性集群随机试验的设计和方法
Allyson Schaefers1, Cassandra M Beattie1, Gabrielli T de Mello1
1Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA.
Implementation science : IS
|February 6, 2026
概括
本研究评估了健康学校认可校园 (HSRC) 倡议和学校对学校的指导策略,以改善青年健康行为和计划交付. 研究结果旨在通过可扩展的学校干预措施,减少学生的慢性疾病风险因素.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 儿科健康 儿科健康
背景情况:
- 超过三分之一的美国年轻人超重,增加了慢性疾病的风险.
- 学校面临的挑战是实施有效的体育活动和健康饮食计划.
- 健康学校认可校园 (HSRC) 倡议捆绑计划,以加强实施和学生健康.
研究的目的:
- 评估HSRC关于青少年健康行为倡议的有效性.
- 评估学校间辅导策略对HSRC实施的影响.
- 通过可扩展的干预措施,解决青年心血管和慢性疾病风险因素.
主要方法:
- 一个混合型2集群双随机受控试验,涉及德克萨斯州20所公立学校的500名学生.
- 将学校随机分配给HSRC或等候名单控制以获得有效性结果 (BMI z分数,体力活动,水果/蔬菜摄入量).
- 将计划实施者随机分配到学校对学校的指导或标准实施以实现结果 (可接受性,适当性,可行性).
主要成果:
- 主要有效性结局:BMI z-score.主要的有效性结局:BMI z-score.
- 二次疗效结果:身体活动和水果/蔬菜摄入量.
- 共同初级实施结果:HSRC倡议的可接受性,适当性和可行性.
结论:
- 双随机设计严格评估HSRC的有效性和指导策略的影响.
- 成功实施HSRC和指导可以解决青年慢性疾病风险因素.
- 这种方法在现有的健康教育者网络中提供了一个可扩展的解决方案.
关键词:
青少年健康 青少年健康体重指数 (Body Mass Index) 是一个指数.合作扩展 合作扩展运动运动运动.卫生教育健康教育实施战略 实施战略营养 营养 营养 营养 营养肥胖问题 肥胖问题更多相关视频
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