Strategies to Increase After-School Program Staff Skills to Promote Healthy Eating and Physical Activity.
Strategies to Increase After-School Program Staff Skills to Promote Healthy Eating and Physical Activity.
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DOI：
10.1177/1524839915589732
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发表时间：
2016-01
影响因子：
1.9
通讯作者：
Moore JB
中科院分区：
文献类型：
--
作者：
Weaver RG;Beets MW;Beighle A;Webster C;Huberty J;Moore JB
针对儿童健康饮食和体育活动（HEPA）的标准要求工作人员展示或避免与儿童HEPA相关的促进或阻碍HEPA的行为。本研究评估了使员工行为符合HEPA标准的策略。从2012年1月到2013年5月，为大约500名儿童服务的四个课后项目的工作人员参加了专业发展培训。在同一时间内，现场领导还参加了讲习班并获得了技术支持。在一项前（2011年秋季）多岗位（2012年春季、2012年秋季和2013年春季）无对照组研究设计中，使用观察员工促进活动和营养的系统来评估员工行为的变化。在四个测量期间共完成了8,949次扫描。在被测量的19种行为中，有14种行为发生了适当的变化。例如，与儿童一起进行体育锻炼的员工的扫描次数从27%增加到40%，吃不健康食品的员工的扫描次数从56%减少到14%。持续的培训和技术援助可以对与儿童级HEPA结果相关的员工行为产生可衡量的影响。未来的研究应探讨将持续的培训大规模传播给课后项目人员的可行性。
Standards targeting children’s healthy eating and physical activity (HEPA) in after-school programs call for staff to display or refrain from HEPA-promoting or -discouraging behaviors that are linked to children’s HEPA. This study evaluated strategies to align staff behaviors with HEPA Standards. Staff at four afterschool programs serving approximately 500 children participated in professional development training from January 2012 to May 2013. Site leaders also attended workshops and received technical support during the same time frame. Changes in staff behaviors were evaluated using the System for Observing Staff Promotion of Activity and Nutrition in a pre- (fall 2011) multiple-post (spring 2012, fall 2012, and spring 2013), no–control group study design. A total of 8,949 scans were completed across the four measurement periods. Of the 19 behaviors measured, 14 changed in the appropriate direction. For example, staff engaging in physical activity with children increased from 27% to 40% of scans and staff eating unhealthy foods decreased from 56% to 14% of days. Ongoing training and technical assistance can have a measureable impact on staff behaviors linked to child-level HEPA outcomes. Future research should explore the feasibility of disseminating ongoing trainings to after-school program staff on a large scale.