Impact of a Worksite Wellness Program on the Nutrition and Physical Activity Environment of Child Care Centers
Impact of a Worksite Wellness Program on the Nutrition and Physical Activity Environment of Child Care Centers
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DOI：
10.4278/ajhp.08022719
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发表时间：
2010-01-01
影响因子：
2.7
通讯作者：
Crawford, Patricia B.
中科院分区：
文献类型：
--
作者：
Gosliner, Wendi A.;James, Paula;Crawford, Patricia B.
目的。测试实施员工健康计划是否会影响托儿中心的营养和身体活动环境。设计。准实验对照试验。设置。加利福尼亚州低收入社区的儿童保育中心。主题。 13 个中心的 82 名工作人员完成了这项研究。干预。干预组和对照组接受有关营养和身体活动的培训和教育。干预组还参加了工作场所健康计划。措施。评估工作人员的个人健康习惯、与家人一起进行营养和身体活动的自我效能感以及儿童饮食和身体活动环境的变化。分析。使用统计软件分析前后测量的变化分数并测试仅终点测量的差异。结果。尽管没有观察到工作人员个人健康行为的显着差异，但干预地点的工作人员在与家长谈论营养和体育活动时的舒适度表现出更积极的变化。干预站点报告称，作为常规膳食和零食的一部分，向儿童提供了更多新鲜水果 (p = .004) 和蔬菜 (p = .03)，并在儿童庆祝活动中提供了更多新鲜水果 (p = .05)。对照地点报告称，儿童庆祝活动中甜食 (p = .02) 和甜饮料 (p = .05) 的增加更大。结论。健康干预措施有望改善儿童保育环境中儿童的食物环境（Am J Health Promot 2010；24[3]：186-189。）
Purpose. To test whether implementing a staff wellness program affects the nutrition and physical activity environment at child care centers.Design. Quasi-experimental controlled trial.Setting. Child care centers in low income neighborhoods in California.Subjects. Eighty-two staff members at 13 centers completed the study.Intervention. Intervention and control groups received training and education about nutrition and physical activity. The intervention group also participated in a worksite wellness program.Measures. Staff members' personal health habits, self-efficacy in working with families on nutrition and physical activity, and changes in children's food and physical activity environments were assessed.Analysis. Statistical software was used to analyze change scores for Pre-post measures and to test differences for end point-only measures.Results. Although significant differences in staff members' personal health behaviours were not observed, staff from intervention sites exhibited more positive changes in their comfort level in talking to parents about nutrition and physical activity. Intervention sites reported providing more fresh fruits (p = .004) and vegetables (p = .03) to children's as part of regular meals and snacks and serving more fresh fruits (p = .05) at children's celebrations. Control sites reported greater increases in sweetened foods (p = .02) and sweetened beverages (p = .05) at children's celebrations.Conclusion. The wellness intervention shows promise in improving the children's food environment in a child care setting (Am J Health Promot 2010;24[3]:186-189.)