Exploratory Research to Design a School Nurse-Delivered Intervention to Treat Adolescent Overweight and Obesity

Exploratory Research to Design a School Nurse-Delivered Intervention to Treat Adolescent Overweight and Obesity
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DOI:
10.1016/j.jneb.2011.02.009
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发表时间:
2012-01-01
影响因子:
2.6
通讯作者:
Pbert, Lori
Pbert, Lori
中科院分区:
医学3区
文献类型:
--
作者:
Gellar, Lauren;Druker, Sue;Pbert, Lori

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目的:在准备一项试点研究,以评估学校护士提供的干预措施的有效性,焦点小组进行了深入了解利益相关者的看法有关的设计和实施的intervention.Setting和参与者:在参与学校的15个焦点小组。100名受试者,包括超重和肥胖的高中学生,家长,高中护士,和staff.Main结果测量:利益相关者的percepts.Analysis:焦点小组进行了录音和逐字转录。与研究目的相关的主题实例被识别,编码,并归类为主题categories.Results:讨论的主要主题包括青少年问题,家庭支持,干预实施相关的问题,和课程内容。青少年的问题包括处理同龄人的压力,避免情绪化饮食,以及来自朋友的支持。许多参与者认为,让父母参与进来应该是青少年的选择。保密是最常见的执行方面的潜在障碍。营养和体育活动课程内容的建议集中在具体的,实用的strategy.Conclusions和影响:本研究的结果提供了深入了解利益相关者的需求和看法的内容和结构的学校护士提供的干预措施,以治疗青少年超重和肥胖。研究结果被用于设计和实施干预方案和材料。
Objective: In preparation for a pilot study to evaluate the efficacy of a school nurse-delivered intervention, focus groups were conducted to gain insight into the perceptions of stakeholders regarding the design and implementation of the intervention.Setting and Participants: Fifteen focus groups at participating schools. One hundred subjects, including overweight and obese high school students, parents, high school nurses, and staff.Main Outcome Measure: Stakeholders' perceptions.Analysis: Focus groups were audiotaped and transcribed verbatim. Theme instances related to the research aim were identified, coded, and sorted into theme categories.Results: Major topics discussed included teen issues, family support, intervention implementation-related concerns, and curriculum content. Teen issues included dealing with peer pressure, avoiding emotional eating, and support from friends. Many participants thought it should be the teen's choice to involve parents. Confidentiality was the most commonly identified potential barrier to implementation. Recommendations for nutrition and physical activity curriculum content focused on concrete, practical strategies.Conclusions and Implications: Results of this research provided insight into stakeholder's needs and perceptions regarding the content and structure of a school nurse-delivered intervention to treat adolescent overweight and obesity. Findings were used in the design and implementation of intervention protocols and materials.