School site visits for community-based participatory research on healthy eating.
School site visits for community-based participatory research on healthy eating.
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DOI：
10.1016/j.amepre.2009.08.009
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发表时间：
2009-12
影响因子：
5.5
通讯作者：
Schuster MA
中科院分区：
文献类型：
--
作者：
Patel AI;Bogart LM;Uyeda KE;Martinez H;Knizewski R;Ryan GW;Schuster MA
学校营养政策作为解决儿童肥胖问题的一种手段正在获得支持。基于社区的参与性研究（CBPR）为学术界和社区合作伙伴提供了一种合作方法，将肥胖相关的学校政策转化为实践。实地访问，由经过培训的观察员访问有关环境，收集多层次数据（例如，观察、定性访谈），可以补充为健康促进工作提供信息的其他方法。本文展示了实用的现场访问的干预措施，以实施肥胖相关的政策，在洛杉矶联合学区（LAUSD）中学的发展。2006年，经过培训的观察员访问了四所LAUSD中学。观察员绘制了自助餐厅布局图;观察食物/饮料供应、学生消费、浪费模式和自助餐厅排队的时间;与学校工作人员和学生交谈;并收集相关文件。对数据进行了审查，以确定共同的主题和模式。研究学校出售的食品和饮料符合LAUSD营养指南，几乎所有观察到的学生都有时间吃完大部分或全部饭菜。一些LAUSD政策没有得到执行，包括张贴食堂食品的营养信息，营销学校餐，以提高学生参与全国学校午餐计划，并提供各种水果和蔬菜。自助餐厅人手不足和费用问题是执行政策的障碍。实地考察是评估学区肥胖相关政策实施情况的一种宝贵方法，有助于制定CBPR干预措施，将学校食品政策付诸实践。未来的CBPR研究可能会考虑在其形成性研究方法的工具箱中进行现场访问。
School nutrition policies are gaining support as a means of addressing childhood obesity. Community-based participatory research (CBPR) offers an approach for academic and community partners to collaborate to translate obesity-related school policies into practice. Site visits, in which trained observers visit settings to collect multilevel data (e.g., observation, qualitative interviews), may complement other methods that inform health promotion efforts. This paper demonstrates the utility of site visits in the development of an intervention to implement obesity-related policies in Los Angeles Unified School District (LAUSD) middle schools. In 2006, trained observers visited four LAUSD middle schools. Observers mapped cafeteria layout; observed food/beverage offerings, student consumption, waste patterns, and duration of cafeteria lines; spoke with school staff and students; and collected relevant documents. Data were examined for common themes and patterns. Food and beverages sold in study schools met LAUSD nutritional guidelines, and nearly all observed students had time to eat most or all of their meal. Some LAUSD policies were not implemented, including posting nutritional information for cafeteria food, marketing school meals to improve student participation in the National School Lunch Program, and serving a variety of fruits and vegetables. Cafeteria understaffing and cost were obstacles to policy implementation. Site visits were a valuable methodology for evaluating the implementation of school district obesity-related policies and contributed to the development of a CBPR intervention to translate school food policies into practice. Future CBPR studies may consider site visits in their toolbox of formative research methods.
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影响因子：
1.9
作者：
Farquhar, Stephanie Ann;Parker, Edith A.;Israel, Barbara A.
通讯作者：
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影响因子：
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通讯作者：
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通讯作者：
Fishbein, Martin