Evaluation of the childhood obesity prevention program Kids--'Go for your life'.

Evaluation of the childhood obesity prevention program Kids--'Go for your life'.
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DOI:
10.1186/1471-2458-10-288
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发表时间:
2010-05-28
期刊:
影响因子:
4.5
通讯作者:
Waters E
Waters E
中科院分区:
医学2区
文献类型:
--
作者:
de Silva-Sanigorski A;Prosser L;Carpenter L;Honisett S;Gibbs L;Moodie M;Sheppard L;Swinburn B;Waters E

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儿童 - “Go for your life”(K-GFYL) 是一项基于奖励的健康促进计划,正在澳大利亚维多利亚州实施。该计划旨在通过改善儿童保育和教育环境中的社会文化、政策和物质环境来降低儿童肥胖的风险。 K-GFYL 计划的会员资格向全州所有小学、学前班和幼儿服务机构开放。一旦加入该计划,成员学校和服务机构将得到集中支持来开展健康促进(干预)活动。一旦达到 K-GFYL 计划“标准”,学校/服务机构就会接受评估并“授予”。本文介绍了全州 K-GFYL 干预计划的评估设计。该评估采用混合方法和横截面评估,旨在: 1) 确定与仅会员相比,K-GFYL 奖励状态是否与学校/服务中更多的健康促进环境相关; 2) 确定就读 K-GFYL 奖励学校/服务的儿童与纯会员相比是否具有更高水平的健康饮食和身体活动相关行为; 3) 检查实施和获得 K-GFYL 奖的障碍; 4) 确定在小学实施 K-GFYL 的经济成本 家长调查将获取有关家庭环境以及儿童饮食和身体活动相关行为的信息。幼儿环境和学校的环境调查问卷将收集有关身体活动和营养环境以及当前健康促进活动的信息。午餐盒调查和针对幼儿园家长的一系列开放式问题将提供更多数据。将从小学收集与干预活动相关的资源使用情况,以进行成本分析。 K-GFYL 奖励计划是一项社区范围的干预措施,需要进行全面、多层次的评估。评估设计受到以下因素的限制:缺乏非 K-GFYL 对照组、时间框架短以及所有干预环境下大规模评估的资金延迟。然而,尽管如此,该评估仍将产生有价值的证据,证明社区范围内的环境方法在预防儿童肥胖方面的效用,这将为国际上未来的公共卫生政策和健康促进计划提供信息。 ACTRN12609001075279
Kids - 'Go for your life' (K-GFYL) is an award-based health promotion program being implemented across Victoria, Australia. The program aims to reduce the risk of childhood obesity by improving the socio-cultural, policy and physical environments in children's care and educational settings. Membership of the K-GFYL program is open to all primary and pre-schools and early childhood services across the State. Once in the program, member schools and services are centrally supported to undertake the health promotion (intervention) activities. Once the K-GFYL program 'criteria' are reached the school/service is assessed and 'awarded'. This paper describes the design of the evaluation of the statewide K-GFYL intervention program. The evaluation is mixed method and cross sectional and aims to: 1) Determine if K-GFYL award status is associated with more health promoting environments in schools/services compared to those who are members only; 2) Determine if children attending K-GFYL award schools/services have higher levels of healthy eating and physical activity-related behaviors compared to those who are members only; 3) Examine the barriers to implementing and achieving the K-GFYL award; and 4) Determine the economic cost of implementing K-GFYL in primary schools Parent surveys will capture information about the home environment and child dietary and physical activity-related behaviors. Environmental questionnaires in early childhood settings and schools will capture information on the physical activity and nutrition environment and current health promotion activities. Lunchbox surveys and a set of open-ended questions for kindergarten parents will provide additional data. Resource use associated with the intervention activities will be collected from primary schools for cost analysis. The K-GFYL award program is a community-wide intervention that requires a comprehensive, multi-level evaluation. The evaluation design is constrained by the lack of a non-K-GFYL control group, short time frames and delayed funding of this large scale evaluation across all intervention settings. However, despite this, the evaluation will generate valuable evidence about the utility of a community-wide environmental approach to preventing childhood obesity which will inform future public health policies and health promotion programs internationally. ACTRN12609001075279
DOI: 10.1017/s1368980007246634
发表时间: 2007-02-01
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