CATCH--A STUDY OF INSTITUTIONALIZATION-TEXAS FIELD CNTR

描述：两个因素决定了健康促进的最终影响 方案：干预措施影响健康结果的能力和 人口对该方案的接触和参与程度 风险。迄今为止，关于校本健康促进计划的研究表明 校本课程可以是既有效又有效的。然而， 关于如何充分传播可用的有效计划，人们知之甚少 以及如何保持执行水平 在研究阶段进行了演示。儿童和青少年试验 心血管健康(CATCH)研究提供了一个独特的研究机会 将以学校为本的健康促进计划制度化 自然观察性研究。Catch是最大的校本健康 曾在美国资助的推广研究，包括来自 四个地理区域，代表来自不同文化和 种族群体。这项研究的目的是评估在何种程度上 渔获干预目标(减少脂肪和饱和脂肪 学校用餐，增加学生花费在适度到 在体育课上进行剧烈的体育活动，90分钟的在校时间用于 PE类，不使用烟草的政策和捕获物的实施 课程)在最初的56年中得到维持或制度化 渔获干预(最大风险暴露)学校以及这些学校 同样的渔获干预结果在20个随机的国家中实现 选定的前渔获量控制(受影响最小的)学校。要确定 由于长期趋势的影响，这些结果指标也将在#年进行评估。 12所新招收(未暴露)的学校。 衡量学校风气、教职员工特点、学校 将对动荡和学校设施和资源进行评估以提供帮助 解释捕捞中制度化程度的差异 干预和控制学校。这项研究结果的意义 建议的研究驻留在其未来的实用程序中，以计划传播 健康促进方案，包括确定障碍和 促进这类方案制度化的因素。

DESCRIPTION: Two factors determine the ultimate impact of health promotion programs: the ability of interventions to influence health outcomes and the extent of exposure and participation in the program by the population at risk. Research to date on school-based health promotion programs has shown that school- based programs can be both efficacious and effective. However, little is known about how to adequately diffuse effective programs available on a large scale and how to maintain the level of implementation demonstrated during the research phase. The Child and Adolescent Trial for Cardiovascular Health (CATCH) study presents a unique opportunity to study the institutionalization of a school-based health promotion program in a natural observation study. CATCH is the largest school-based health promotion study ever funded in the United States, including schools from four geographical areas and representing students from diverse cultural and ethnic groups. The aims of this study are to assess the degree to which CATCH intervention goals (reduction of the fat and saturated fat offered in school meals, increase in the amount of time students spend in moderate to vigorous physical activity in PE class, 90 minutes of school time devoted to PE class, a policy of no tobacco use and implementation of the CATCH curriculum) are being maintained or institutionalized in the original 56 CATCH intervention (maximally exposed) schools and the degree to which these same CATCH intervention outcomes are being achieved in the 20 randomly selected former CATCH control (minimally exposed) schools. To determine the influence of secular trends, these outcome measures will also be assessed in 12 newly recruited (unexposed) schools. Measures of school climate, teacher and staff characteristics, school turbulence and school facilities and resources will be assessed to help explain the variation in the degree of institutionalization in the CATCH intervention and control schools. The significance of the results from the proposed study reside in their future utility to plan for the diffusion of health promotion programs, including the identification of barriers and facilitating factors involved in the institutionalization of such programs.