Student Wellness Champions for Change: engaging student leaders in enhancing wellness policy implementation through participation and advocacy

学生健康变革倡导者：让学生领袖通过参与和宣传加强健康政策的实施

• 批准号: 9468920
• 负责人: Hannah G Lane
• 金额: $ 6.11万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9468920
• 关键词: Achievement; Address; Adolescent; Adopted; Adoption; Adult; Advisory Committees; Advocacy; Affect; Behavior; Cardiovascular Diseases; Child; Chronic Disease; Communication; Complex; Control Groups; Controlled Study; Cultural Sensitivity; Data; Data Analyses; Data Collection; Development; Diabetes Mellitus; Diabetes prevention; Diet; Discipline; Disease; Education; Educational Curriculum; Effectiveness; Environment; Environmental Impact; Environmental Policy; Epidemic; Epidemiology; Evaluation; Face; Family; Friends; Goals; Health; Health behavior; Heart Diseases; Hispanics; Household; Hypertension; Income; Individual; Intervention; Leadership; Life; Literature; Low income; Maintenance; Malignant Neoplasms; Maryland; Measurable; Mentors; Methods; Middle School Student; Modeling; Needles; Obesity; Outcome; Parents; Physical activity; Policies; Policy Making; Population; Population Heterogeneity; Populations at Risk; Prevention strategy; Process; Psychology; Public Health; Quality of life; Randomized; Randomized Controlled Trials; Recruitment Activity; Research Personnel; Risk; Schools; Scientist; Structure; Students; Subgroup; System; Teacher Professional Development; Testing; Time; Training; Translating; Translations; United States; Weight; Work; Youth; adolescent health; arm; base; behavior change; behavior influence; combat; cost; cultural competence; design; disease diagnosis; disorder prevention; disorder risk; disparity reduction; eighth grade; elementary school; environmental change; ethnic minority population; evidence base; fifth grade; follow-up; health equity; health literacy; high risk; improved; junior high school; literate; multilevel analysis; nutrition; obesity in children; population health; programs; racial and ethnic; racial minority; randomized trial; research study; sixth grade; skills; social; therapy design; third grade

Project Summary Despite decades of concentrated efforts across myriad sectors, childhood obesity remains a prevailing public health problem, and certain subpopulations, including racial and ethnic minorities and those living in low-income households, are disproportionately affected. Obese children are at higher risk for low quality of life and chronic disease diagnosis, including diabetes, cardiovascular disease, and hypertension, in adulthood. Obesity is a complex disease with many influencing factors across the socio-ecological model, including individual, intrapersonal, environmental, policy, and systems-level factors. These factors vary across different social and cultural contexts, further complicating solutions to this widespread public health problem. Eliminating or reducing the childhood obesity burden will likely require a better understanding of not only which intervention strategies are effective to combat these influencing factors, but also whether these strategies can be similarly effective when translated across diverse cultures and contexts. To reach this understanding, researchers, interventionists, and practitioners will need to possess a unique analytic skillset, engage collaborators across multiple sectors, and demonstrate cultural sensitivity. The proposed training plan is designed to address these needs. First, the training plan incorporates cultural competency and health equity training. Second, it involves assembly of a mentoring and advisory team of scientists across disciplines (psychology, nutrition, communications, epidemiology, education). Third, it incorporates didactic training in multi-level modeling and mixed methods data analysis. Finally, the proposed research study allows for application of skills acquired through the training plan. The proposed research study examines the individual and environmental impact of Student Wellness Champions for Change, a health literacy, public health literacy, and youth advocacy-based intervention designed to engage student-led wellness teams in improving school wellness policy implementation and creating health-promoting environments in elementary and middle schools across Maryland. The project uses a rigorous mixed methods evaluation and the RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework to assess (1) the extent to which involvement on student wellness teams improve students’ individual health behaviors, weight status, health and public health literacy, and youth advocacy skills; (2) the extent to which student wellness teams make environmental changes in their school. Additionally, the study aims to describe factors, including reach, adoption, implementation and maintenance, that are necessary to inform translation of this intervention strategy to diverse schools across Maryland and beyond.

项目摘要 尽管数十年来无数部门的集中努力，但儿童肥胖仍然是普遍的公共卫生 问题以及某些亚种群，包括赛车和少数民族以及生活在低收入家庭中的人群 受到不成比例的影响。肥胖儿童患低生活质量和慢性疾病诊断的风险更高， 包括糖尿病，心血管疾病和高血压。肥胖是一种复杂的疾病，许多 影响整个社会生态模型的因素，包括个人，人际，环境，政策和 系统级因素。这些因素在不同的社会和文化背景下各不相同，使解决方案更加复杂 这个广泛的公共卫生问题。 消除或减少儿童肥胖灼伤不仅需要更好地理解 干预策略有效地打击了这些影响因素，而且这些策略是否可以类似 在跨潜水员文化和环境中翻译时有效。为了达到这一理解，研究人员，干预主义者， 从业人员将需要拥有独特的分析技能集，跨多个领域的合作者，以及 表现出文化敏感性。拟议的培训计划旨在满足这些需求。首先，培训计划 结合文化能力和健康公平培训。其次，它涉及组装心理和咨询 跨学科的科学家团队（心理学，营养，传播，流行病学，教育）。第三，它 在多级建模和混合方法数据分析中纳入教学训练。最后，拟议的研究 研究允许应用培训计划获得的技能。 拟议的研究考试对学生健康冠军的个人和环境影响 改变，健康素养，公共卫生素养和基于青年倡导的干预措施，旨在吸引学生领导的 健康团队改善学校健康政策的实施和创造促进健康的环境 马里兰州的小学和中学。该项目使用严格的混合方法评估和Re-aim （覆盖，有效性，采用，实施，维护）框架以评估以下情况 学生健康团队改善学生的个人健康行为，体重状况，健康和公共卫生素养，以及 青年倡导技能； （2）学生健康团队在学校的环境改变程度。 此外，该研究旨在描述包括覆盖范围，采用，实施和维护在内的因素， 为了将这种干预策略翻译给马里兰州及其他地区的潜水员学校所必需的必要条件。