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

项目摘要 尽管经过多个领域数十年的集中努力，儿童肥胖症仍然是一个普遍的公共健康问题。 问题，以及某些亚群体，包括少数族裔和低收入家庭的人， 受到不成比例的影响。肥胖儿童低生活质量和慢性病诊断的风险更高， 包括糖尿病、心血管疾病和高血压。肥胖是一种复杂的疾病，有许多 社会生态模式的影响因素，包括个人、个人内部、环境、政策和 系统层面的因素。这些因素在不同的社会和文化背景下有所不同，使解决方案进一步复杂化 这一普遍存在的公共卫生问题。 消除或减轻儿童肥胖负担可能不仅需要更好地理解 干预策略能否有效对抗这些影响因素，还要看这些策略是否可以类似 在不同的文化和背景下翻译时，效果很好。为了达成这一理解，研究人员、干预主义者、 从业者将需要拥有独特的分析技能，吸引多个部门的合作者，以及 表现出文化敏感度。拟议的培训计划旨在满足这些需求。第一，培训计划 将文化能力和健康公平培训结合起来。其次，它涉及到指导和咨询的集合 跨学科(心理学、营养学、传播学、流行病学、教育学)的科学家团队。第三，它 融合了多层次建模和混合方法数据分析的教学培训。最后，提出了本文的研究方向 学习允许应用通过培训计划获得的技能。 拟议的研究研究考察了学生健康冠军对个人和环境的影响 改变，一种健康素养、公共健康素养和以青年倡导为基础的干预措施，旨在让学生主导 在改善学校健康政策执行和创造健康促进环境方面的健康团队 马里兰州的小学和中学。该项目采用了严格的混合方法评估和RE-AIM (覆盖范围、有效性、采用、实施、维护)框架，以评估(1)参与的程度 学生健康团队提高学生的个人健康行为、体重状况、健康和公共健康素养，以及 青少年倡导技能；(2)学生健康队在多大程度上改变了学校的环境。 此外，该研究旨在描述包括覆盖、采用、实施和维护在内的因素，这些因素包括 有必要向马里兰州及其他地区的不同学校通报这一干预战略的翻译。

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.