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

项目摘要 尽管几十年来各个部门都在集中努力，儿童肥胖仍然是一个普遍的公共卫生问题。 问题，以及某些亚人口，包括少数种族和族裔以及生活在低收入家庭的人， 受到不成比例的影响。肥胖儿童生活质量低和被诊断为慢性病的风险更高， 包括糖尿病心血管疾病和高血压肥胖是一种复杂的疾病， 社会生态模型中的影响因素，包括个人、个人内部、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， 这一广泛的公共卫生问题。 消除或减少儿童肥胖负担可能不仅需要更好地了解哪些因素， 干预策略是否能有效地对抗这些影响因素，而且这些策略是否能类似地 在不同的文化和背景下翻译时有效。为了达成这种理解，研究人员，干预者， 从业者需要具备独特的分析技能，与多个部门的合作者合作， 文化敏感性。拟议的培训计划旨在满足这些需要。一、培训计划 纳入文化能力和健康公平培训。第二，它涉及到一个指导和咨询的集合， 跨学科的科学家团队（心理学，营养学，通信，流行病学，教育）。三是 结合了多层次建模和混合方法数据分析的教学培训。最后，建议研究 通过学习可以应用通过培训计划获得的技能。 拟议的研究调查了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，以及旨在参与学生主导的基于青年的干预措施 健康团队在改善学校健康政策执行和创造健康促进环境方面的作用， 遍布马里兰州的小学和中学。该项目采用严格的混合方法评估和RE-AIM （覆盖面、有效性、采用、执行、维护）框架，以评估（1） 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， 青年宣传技能;（2）学生健康团队在多大程度上改变了学校的环境。 此外，该研究旨在描述影响因素，包括覆盖范围、采用、实施和维护， 有必要将这一干预策略传达给马里兰州及其他地区的不同学校。

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.