Strong Teens for Healthy Schools Change Club: A civic engagement approach to improving physical activity and healthy eating environments

健康学校的坚强青少年改变俱乐部：改善身体活动和健康饮食环境的公民参与方法

• 批准号: 10706629
• 负责人: Alexandra L MacMillan Uribe
• 金额: $ 30.3万
• 依托单位: TEXAS A&M AGRILIFE RESEARCH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-19 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10706629
• 关键词: Address; Administrator; Adolescence; Adult; Advisory Committees; Affect; Behavior; Cardiovascular Diseases; Caring; Child; Collection; Communities; Competence; Consumption; Data Analyses; Development; Disease Outcome; Eating Behavior; Educational Curriculum; Effectiveness; Effectiveness of Interventions; Environment; Evidence based intervention; Focus Groups; Food; Fostering; Funding; Goals; Health; Health Food; Health Policy; Health Promotion; Health behavior; Health behavior and outcomes; Healthy Eating; Individual; Intervention; Interview; Leadership; Life Cycle Stages; Metabolic syndrome; Middle School Student; Modeling; Neighborhoods; Outcome; Overweight; Participant; Pattern; Physical activity; Play; Policies; Population; Prevalence; Preventive service; Process; Randomized, Controlled Trials; Recommendation; Risk; Risk Factors; Role; Rural Community; Schools; Socioeconomic Status; Students; Teenagers; Testing; United States; United States National Institutes of Health; Weight; Youth; cardiovascular disorder risk; catalyst; community engagement; dietary; effective intervention; effectiveness evaluation; empowerment; environmental change; ethnic diversity; evidence base; food environment; fruits and vegetables; healthy weight; improved; junior high school; low socioeconomic status; novel; nutrition; obesity prevention; peer; peer support; positive youth development; post intervention; programs; racial diversity; rural underserved; school health; seventh grade; sixth grade; skills; social; teacher; theories

Abstract One in three youth in the United States are overweight, and 85% of all overweight youth have at least one Metabolic Syndrome (MetS) risk factor that increases their chance of developing cardiovascular disease. Comprehensive school- and evidence-based interventions (EBIs) that focus on students’ physical activity and fruit and vegetable consumption can reduce a school’s prevalence of overweight students by up to 8%. Additionally, multi-level interventions that target school health environments may be more effective than interventions that focus on individuals alone. Currently, there is an absence of multi-level EBIs for middle school students that address both physical activity and healthy eating behaviors and environments. Strong Teens for Healthy Schools Change Club (STHS-CC) is a novel, multi-level, and theory-based civic engagement program that equips and supports middle school students in racially/ethnically diverse, Title 1 middle schools to make a positive food and physical activity environmental change and personally engage in physical activity and healthy eating behaviors to reduce their MetS risk. This study utilizes a community advisory board to engage Cooperative Extension agents, 4-H staff, school administrators, teachers, and students in the refinement of STHS-CC for the middle school setting. Once refined, the community advisory board oversees the delivery and testing of STHS-CC using traditional and collaborative data analysis processes (e.g., Photovoice) in a pilot cluster-randomized controlled trial (n=20 schools; 20-25 participants per school). At the individual level, this study tests STHS-CC’s effectiveness for improving students’ MetS risk factors and positive youth development outcomes (i.e., competence, confidence, character, connection, and caring). At the social level, this study evaluates peers’ support for and participation in physical activity and healthy eating behaviors. At the environmental level, this study evaluates the physical, situational, and policy aspects of schools’ physical activity and nutrition environments. Long-term, the goal of this body of work is to motivate middle school students to improve their physical activity and nutrition behaviors and environments through a student led EBI that is part of a collection of comprehensive school-based health promotion programs. If effective, STHSCC has the potential to be disseminated through schools, Cooperative Extension networks, and 4-H organizations statewide and nationally.

摘要 美国三分之一的年轻人超重，85%的超重青年至少有一人超重 代谢综合征(METS)的危险因素，增加他们患心血管疾病的机会。 全面的以学校和循证为基础的干预措施(EBI)，重点是学生的身体活动和 食用水果和蔬菜可以将学校超重学生的患病率降低高达8%。 此外，针对学校卫生环境的多层次干预措施可能比 只针对个人的干预措施。目前，我国还缺乏多层次的中级EBI 学校学生既关注体育活动，也关注健康饮食行为和环境。强壮 青少年健康学校变革俱乐部(STHS-CC)是一种新颖的、多层次的、以理论为基础的公民参与 为不同种族/民族的中学生提供装备和支持的计划，标题1 做出积极的饮食和体力活动，改变环境，亲自从事体力活动 和健康的饮食行为，以降低他们患梅毒的风险。这项研究利用社区咨询委员会来 让合作扩展代理、4-H员工、学校管理人员、教师和学生参与 STHS-CC的改进适用于中学环境。一旦得到完善，社区咨询委员会就会监督 使用传统的和协作的数据分析过程来交付和测试STHS-CC(例如， 在试点集群随机对照试验中(n=20所学校；每所学校20-25名参与者)。在 在个人层面，本研究检验了STHS-CC对改善学生METS危险因素和积极作用的有效性 青年发展成果(即能力、自信、品格、人脉和关爱)。在社交媒体上 在这一层面上，本研究评估了同龄人对体育活动和健康饮食行为的支持和参与。 在环境层面，这项研究评估了学校体育的物理、情境和政策方面。 活动和营养环境。从长远来看，这项工作的目标是激励中学 通过学生引导改善学生的体育锻炼和营养行为及环境 EBI是一系列全面的校本健康促进计划的一部分。如果有效，STHSCC有可能通过学校、合作推广网络和4-H传播 全州和全国范围内的组织。