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: 10597807
• 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/10597807
• 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 outcomes; Healthy Eating; Individual; Intervention; Interview; Lead; Leadership; Level of Evidence; 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; base; cardiovascular disorder risk; catalyst; 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 and ethnic; 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 在美国，三分之一的青少年超重，85%的超重青少年至少有一个 代谢综合征（MetS）的风险因素，增加了他们患心血管疾病的机会。 全面的学校和循证干预措施（EBI），重点是学生的身体活动， 水果和蔬菜的消费可以减少学校超重学生的患病率高达8%。 此外，针对学校卫生环境的多层次干预措施可能比 只关注个人的干预措施。目前，没有多层次的企业所得税指数， 学校的学生，解决体育活动和健康的饮食行为和环境。强 青少年健康学校改变俱乐部（STHS-CC）是一个新颖的，多层次的，以理论为基础的公民参与 该计划为种族/民族多样化的第一中学的中学生提供装备和支持 做出积极的食物和身体活动环境改变，并亲自参与身体活动 和健康的饮食习惯来降低代谢综合征的风险。这项研究利用社区咨询委员会， 让合作推广代理，4-H工作人员，学校管理人员，教师和学生参与 为中学环境改良STHS-CC。一旦完善，社区咨询委员会监督 使用传统和协作数据分析过程的STHS-CC的交付和测试（例如， Photovoice）在一个试点集群随机对照试验（n=20所学校;每所学校20-25名参与者）。在 在个体水平上，本研究测试了STHS-CC对改善学生MetS危险因素的有效性， 青年发展成果（即，能力、信心、性格、联系和关怀）。在社会 水平上，本研究评估了同伴对体育活动和健康饮食行为的支持和参与。 在环境层面上，本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 学生改善他们的身体活动和营养行为和环境，通过学生领导 EBI是一系列以学校为基础的综合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 组织在全国和全国。