Promoting healthy weight among elementary school children via a health report card approach
Promoting healthy weight among elementary school children via a health report card approach
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DOI：
10.1001/archpedi.157.8.765
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发表时间：
2003-08-01
影响因子：
--
通讯作者：
McGowan, R
中科院分区：
文献类型：
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作者：
Chomitz, VR;Collins, J;McGowan, R
背景：随着儿童超重持续增加，学校寻求有效和敏感的方式让家长参与促进健康体重。目的：评价以学校为基础的家庭对儿童体重状况的认识和关注、体重控制计划和预防行为。设计：准实验现场试验，采用个性化体重和健身健康报告卡干预（PI）、通用信息干预（GI）和对照组（CG）。使用干预后电话调查评估结果，包括过程和结果测量。参与者：干预包括1396名来自城市地区4所小学的不同种族的学生。对793个评估样本中的399个家庭进行了电话调查。干预：家庭被随机分配到PI， GI或CG，并邮寄干预材料。CG在调查结束后邮寄了GI材料。主要观察指标：家长对儿童体重状况、担忧、体重控制计划和预防行为的认识。各组效果因儿童体重状况而有显著差异，因此结果是分层的。结果：在超重学生中，干预父母更有可能了解孩子的体重状况（PI, 44%； GI, 41%； CG, 23%） （P= 0.02）。PI父母计划医疗帮助（PI, 25%； GI, 7%； CG, 9%） （P= 0.004），节食活动(PI, 19%； GI和CG，
Background: As overweight continues to rise among children, schools seek effective and sensitive ways to engage parents in promoting healthy weight.Objective: To evaluate a school-based health report card on the family awareness of and concern about the child weight status, plans for weight control, and preventive behaviors.Design: Quasi-experimental field trial with a personalized weight and fitness health report card intervention (PI), a general-information intervention (GI), and a control group (CG). Outcomes were assessed using a post-intervention telephone survey, including process and outcome measures.Participants: The intervention included 1396 ethnically diverse students at 4 elementary schools in an urban area. Telephone surveys were completed by 399 families from an evaluation sample of 793.Intervention: Families were randomly assigned to the PI, GI, or CG and mailed intervention materials. The CG was mailed GI materials after the survey.Main Outcome Measures: Parent awareness of child weight status, concerns, weight-control plans, and preventive behaviors. Group effects were significantly different by the child's weight status, so results were stratified.Results: Among over-weight students, intervention parents were more likely to know their child's weight status (PI, 44%; GI, 41%; CG, 23%) (P=.02). The PI parents planned medical help (PI, 25%; GI, 7%; CG, 9%) (P=.004), dieting activities (PI, 19%; GI and CG,