Measuring Policy, Systems, and Environmental Changes at Elementary Schools Involved in SNAP-Ed New Mexico Programming, 2018-2022.

IF 4.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Preventing Chronic Disease Pub Date : 2024-01-18 DOI:10.5888/pcd21.230221

Camille Velarde, Erica Landrau-Cribbs, Mahtab Soleimani, Theresa H Cruz

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Abstract

Introduction: In 2018, the New Mexico Supplemental Nutrition Assistance Program-Education (SNAP-Ed NM) incorporated policy, systems, and environmental (PSE) strategies into the state plan to increase healthy eating and physical activity. Studies of multiple PSE strategies in elementary schools are lacking.

Methods: We conducted assessments of physical activity and nutrition environments at 11 elementary schools in New Mexico before and after schools were given school-specific PSE recommendations and technical assistance. Baseline data were collected in 2018 by using the School Physical Activity and Nutrition Environment Tool (SPAN-ET), which measures policy, situational, and physical environments in elementary schools. PSE scores were calculated as the proportion of criteria met within and across 27 areas of interest. Implementation of evidence-based PSE interventions began in 2019. COVID-19 school closures delayed follow-up assessments until 2022. We analyzed descriptive data to examine changes in PSE scores over time.

Results: Overall mean PSE scores increased significantly from baseline (53.6%) to follow-up (62.7%). Nutrition PSE scores significantly increased by 17.6 percentage points; the policy environment showed the largest improvement (+26.0 percentage points), followed by the situational environment (+13.8 percentage points), and physical environment (+9.1 percentage points). We found a nonsignificant increase in the overall average physical activity score (+2.7 percentage points).

Conclusion: Use of a standardized instrument for assessing implementation of PSE strategies across multiple schools showed significant overall improvement in nutrition scores and nonsignificant increases in physical activity scores. Providing school-specific recommendations combined with technical assistance may be an effective approach to implementing evidence-based nutrition and physical activity PSE strategies.

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衡量 2018-2022 年参与 SNAP-Ed 新墨西哥州计划的小学的政策、系统和环境变化。

导言：2018 年，新墨西哥州补充营养援助计划-教育（SNAP-Ed NM）将政策、系统和环境（PSE）策略纳入了州计划，以增加健康饮食和体育活动。目前还缺乏对小学多种 PSE 策略的研究：我们对新墨西哥州 11 所小学的体育活动和营养环境进行了评估，评估是在学校获得针对学校的 PSE 建议和技术援助之前和之后进行的。基线数据于 2018 年通过学校体育活动和营养环境工具（SPAN-ET）收集，该工具用于测量小学的政策、情景和物理环境。PSE 分数按 27 个相关领域内和领域间符合标准的比例计算。循证 PSE 干预措施于 2019 年开始实施。COVID-19 学校的关闭将后续评估推迟到了 2022 年。我们分析了描述性数据，以研究 PSE 分数随时间的变化：从基线（53.6%）到后续评估（62.7%），整体平均 PSE 分数显著增加。营养 PSE 分数显著提高了 17.6 个百分点；政策环境的改善幅度最大（+26.0 个百分点），其次是情景环境（+13.8 个百分点）和物理环境（+9.1 个百分点）。我们发现，体育锻炼的总体平均得分没有显著提高（+2.7 个百分点）：结论：使用标准化工具评估多所学校的 PSE 策略实施情况表明，营养得分总体上有显著提高，而体育活动得分的提高并不明显。提供针对具体学校的建议并结合技术援助可能是实施循证营养和体育活动 PSE 策略的有效方法。

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来源期刊

Preventing Chronic Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.70

自引率

3.60%

发文量

期刊介绍： Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. The mission of PCD is to promote the open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The vision of PCD is to be the premier forum where practitioners and policy makers inform research and researchers help practitioners and policy makers more effectively improve the health of the population. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span.