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A Content Analysis of Implementation Strategies Chosen by Virginia School Nutrition Directors 弗吉尼亚州学校营养主任选择的实施策略的内容分析
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-11-01 DOI: 10.14485/hbpr.8.6.9
Rachel Nelson, Kathleen J. Porter, Kelly Shomo, S. Curwood, S. Misyak
Objective: School-based interventions are common approaches to address childhood obesity; however, there is little understanding of strategies that can foster their implementation into schools. In this study, we aimed to identify goals and the specific strategies selected by school nutrition directors (SNDs) in Virginia to execute school-based interventions. Methods: Between 2018 and 2019, SNDs in Virginia participated in Team Nutrition workshops through which they created action plans. We carried out a content analysis of 132 action plans collected from 100 school divisions. We developed codes deductively and inductively. The codes captured plan completion, goals, and strategies. Each plan was independently coded by 2 coders. Results: Action plans included 1.2 goals (SD = 0.54) and 3.9 strategies per goal (SD = 2.1). Goals were most commonly related to improving menus or increasing participation in the school meal programs. The strategies varied based on the goals. However, obtaining buy-in from school personnel and students was the most commonly included goal (64.4%) across plans. The level of action plan completion decreased with each subsequent section of the worksheet. Conclusions: Emerging patterns identified in this study suggest SNDs’ strategy selection is based on goals and that trainings should be tailored to promote the development of skills required to execute optimal strategies.
目标:以学校为基础的干预措施是解决儿童肥胖问题的常见方法;然而,人们对能够促进其在学校实施的策略知之甚少。在这项研究中,我们旨在确定弗吉尼亚州学校营养主管(SND)选择的目标和具体策略,以执行基于学校的干预措施。方法:2018年至2019年间,弗吉尼亚州的SND参加了团队营养研讨会,通过研讨会制定了行动计划。我们对从100个学校部门收集的132项行动计划进行了内容分析。我们推导和归纳地开发代码。代码记录了计划完成情况、目标和策略。每个计划由2名编码员独立编码。结果:行动计划包括1.2个目标(SD=0.54)和3.9个策略/目标(SD=2.1)。目标最常见的是改善菜单或增加对学校膳食计划的参与。策略因目标而异。然而,获得学校工作人员和学生的支持是所有计划中最常见的目标(64.4%)。行动计划的完成程度随着工作表的每个后续部分而降低。结论:本研究中发现的新模式表明,SND的战略选择是基于目标的,培训应该有针对性,以促进执行最佳战略所需技能的发展。
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引用次数: 0
Effective Elements of School-based Provision for the Promotion of Healthy Lifestyles: A European Delphi Study 促进健康生活方式的校本提供的有效要素:欧洲德尔菲研究
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-11-01 DOI: 10.14485/hbpr.8.6.5
R. Bailey, I. Glibo, C. Scheuer
Objective: Schools can serve as settings for promoting their student health, although it is necessary to identify the key elements of provision to leverage change. This study’s objective was to develop a Europe-based list of the elements of learning and health support systems judged by a group of experts to be most effective in influencing school student healthy lifestyles education. Methods: A 3-stage Delphi study involving a group of 18 Europe-based subject specialists was used to articulate shared expert opinions on the main research question: what are the most effective elements of learning and health support systems influencing school students’ healthy lifestyles education? Over 3 rounds of data-gathering, experts were asked to assess the effectiveness of 25 specific elements. Results: The 3 rounds resulted in the following ranked list: Physical Education (PE), Staff Professional Development, Healthy School Policies, Active Recess, Family & Community Engagement, Healthy Eating, Physical Activity in Classroom Lessons, and Active Transport. Conclusions: Cautious of overly generalizing from the results, we suggest the findings offer useful information for evidence-based programs, as well as future research that explores the necessary components of health promotion in schools.
目标:学校可以作为促进学生健康的环境,尽管有必要确定利用变革的关键要素。这项研究的目的是制定一份基于欧洲的学习和健康支持系统要素清单,由一组专家判断,这些要素在影响学生健康生活方式教育方面最有效。方法:一项由18名欧洲学科专家组成的三阶段德尔菲研究用于阐明主要研究问题的共同专家意见:影响学生健康生活方式教育的学习和健康支持系统最有效的因素是什么?在三轮数据收集中,专家们被要求评估25个具体要素的有效性。结果:这三轮比赛产生了以下排行榜:体育(PE)、员工专业发展、健康学校政策、积极经济衰退、家庭和社区参与、健康饮食、课堂体育活动和积极交通。结论:为了避免从结果中过于概括,我们建议这些发现为循证计划以及未来探索学校健康促进必要组成部分的研究提供有用的信息。
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引用次数: 0
Supporting Mental Health in School Settings: Findings from a Qualitative Evaluation 支持学校环境中的心理健康:定性评估的结果
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-09-01 DOI: 10.14485/hbpr.8.5.4
Linda Weiss, M. Jacob, Maya Scherer, A. Borkina
Objective: In this paper, we describe results from stakeholder interviews conducted to assess implementation and perceived outcomes of a project, implemented in 92 New York City middle and high schools, and focused on building the mental health-related skills of school personnel and promotion of healthier school environments. Methods: As part of a mixed-methods evaluation, we conducted 59 key stakeholder interviews with staff of participating community-based organizations and schools. Interview topics included mental health needs, project activities, engagement by school staff, strengths and challenges of the initiative, and perceived impact. Results: At the start of the project, interviewees reported difficulty comprehending the model and accepting its utility, given the direct service needs of students. Although concerns remained, we found positive impact, including increased awareness of mental health issues and their root causes, a greater sensitivity to students’ social and emotional challenges, and improved capacity to manage behavioral issues in the classroom. Conclusions: Although targeted approaches are needed for high-risk youth, population-level approaches may increase mental health knowledge and skills and support transformation leading to healthier school environments.
目的:在本文中,我们描述了对利益相关者进行访谈的结果,以评估一个项目的实施和感知结果,该项目在纽约市92所初中和高中实施,重点是建立学校人员的心理健康技能和促进更健康的学校环境。方法:作为混合方法评估的一部分,我们与参与的社区组织和学校的工作人员进行了59次关键利益相关者访谈。访谈主题包括心理健康需求、项目活动、学校工作人员的参与、倡议的优势和挑战以及感知到的影响。结果:在项目开始时,考虑到学生的直接服务需求,受访者表示难以理解该模型并接受其实用性。尽管仍然存在担忧,但我们发现了积极的影响,包括提高了对心理健康问题及其根源的认识,对学生的社会和情感挑战更加敏感,以及提高了管理课堂行为问题的能力。结论:虽然高危青少年需要有针对性的方法,但人群层面的方法可能会增加心理健康知识和技能,并支持转变,从而导致更健康的学校环境。
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引用次数: 0
Perceptions and Barriers to Physical Activity in Childhood and Adulthood Among Latinas. 拉丁裔儿童和成年期体育活动的认知和障碍。
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.2
Rosenda Murillo, Mariana Vazquez, Isabel Martinez Leal, Daphne C Hernandez, Qian Lu, Lorraine R Reitzel

Objective: The purpose of this qualitative study was to identify perceptions and barriers to physical activity in childhood and adulthood among Latina adults.

Methods: Three focus groups, 2 dyadic interviews, and an individual interview were conducted using semi-structured interview guides with 23 Latina women aged 21-35. A thematic analysis approach employing inductive and deductive coding was utilized to code, categorize, and summarize data into themes.

Results: The themes that emerged focused on: (1) physical activity is enjoyable; (2) family influenced physical activity; (3) different lifestyle in the US influenced physical activity; (4) physical activity is important for health; and (5) responsibilities (eg, work, caregiving) as barriers to physical activity in adulthood.

Conclusions: Perceptions and barriers to physical activity experienced in both childhood and adulthood should be considered in the promotion of physical activity among Latinas.

目的:本定性研究的目的是确定拉丁裔成年人在儿童期和成年期对体育活动的认知和障碍。方法:采用半结构化访谈指南对23名21 ~ 35岁的拉丁裔女性进行3个焦点小组、2个二元访谈和个别访谈。采用归纳和演绎编码的主题分析方法对数据进行编码、分类和汇总。结果:出现的主题集中在:(1)体育活动是愉快的;(2)家庭对身体活动的影响;(3)美国不同的生活方式影响了身体活动;(4)体育活动对健康很重要;(5)责任(如工作、照料)是成年期身体活动的障碍。结论:在促进拉丁美洲人的身体活动时,应考虑儿童和成年时期对身体活动的看法和障碍。
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引用次数: 1
High School Students Voice Regarding School-based Physical Activity: Perceived Barriers and Facilitating Factors 高中生对学校体育活动的声音:感知障碍和促进因素
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.5
Marie-Maude Dubuc, Seira Fortin-Suzuki, Sylvie Beaudoin, F. Berrigan, S. Turcotte
Objective: To contribute to the development of tailored school-based physical activity interventions, in this study, we aimed to identify the perceived facilitating factors and barriers of high school students toward their physical activity in the school environment. Methods: A total of 139 students from 4 different high schools completed an online questionnaire comprising open-ended questions on their perceived facilitating factors and barriers toward their physical activity at school. Thereafter, 100 of these students participated in one of the 16 focus groups designed to deepen students’ responses regarding their perceived facilitating factors and barriers. Qualitative content analysis was performed to classify data according to the Social-Ecological Model. Results: Through questionnaires, students mostly identified intrapersonal elements as facilitating factors and barriers to their practice of physical activity, as opposed to institutional factors during the focus groups. Girls strongly valued the characteristics of the interventions and of the involved school stakeholders. Conclusions: Our results allow us to qualify the current understanding of high school students’ perceived facilitating factors and barriers toward school-based physical activity and strengthen the relevance of surveying students prior to the development and implementation of physical activity interventions.
目的:为了有助于制定量身定制的学校体育活动干预措施,在本研究中,我们旨在确定高中生在学校环境中进行体育活动的感知促进因素和障碍。方法:来自4所不同高中的139名学生完成了一份在线问卷,其中包括关于他们在学校体育活动中感知的促进因素和障碍的开放式问题。此后,其中100名学生参加了16个重点小组中的一个,该小组旨在加深学生对其感知的促进因素和障碍的反应。根据社会生态学模型对数据进行定性内容分析。结果:通过问卷调查,在焦点小组中,学生大多将个人因素确定为促进他们进行体育活动的因素和障碍,而不是制度因素。女孩们非常重视干预措施和相关学校利益攸关方的特点。结论:我们的研究结果使我们能够验证目前对高中生在学校体育活动中感知的促进因素和障碍的理解,并加强在制定和实施体育活动干预措施之前对学生进行调查的相关性。
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引用次数: 0
Assessment and Management of Mercury-Catalyzed Polyurethane Gym Floors: 10 Lessons from 10 New Jersey School Districts 汞催化聚氨酯健身房地板的评估和管理:来自新泽西州10个学区的10个经验教训
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.6
R. Lynch, E. Favata, M. Gochfeld
Objective: Mercury catalyzed polyurethane (MCPU) floors installed in K-12 gymnasiums may release mercury vapor presenting possible mercury exposure to teachers and students. Varied approaches to sampling, air monitoring, ventilation, evacuation of gyms and/or removal of the floor coverings have occurred. As many gyms are being converted to classrooms during the COVID-19 pandemic, effective assessment and management of these floors is essential. Methods: Mercury assessment strategies for 10 New Jersey schools with MCPU floors were reviewed to assist school districts with decisions for management in-place or removal. Results: Bulk mercury levels do not predict airborne mercury levels. Mercury generation rates ranged between 0.02 to 0.17 μg/ft2/ hour. Hazards encountered during removal are substantial. Conclusions: Decisions to manage or remove mercury catalyzed rubber-like gym floor should be based upon a rigorous multi-factor assessment. Mercury exposures often can be managed via HVAC, added ventilation, temperature, and maintenance controls. A statewide registry of MCPU floors should be considered. Removal of MCPU floors should be professionally monitored to protect teachers, staff, and students.
目的:K-12体育馆安装的汞催化聚氨酯(MCPU)地板可能会释放汞蒸气,从而使教师和学生可能接触到汞。采样、空气监测、通风、健身房疏散和/或拆除地板覆盖物的方法多种多样。在新冠肺炎大流行期间,许多健身房都被改为教室,因此对这些楼层进行有效评估和管理至关重要。方法:回顾了新泽西州10所MCPU地板学校的汞评估策略,以帮助学区做出管理到位或搬迁的决定。结果:散装汞含量不能预测空气中的汞含量。汞生成率在0.02至0.17μg/ft2/小时之间。拆除过程中遇到的危险很大。结论:管理或去除汞催化橡胶类健身房地板的决定应基于严格的多因素评估。汞暴露通常可以通过暖通空调、增加通风、温度和维护控制来控制。应考虑在全州范围内登记MCPU地板。MCPU地板的拆除应受到专业监督,以保护教师、员工和学生。
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引用次数: 1
State Recreational Marijuana Laws and Dispensaries: Chronic School Absenteeism in Washington State 州娱乐大麻法律和药房:华盛顿州的长期旷课现象
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.8
M. Gakh, C. Coughenour, B. Kleven, B. Labus
Objective: Whereas states continue to experiment with liberalized marijuana laws, how these laws impact health, education, and social factors is not yet fully understood. In this study, we examined whether chronic school absenteeism rates changed in Washington State in the presence of recreational marijuana dispensaries pursuant to implementation of the state’s recreational marijuana laws. Methods: We conducted a secondary analysis using school district chronic absenteeism rates before and after the presence of recreational dispensaries. Results: The results of the independent samples t-test showed no statistically significant difference in chronic absenteeism rates among districts with or without recreational marijuana dispensaries. Conclusions: The finding of no statistical significance for chronic absenteeism in districts with and without recreational dispensaries – a pattern that largely persisted among at-risk groups – supports that the presence of recreational marijuana dispensaries seems neither to exacerbate nor improve chronic school absenteeism rates. This finding is important for policymakers, practitioners, and researchers trying to understand the changing marijuana legal landscape.
目的:尽管各州继续尝试放宽大麻法律,但这些法律对健康、教育和社会因素的影响尚不完全清楚。在这项研究中,我们研究了华盛顿州在娱乐性大麻药房存在的情况下,根据该州娱乐性大麻法律的实施,慢性学校缺勤率是否发生了变化。方法:我们进行了二次分析,使用学区的慢性缺勤率前后娱乐药房的存在。结果:独立样本t检验结果显示,有无娱乐性大麻药房的地区慢性缺勤率无统计学差异。结论:在有和没有娱乐性大麻药房的地区,慢性缺勤率没有统计学意义——这种模式在高危人群中很大程度上持续存在——支持娱乐性大麻药房的存在似乎既没有加剧也没有改善慢性缺勤率。这一发现对于试图了解大麻法律环境变化的政策制定者、从业者和研究人员来说非常重要。
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引用次数: 0
A Cross-sectional Survey of Chinese Secondary School Students on Infectious Disease Prevention during the COVID-19 Outbreak 新冠肺炎疫情期间中国中学生传染病预防情况横断面调查
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.7
Hai-qing Qiu, Zhongwei Liu, H. Fang
Objective: Improving secondary school students’ knowledge and behaviors toward infectious disease prevention is key to promoting their health. In this study, we evaluated secondary school students’ infectious disease prevention literacy, determined the sources of knowledge acquisition, and identified deficiencies in education programs. Methods: A questionnaire was disseminated through social media from February 1-5, 2020, starting from selected class group chats of students in Shaanxi, Gansu, and Jiangsu provinces. A total of 1761 responses were collected. The male-to-female ratio was 1.08:1. The chi-square test was employed to analyze data. Results: Most respondents reported that they were familiar with the standard 7-step handwashing method. Most respondents reported that their knowledge and behaviors of infectious disease prevention were mainly acquired through the Internet. The vast majority of respondents believed that more education programs are needed in secondary schools. Conclusions: Secondary school students’ knowledge and behaviors toward infectious disease prevention need to be improved. Infectious disease prevention programs on campuses should be increased in quantity, enriched in scope, refined in form, and improved in coherence and continuity.
目的:提高中学生传染病预防知识和行为水平是促进中学生健康的关键。在本研究中,我们评估了中学生的传染病预防素养,确定了知识获取的来源,并找出了教育计划的不足之处。方法:于2020年2月1日至5日通过社交媒体发放问卷,从陕西、甘肃和江苏三省学生的班级群聊开始。共收集了1761份回复。男女比例为1.08:1。采用卡方检验对数据进行分析。结果:大多数受访者报告他们熟悉标准的七步洗手方法。大多数受访者表示,他们的传染病预防知识和行为主要是通过互联网获得的。绝大多数受访者认为,中学需要更多的教育项目。结论:中学生传染病预防知识和行为有待提高。增加校园传染病预防项目的数量,丰富范围,完善形式,提高连贯性和连续性。
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引用次数: 0
Examining Auxiliary Verbs in a Salient Belief Elicitation 显著信念启发中辅助动词的考察
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.9
Julie Maier, K. Jozkowski, María S. Montenegro, Malachi Willis, R. Turner, Brandon L. Crawford, Wen‐Juo Lo
Objective: Salient belief elicitations (SBEs) measure beliefs toward a health behavior through open-ended questions, with the purpose of developing close-ended survey questions. Auxiliary verbs used in SBE questions often differ (eg, What are the top 3 reasons you would/should decide to have an abortion?). We tested how 2 auxiliary verbs function in a SBE assessing abortion in English and Spanish: would/decidíra and should/debería. Methods: We administered a SBE survey online (N = 175) and in-person (N = 72); in-person participants also participated in cognitive interviews to assess question interpretation. Participants were assigned to survey versions that included identical SBE questions aside from auxiliary verbs—would/decidíra versus should/debería. Data analysis included: (1) content analysis of survey responses to assess differences in responses by version and (2) thematic analysis of interview data focused on interpretations of would/decidíra and should/ debería. Results: Would/decidíra surveys generated more response categories. Similarly, cognitive interview findings suggest participants conceptualized would/decidíra as allowing for more options, while should/debería was thought to include only the most significant reasons/circumstances for abortion, potentially restricting participants’ responses. Conclusion: These findings have important measurement implications for researchers administering SBEs
目的:显著信念启发(SBE)通过开放式问题测量对健康行为的信念,目的是开发封闭式调查问题。SBE问题中使用的助动词通常不同(例如,你决定/应该决定堕胎的前三个原因是什么?)。我们测试了英语和西班牙语中两个辅助动词在SBE评估堕胎中的作用:would/delectíra和should/debería。方法:我们在网上(N=175)和亲自(N=72)进行SBE调查;面对面的参与者还参与了认知访谈,以评估问题的解释。参与者被分配到调查版本,其中除了助动词外,还包括相同的SBE问题——会/devicíra与应该/debería。数据分析包括:(1)调查回应的内容分析,以评估不同版本回应的差异;(2)访谈数据的主题分析,重点是对意愿/决定和应该/debería的解释。结果:意愿/决策调查产生了更多的回应类别。同样,认知访谈的结果表明,参与者将“意愿/决定”概念化为允许更多的选择,而“应该/决定”被认为只包括堕胎的最重要原因/情况,这可能会限制参与者的反应。结论:这些发现对SBE的研究人员具有重要的测量意义
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引用次数: 0
Do Disordered Eating Behaviors Have an Effect on Food Addiction? 无序的饮食行为对食物成瘾有影响吗?
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.4
N. Alim, Kerim Gokustun, Gozde Caliskan, Z. Beşler
Objective: We aimed to evaluate the relationship between food addiction and uncontrolled eating, cognitive restraint, and emotional eating. Methods: We carried out this study with 1168 students (758 girls and 410 boys) studying at 7 different high schools in Ankara, Turkey. We used 3 measures. The first measure part assessed the participants’ demographic characteristics. We used 2 other validated measures, the Yale Food Addiction Scale and the Three-Factor Eating Questionnaire, to assess disordered eating behaviors. Results: No statistically significant difference was found between girls (12.9%) and boys (12%) in terms of food addiction (p = .67). We found that uncontrolled eating (p < .001), cognitive restraint (p = .007), and emotional eating (p < .001) scores were higher in individuals with food addiction (60.50±22.37; 38.39±24.41 and 57.42±28.49 respectively) than those without food addiction (40.17±24.74; 32.36±25.4 and 31.11±29.46 respectively). Furthermore, these eating behaviors increased the risk of food addiction in adolescents [Uncontrolled eating: OR: 1.02 (1.01-1.03); Cognitive Restraint: OR: 1.01 (1.00-1.02); Emotional Eating: OR: 1.016(1.009-1.024)]. Conclusions: Disordered eating behaviors can be seen more frequently among adolescents with food addiction compared to those without. In addition, these eating behaviors can increase the risk of food addiction relatively.
目的:我们旨在评估食物成瘾与不受控制的饮食、认知约束和情绪饮食之间的关系。方法:我们对土耳其安卡拉7所不同高中的1168名学生(758名女孩和410名男孩)进行了这项研究。我们使用了3个度量。第一个测量部分评估了参与者的人口统计特征。我们使用了另外两种经过验证的测量方法,耶鲁食物成瘾量表和三因素饮食问卷,来评估紊乱的饮食行为。结果:女孩(12.9%)和男孩(12%)在食物成瘾方面没有统计学上的显著差异(p=.67),有食物成瘾的个体的情绪性进食(p<0.001)得分(分别为60.50±22.37;38.39±24.41和57.42±28.49)高于无食物成瘾的(分别为40.17±24.74;32.36±25.4和31.11±29.46)。此外,这些饮食行为增加了青少年食物成瘾的风险[不受控制的饮食:OR:1.02(1.01-1.03);认知约束:OR:1.01(1.00-1.02);情绪化饮食:OR:10.16(1.009-1.024)]。此外,这些进食行为会相对增加食物成瘾的风险。
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引用次数: 2
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Health Behavior and Policy Review
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