American Journal of Health Education最新文献_第8页

Stress and Coping among College Students during a COVID-19 Red Alert Status on Campus 新冠肺炎红色预警期间大学生的压力与应对

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-03-31 DOI: 10.1080/19325037.2023.2186985

Jessica Samuolis, Emma Higley, Julia Leone

ABSTRACT Background High rates of stress have been found among college students during the COVID-19 pandemic and research on students’ use of coping strategies during the pandemic is needed, particularly during periods of extensive restrictions on campus. Purpose The current study examined stress and coping during a campus red alert at a mid-sized U.S. university. Methods Data collected from an online survey sent out to undergraduate students 30 days after a COVID-19 red alert status (akin to a campus lockdown) was instituted on a college campus in the Fall of 2020 were analyzed. The survey included scales assessing coping strategies and perceived stress. Results Regression analyses indicated that stress during the red alert was associated with several maladaptive coping strategies, such as denial, substance use and behavioral disengagement. Whereas stress was inversely associated with positive coping strategies, such as active coping, planning, and acceptance. Discussion Health education efforts during campus lockdowns should include screening for stress, increased access to mental health services, coping skills-related informational workshops, and virtual recreational and social opportunities. Translation to Health Education Practice The study highlights how assessing stress and coping among college students during public health events can guide health education activities for college students.

背景2019冠状病毒病大流行期间，大学生的压力率很高，需要研究学生在大流行期间应对策略的使用情况，特别是在校园广泛限制期间。目的:本研究调查了美国一所中等规模大学校园红色预警期间的压力和应对情况。方法分析一项在线调查收集的数据，该调查是在2020年秋季大学校园实施COVID-19红色警报状态(类似于校园封锁)30天后向本科生发送的。该调查包括评估应对策略和感知压力的量表。结果回归分析表明，红色预警期间的应激与拒绝、物质使用和行为脱离等适应不良应对策略有关。而压力则与积极应对策略呈负相关，如积极应对、计划和接受。校园封锁期间的健康教育工作应包括压力筛查，增加获得心理健康服务的机会，应对技能相关的信息研讨会，以及虚拟的娱乐和社交机会。本研究强调了如何评估大学生在公共卫生事件中的压力和应对可以指导大学生的健康教育活动。

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引用次数: 0

Nutrition-Specific Dissemination and Implementation Science Training Development and Feedback 营养专项传播与实施科学培训发展与反馈

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-02-13 DOI: 10.1080/19325037.2023.2164942

Ayron E. Walker, M. Olfert, S. Scarneo-Miller, D. Totzkay, E. Claydon

ABSTRACT Background There is a critical need to build knowledge among community nutrition and health educators to ensure that nutrition interventions are appropriate. Purpose Assess experts’ perceptions on a novel D&I training for nutrition and health education. Methods Experts were recruited by a selective sample in nutrition implementation science. Experts reported their opinions about learning objectives and a training syllabus by responding to 7-point Likert scale questions and qualitative feedback on the curriculum. Quantitative data were analyzed for descriptive statistics and frequency analysis. Qualitative survey results from the expert review and feedback were analyzed and categorized into topic and theme. Results Respondents (n = 31) were female (94%), White (81%), and Registered Dietitian Nutritionists (71%). Most respondents categorized the learning strategies and syllabus as generally positive (4–7) on the Likert scales. Key components of the course – including case study assignments, projects, and guided reading questions – as beneficial for student learning. Discussion Application-based learning and activities are essential components to this D&I training and assist in translating learning objectives to behavioral outcomes. Translation to Health Education Practice This course offers a practical solution for health educators to meet competencies needed for credentialing and continuing education in implementing nutrition and health interventions.

摘要背景迫切需要在社区营养和健康教育工作者中建立知识，以确保营养干预措施是适当的。目的评估专家对营养与健康教育新型D&I培训的看法。方法选择营养实施科学领域的专家为研究对象。专家们通过回答Likert量表的7分问题和对课程的定性反馈，报告了他们对学习目标和培训大纲的看法。对定量数据进行描述性统计和频率分析。对专家评审和反馈的定性调查结果进行了分析，并将其分为主题和主题。结果受访者（n=31）为女性（94%）、白人（81%）和注册营养师（71%）。大多数受访者在Likert量表上将学习策略和教学大纲归类为总体积极（4-7）。该课程的关键组成部分——包括案例研究作业、项目和导读问题——对学生的学习有益。讨论基于应用程序的学习和活动是D&I培训的重要组成部分，有助于将学习目标转化为行为结果。健康教育实践转化本课程为健康教育工作者提供了一个实用的解决方案，以满足资格认证和继续教育在实施营养和健康干预方面所需的能力。

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引用次数: 1

Innovation in Health Programming: College Students Benefit from an Array of Complementary Approaches to Health Improvement Framed by the Biopsychosocial-Spiritual Model 健康规划的创新：大学生受益于生物-心理-社会精神模型框架下的一系列互补的健康改善方法

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-02-13 DOI: 10.1080/19325037.2022.2163009

Stephanie Bryan, Maryellen Hamilton, Jay C. Garrels, Mia Ruhlen, G. Zipp

ABSTRACT Background The American Psychological Association reports that Generation Z are suffering mentally and physically more than any other group. Purpose Measure the effects of a 16-week, online college-level “Complementary Therapies in Health Course” through the lens of the biopsychosocial-spiritual model on measures of health and aspects of well-being in college students. Methods A mixed method, controlled, repeated measures study delivered in an online synchronous college-level health course. The course curriculum included the science and practice of compassion, happiness, mindfulness, meditation, yoga, service, gratitude, longevity, movement, and more. Results 42 students 18–23 participated. A significant between subjects cross-over effect demonstrating improvements in the intervention group and deterioration in the control group was found using the Self Compassion Scale (p < .005), Self-Compassion subscale of Judgment (p < .001), Spiritual Well-being Scale (p < .047), and the Pemberton Happiness Index (p < .007). The Self Compassion Scale also revealed a within subjects significant effect (p < .001). Qualitative data revealed improvements in compassion, feelings of happiness, sleep, exercise and health habits, gratitude, mindfulness, spiritual feelings, and more. Discussion Health education predicated on the biopsychosocial-spiritual model is efficacious. Translation to Health Education Practices A whole person, complementary health approach to education programming has widespread, positive effects on college students. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars

摘要背景美国心理协会报告称，Z世代在精神和身体上的痛苦比任何其他群体都要多。目的通过生物-心理-社会-精神模型的视角，测量为期16周的在线大学水平“健康补充疗法课程”对大学生健康和幸福感的影响。方法采用混合方法、对照、重复测量的方法，在大学水平的在线同步健康课程中进行研究。课程包括同情、幸福、正念、冥想、瑜伽、服务、感恩、长寿、运动等方面的科学和实践。结果有42名18-23岁的学生参加。使用自我同情量表（p<.005）、自我同情判断量表（p<.001）、精神幸福感量表（p<.047）、，和彭伯顿幸福指数（p<.007）。自我同情量表也显示了受试者内部的显著影响（p<.001）。定性数据显示，同情心、幸福感、睡眠、锻炼和健康习惯、感恩、正念、精神感受等方面有所改善。基于生物-心理-社会-精神模式的健康教育是有效的。健康教育实践一种完整的、互补的健康教育方法对大学生有着广泛、积极的影响。AJHE自学测验通过SHAPE美国在线研究所（SAOI）在线为本文提供http://portal.shapeamerica.org/trn-Webinars

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引用次数: 0

Association of Cardiovascular Disease and Physical Activity Phenotypes with Falls among Midlife and Older Adults: 2018 Behavioral Risk Factor Surveillance System 心血管疾病和身体活动表型与中年和老年人跌倒的关系:2018年行为风险因素监测系统

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-02-09 DOI: 10.1080/19325037.2022.2163008

Minsuk Oh, K. Ylitalo

ABSTRACT Background The role of physical activity (PA) in mitigating fall risk among adults with cardiovascular disease (CVD) is unclear. Purpose We examined the associations of CVD–PA phenotypes with falls. Methods Adults ≥ 45 years (n = 295,282; N = 130,103,093) from the 2018 Behavioral Risk Factor Surveillance System who self-reported CVD, leisure-time PA, and falls were examined. The weighted prevalence ratio (PR) of any, recurrent, and injurious falls across CVD–PA phenotypes (no CVD–PA, no CVD–no PA, CVD–PA, CVD–no PA) was estimated. Results The likelihood of any, recurrent, and injurious falls was higher across unhealthier CVD–PA phenotypes in fully adjusted models. In the total sample, no CVD–no PA (PR: 1.30; 95% CI: 1.10, 1.50), CVD–PA (PR: 1.35; 95% CI: 1.10, 1.60), and CVD–no PA (PR: 1.39; 95% CI: 1.11, 1.67) phenotypes were more likely to report injurious falls than no CVD–PA phenotype. Discussion Engaging in leisure-time PA may be an important lifestyle strategy for fall prevention in midlife and older adults who are at risk of CVD. Translations to Health Education Practice Our findings could be useful for health education in providing evidence on future fall prevention programs in adults who are at risk for CVD and falls.

背景:体力活动(PA)在降低成人心血管疾病(CVD)患者跌倒风险中的作用尚不清楚。目的研究CVD-PA表型与跌倒的关系。方法≥45岁成人(n = 295282;N = 130,103,093)来自2018年行为风险因素监测系统，他们自我报告心血管疾病，休闲时间PA和跌倒。评估所有CVD-PA表型(无CVD-PA、无cvd -无PA、CVD-PA、cvd -无PA)的任何、复发性和伤害性跌倒的加权患病率(PR)。结果在完全调整模型中，不健康CVD-PA表型的患者发生任何、复发性和伤害性跌倒的可能性更高。在总样品中，无cvd -无PA (PR: 1.30;95% ci: 1.10, 1.50)， cvd-pa (pr: 1.35;95% CI: 1.10, 1.60)和CVD-no - PA (PR: 1.39;95% CI: 1.11, 1.67)表型的患者比无CVD-PA表型的患者更容易报告伤害性跌倒。在有心血管疾病风险的中年和老年人中，参与休闲时间的PA可能是预防跌倒的重要生活方式策略。我们的研究结果可能有助于健康教育，为未来有心血管疾病和跌倒风险的成年人的跌倒预防项目提供证据。

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引用次数: 0

Relationship Between Healthy Eating Fixation (Orthorexia) and Past Family Life, and Eating Attitudes in Young Adults 健康饮食固定(正食症)与过去家庭生活及年轻人饮食态度的关系

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-01-30 DOI: 10.1080/19325037.2022.2163010

Gülçe Mutluer, Defne Yilmaz

ABSTRACT Background In comparison to other eating problems, there is less information on healthy eating fixation (HEF) in the literature. Purpose Understanding the effects of previous family experiences, which have a multidimensional impact on the individual and on other eating disorders, is important to better comprehend the HEF. Methods The current study examined the relationships between HEF and previous family experiences as well as eating attitudes. It is a cross-sectional survey design with a convenience sample of 18–24-year-olds (n = 225) based on a quantitative analysis method. Results Except for “limited social activity,” a sub-factor significantly related to HEF, and “health and social problems,” a sub-factor significantly related to healthy orthorexia (HO), both HEF and HO did not significantly relate to past family life. The outcomes showed that the participants’ eating attitudes had a significant relationship with HEF (r = .57, p < .001) and HO (r = .23, p = .001). Discussion The findings suggest that people with HEF have disordered eating attitudes. Furthermore, practitioners should be aware that family factors may be a risk factor for orthorexia. Translations to Health Education Practice These results may help to educate and increase awareness among health educators and mental health professionals regarding the identification, treatment, and recovery of eating disorders and HEF.

摘要背景与其他饮食问题相比，文献中关于健康饮食固定（HEF）的信息较少。目的了解以前的家庭经历对个人和其他饮食障碍有多方面影响，对更好地理解HEF很重要。方法本研究调查HEF与以往的家庭经历以及饮食态度之间的关系。这是一项基于定量分析方法的横断面调查设计，以18-24岁（n=225）为方便样本。结果除了与HEF显著相关的子因素“有限的社会活动”和与健康原发性厌食症显著相关的亚因素“健康和社会问题”外，HEF和HO均与过去的家庭生活无关。结果显示，参与者的饮食态度与HEF（r=.57，p<.001）和HO（r=.23，p=.001）有显著关系。讨论结果表明，HEF患者的饮食态度紊乱。此外，从业者应该意识到，家庭因素可能是原发性厌食症的风险因素。健康教育实践的转化这些结果可能有助于教育和提高健康教育工作者和心理健康专业人员对饮食失调和HEF的识别、治疗和恢复的认识。

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引用次数: 0

Assessing Chronic Kidney Disease Knowledge, Beliefs, and Risk among Detroit Residents 评估底特律居民的慢性肾病知识、信念和风险

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-01-27 DOI: 10.1080/19325037.2022.2163006

Maidah Raja, S. Radhakrishnan, Rebecca A. Milan, Deidre Hurse, Caress A. Dean

ABSTRACT Background In 2020, Detroit residents’ crude kidney disease mortality rate was 1.48 times the state’s rate. Purpose Evaluated Detroit residents’ chronic kidney disease (CKD) knowledge, risk, belief, and preventative practices. Additionally, it examined the association between residents’ CKD knowledge, their sociodemographics, CKD risk and belief. Methods 378 Detroit residents, ages 20 years or older, were recruited from May 2019-August 2021 to complete the Qualtrics survey on their CKD knowledge, beliefs, and risk. Descriptive statistics and multiple linear regression were conducted to meet the study’s purpose. Results Most participants were unaware of dry and itchy skin as a CKD symptom (60%). African Americans (β = −1.5; p = .002) and those with a high school education or less (β = −1.46; p = .038) had lower knowledge scores than White residents and those with higher education. Participants’ knowledge score increased by 0.64 as CKD risk score increased by 1 (β = 0.64; p = .019). Discussion CKD knowledge is low among Detroit residents and associated with race, education, and risk level. Translation to Health Education Practice: African American Detroit residents would benefit from targeted marketing and communication plans that increase their knowledge of CKD prevention. It also depicts key components (e.g., risks factors) that should be communicated in the messages.

摘要背景2020年，底特律居民的粗肾脏疾病死亡率是该州的1.48倍。目的评估底特律居民的慢性肾脏疾病（CKD）知识、风险、信念和预防措施。此外，它还研究了居民的CKD知识、社会人口统计学、CKD风险和信念之间的关系。方法从2019年5月至2021年8月，招募378名20岁或以上的底特律居民，完成Qualtrics对他们CKD知识、信念和风险的调查。为了达到研究目的，进行了描述性统计和多元线性回归。结果大多数参与者没有意识到皮肤干燥发痒是CKD的症状（60%）。非裔美国人（β=-1.5；p=0.002）和高中或以下学历的人（β=−1.46；p=0.038）的知识得分低于白人居民和受过高等教育的人。参与者的知识得分增加了0.64，CKD风险得分增加了1（β=0.64；p=.019）。讨论底特律居民的CKD知识较低，与种族、教育和风险水平有关。转化为健康教育实践：底特律的非裔美国人将受益于有针对性的营销和沟通计划，以增加他们对CKD预防的知识。它还描述了应在信息中传达的关键组成部分（如风险因素）。

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引用次数: 0

1-2-3! Catch-Up for HPV: A Theoretically Informed Pilot Intervention to Increase HPV Vaccine Uptake among Young Adults 1-2-3 !追赶HPV:一个理论上知情的试点干预，以增加HPV疫苗在年轻人中的吸收

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-01-27 DOI: 10.1080/19325037.2022.2163005

Kristina L. Harper, M. Short, S. Bistricky, Isabelle S. Kusters

ABSTRACT Background Human Papillomavirus (HPV) is the most common sexually transmitted infection. Current guidelines recommend HPV vaccination during adolescence, but vaccination rates remain suboptimal. Efforts are needed to increase vaccination among the catch-up group (individuals aged 18–26 years). Interventions have primarily focused on education, with minimal success. Purpose This study enhanced an education-based intervention to directly target Theory of Planned Behavior (TPB) variables and increase catch-up group HPV vaccination. Methods Using a randomized control design, a TPB-informed psychosocial intervention (n = 41) was compared to education-only (n = 35) and no-intervention control groups (n = 35). Results HPV knowledge, HPV Vaccine knowledge, attitudes, subjective norms, vaccination intention, and vaccination uptake were all more profoundly improved in the TPB-informed intervention. Further, regression models including knowledge and TPB variables predicted intention 1 week later (F(6, 110) = 17.13, p < .001) and uptake 6 months later (χ2 = (7, N = 46) = 25.12, p = .001), accounting for 42–67% of the variance. Discussion These outcomes provide support for disseminating TPB-informed interventions to the catch-up group on college campuses. Translation to Health Education Practice: Interventions for HPV vaccination uptake should include both education and TPB factors to address barriers. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars

摘要背景人类乳头瘤病毒（HPV）是最常见的性传播感染。目前的指导方针建议在青春期接种HPV疫苗，但疫苗接种率仍然不理想。需要努力增加追赶群体（18-26岁的个体）的疫苗接种。干预措施主要侧重于教育，但收效甚微。目的本研究加强了基于教育的干预，以直接针对计划行为理论（TPB）变量，并增加追赶组HPV疫苗接种。方法采用随机对照设计，将TPB知情的心理社会干预（n=41）与仅接受教育的对照组（n=35）和不接受干预的对照组进行比较。结果在TPB知情干预中，HPV知识、HPV疫苗知识、态度、主观规范、接种意愿和疫苗接种率均有显著提高。此外，包括知识和TPB变量的回归模型预测了1周后的意向（F（6110）=17.13，p<.001）和6个月后的摄取（χ2=（7，N=46）=25.12，p=.001），占方差的42-67%。讨论这些结果为向大学校园的追赶群体传播TPB知情干预措施提供了支持。转化为健康教育实践：HPV疫苗接种的干预措施应包括教育和TPB因素，以解决障碍。AJHE自学测验通过SHAPE美国在线研究所（SAOI）在线为本文提供http://portal.shapeamerica.org/trn-Webinars

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引用次数: 1

Time Management Behavior Structural Equation Model Predicts Global Sleep Quality in Traditional Entry University Students. 时间管理行为结构方程模型预测传统应届大学生的整体睡眠质量。

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-01-01 Epub Date: 2023-05-30 DOI: 10.1080/19325037.2023.2209617

Adam P Knowlden, Shabnam Naher

Background: Poor sleep is commonplace among traditional entry university students. Lifestyle modifications, such as time management behaviors, may improve sleep quality by allocating sufficient time for sleep and mitigating stress-associated sleep latency inefficiencies.

Purpose: The purpose of our study was to evaluate time management behaviors as predictors of sleep quality in traditional entry university students. We hypothesized time management behaviors would predict perceived control of time, which in turn, would predict global sleep quality.

Methods: A cross-sectional convenience sample of university students (n=302) completed a 73-item instrument comprised of the Pittsburgh Sleep Quality Index and the Time Management Behavior scale. Model building procedures included exploratory factor analysis, confirmatory factor analysis, and structural equation modeling.

Results: Our specified model identified significant paths between setting goals and priorities (β= .261; p=.012), mechanics of time management (β=.210; p=.043) and preference for organization (β=.532; p<.001) for perceived control of time (R²=.300 p<.001). We further identified a significant path between perceived control of time and global sleep quality (R²=.196, p=.022).

Discussion: Our study suggests time management behaviors are associated with global sleep quality.

Translation to health education practice: Health education interventions addressing sleep quality of traditional entry university students should consider incorporating time management behaviors.

背景：睡眠不足在传统的大学新生中很常见。生活方式的改变，如时间管理行为，可以通过分配足够的睡眠时间和减轻与压力相关的睡眠延迟效率来提高睡眠质量。目的：我们研究的目的是评估时间管理行为作为传统入学大学生睡眠质量的预测因素。我们假设时间管理行为会预测对时间的感知控制，进而预测全球睡眠质量。方法：一个横断面方便样本（n=302）完成了一项由匹兹堡睡眠质量指数和时间管理行为量表组成的73项测试。模型构建过程包括探索性因素分析、验证性因素分析和结构方程建模。结果：我们指定的模型确定了设定目标和优先级（β=0.261；p=.012）、时间管理机制（β=0.210；p=.043）和组织偏好（β=0.532；p2=0.300 p2=0.196，p=.022）之间的显著路径。讨论：我们的研究表明，时间管理行为与整体睡眠质量有关。转化为健康教育实践：针对传统入学大学生睡眠质量的健康教育干预措施应考虑纳入时间管理行为。

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引用次数: 0

What's theory got to do with it: measuring effects of theory on lifestyle behaviors and weight in the Better Me Within Randomized Trial. 理论有什么用：在 Better Me Within 随机试验中衡量理论对生活方式行为和体重的影响。

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2023-01-01 Epub Date: 2023-02-17 DOI: 10.1080/19325037.2022.2163007

Leilani Dodgen, Heather Kitzman, Emily Spence, Abdullah Mamun, Scott T Walters, Diana Cervantes

Background: Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women.

Purpose: To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial.

Methods: BMW used a tailored diabetes prevention program implemented in churches among AAW with BMI ≥ 25. Regression models assessed relationships between constructs (self-efficacy, social support and motivation), and outcomes (physical activity (PA), calories, and weight).

Results: Among 221 AAW (mean (SD) age 48.8 years (11.2); mean weight 215.1 pounds (50.5), several significant relationships were found including an association between change in motivation for activity and change in PA (p=.003), and change in motivation for diet and weight at follow-up (p=<.001).

Discussion: The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models.

Translation to practice: Self-efficacy, motivation and social support show promise to promote changes in PA and weight among church-going AAW. Opportunities to keep engaging AAW in research are essential for eliminating health inequities in this population.

背景：对于疾病负担加重的人群来说，了解哪些理论建构对设计有效的干预措施最有效至关重要。与白人妇女相比，非裔美国妇女（AAW）的慢性病发病率更高，从减肥干预措施中获得的益处更少。目的：研究在 "更好的我"（BMW）随机试验中，理论建构如何与生活方式行为和体重结果相关联：方法：BMW 在 BMI ≥ 25 的 AAW 中使用了在教堂实施的量身定制的糖尿病预防计划。回归模型评估了构建因素（自我效能、社会支持和动机）与结果（体育锻炼（PA）、卡路里和体重）之间的关系：结果：在 221 名 AAW（平均（标清）年龄 48.8 岁（11.2）；平均体重 215.1 磅（50.5））中，发现了几种显著的关系，包括活动动机变化与 PA 变化之间的关系（p=.003），以及饮食动机变化与随访时体重之间的关系（p=讨论：在所有模型中，活动量与活动动机和体重管理社会支持之间的关系最为明显：对实践的启示：自我效能感、活动动机和社会支持有望促进参加教会活动的亚裔美国人的活动量和体重变化。继续让亚裔美国人参与研究的机会对于消除这一人群的健康不平等现象至关重要。

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引用次数: 0

Improving Use of Physical Fitness Testing Data in Middle Schools to Inform Equitable School-wide Physical Activity Practices: A Mixed-methods Approach 改进中学体质测试数据的使用，为公平的学校体育活动实践提供信息：一种混合方法

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education

Pub Date : 2022-12-12 DOI: 10.1080/19325037.2022.2142340

Ashleigh M. Johnson, E. Kroshus, Kiana R. Hafferty, K. Senturia, K. Garrett, P. Tandon

ABSTRACT Background Most United States schools include school-based physical fitness testing (SB-PFT), yet little evidence shows how it is implemented, perceived, and used. Purpose 1) Explore stakeholders’ experiences with SB-PFT; 2) identify: challenges in analyzing fitness data, ways schools can use fitness data, and predictors of meeting fitness benchmarks. Methods Data were collected in a partner school district (King County, Washington, USA). We conducted and analyzed qualitative interviews with middle schoolers (n = 30), parents (n = 20), and school staff (n = 5); and identified student-level predictors of meeting fitness benchmarks with two-level mixed effects logistic regression models using district’s fitness assessment data (grades 4–8). Results Stakeholders identified challenges and provided feedback on SB-PFT, and predictors of meeting fitness benchmarks were identified. Discussion Findings suggest SB-PFT has potential to be useful in promoting adolescents’ fitness, but opportunities exist to improve the testing process and the ways that results are shared and utilized. Translation to Health Education Practice: Teachers would benefit from resources to understand and discuss the role of SB-PFT in a physically active lifestyle with students, ensure a positive testing experience by conducting assessments more privately and taking the time to practice assessments beforehand, and track testing outcomes and relevant demographics. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars

摘要背景大多数美国学校都有基于学校的体能测试（SB-PFT），但很少有证据表明它是如何实施、感知和使用的。目的1）探索利益相关者在SB-PFT方面的经验；2）识别：分析健身数据的挑战，学校使用健身数据的方式，以及达到健身基准的预测因素。方法在一个合作学区（美国华盛顿州金县）收集数据。我们对中学生（n=30）、家长（n=20）和学校工作人员（n=5）进行了定性访谈并进行了分析；并使用地区的健康评估数据（4-8年级），用两级混合效应逻辑回归模型确定了符合健康基准的学生水平预测因子。结果利益相关者确定了挑战并提供了SB-PFT的反馈，并确定了达到健身基准的预测因素。讨论结果表明，SB-PFT有可能在促进青少年健身方面发挥作用，但也有机会改进测试过程以及分享和利用结果的方式。转化为健康教育实践：教师将受益于了解和讨论SB-PFT在学生体育活动生活方式中的作用的资源，通过更私下地进行评估和提前花时间练习评估来确保积极的测试体验，并跟踪测试结果和相关人口统计。AJHE自学测验通过SHAPE美国在线研究所（SAOI）在线为本文提供http://portal.shapeamerica.org/trn-Webinars

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引用次数: 1