Estabrooks Paul, Dzewaltowski David A, Glasgow Russell E, Klesges Lisa M
Dept. of Kinesiology, and Office of Community Health, Kansas State University, 8 Natatorium, OCH, KSU, Manhattan, KS 66506, USA.
J Sch Health. 2003 Jan;73(1):21-8. doi: 10.1111/j.1746-1561.2003.tb06554.x.
A targeted review was conducted of school-based, controlled intervention studies that promoted good nutrition, physical activity, or smoking cessation/prevention, and were published in one of 12 leading health behavior journals between 1996 and 2000. The RE-AIM framework was used to evaluate the extent to which each paper reported on elements of reach, efficacy, adoption, implementation, and maintenance. Thirty-two publications were reviewed. Reporting rates across the RE-AIM dimensions varied substantially: Reach = 59.3%; Efficacy = 100%; Adoption = 14.8%; Implementation = 37%; Maintenance = 25.9% for individuals, 0% for schools. Few studies reported if characteristics of the study sample were representative of those found in the broader population of students or schools. Among studies reporting on the RE-AIM dimensions, participation rates generally were high (median 82%), adoption rates were moderate (median 72.5%), and reports of implementation were high (87%). To increase the potential to translate controlled research to "real-world" practice conditions, a stronger emphasis should be placed on reporting the representativeness of the sample of students and schools.
对1996年至2000年间发表在12种主要健康行为期刊之一上的、以学校为基础的、促进良好营养、体育活动或戒烟/预防的对照干预研究进行了有针对性的综述。采用RE-AIM框架来评估每篇论文在覆盖范围、效果、采用率、实施情况和维持情况等方面的报告程度。共审查了32篇出版物。RE-AIM各维度的报告率差异很大:覆盖范围=59.3%;效果=100%;采用率=14.8%;实施情况=37%;个体维持率=25.9%,学校维持率=0%。很少有研究报告研究样本的特征是否代表了更广泛的学生或学校群体中的特征。在报告RE-AIM维度的研究中,参与率普遍较高(中位数82%),采用率适中(中位数72.5%),实施情况报告率较高(87%)。为了提高将对照研究转化为“现实世界”实践条件的可能性,应更加强调报告学生和学校样本的代表性。