Dwyer John J M, Hansen Barbara, Barrera Maru, Allison Kenneth, Ceolin-Celestini Sandra, Koenig Dan, Young Deborah, Good Margaret, Rees Tim
Department of Family Relations and Applied Nutrition, College of Social and Applied Human Sciences, University of Guelph, Guelph, Ontario, Canada, N1G 2W1.
Health Promot Int. 2003 Sep;18(3):199-208. doi: 10.1093/heapro/dag015.
An evaluability assessment was conducted to plan a community-based, multi-strategy approach to physical activity promotion (MSAPAP) to maximize young children's physical activity in an ethno-racially and socio-economically diverse city. This assessment involved consultation with various stakeholders to develop a program logic model to diagrammatically describe the MSAPAP. First, published literature regarding physical activity was reviewed to describe interventions designed to increase children's physical activity and to identify factors that contributed to program effectiveness. Secondly, key informants from mainstream service organizations and smaller community-based agencies were interviewed to determine their views on how to increase physical activity among children and families. A workgroup developed a draft logic model based on the results of the literature review and community needs assessment results. Thirdly, stakeholders were consulted about the draft model. This consisted of 12 focus groups with members of school boards (two sessions), members of community organizations (three sessions), lay home visitors who provide support to mothers of young children in ethno-racially diverse communities (one session), and parents from six cultural groups (six sessions). The logic model was revised based on the findings from this consultation. The final logic model shows children aged 3-8 years as the main target group, and parents and various community members who influence children as intermediate target groups. The MSAPAP is depicted as six strategies, which are clusters of program activities that are conceptually similar: community engagement, community assessment, accessibility, promotion, education and skill development, and inclusive programming. The logic model shows the 'cause and effect' relationships among program activities, shorter-term outcome objectives (e.g. to reduce user fees for physical activity programs) and longer-term outcome objectives (e.g. to increase the proportion of children who are physically active). The extensive community involvement in planning the MSAPAP facilitated a subsequent plan to develop, implement and evaluate selected program activities in the MSAPAP.
开展了一项可评估性评估，以规划一种基于社区的多策略身体活动促进方法（MSAPAP），从而在一个种族和社会经济多元化的城市中最大限度地增加幼儿的身体活动。该评估包括与各利益相关者进行磋商，以制定一个项目逻辑模型，用图表描述MSAPAP。首先，查阅了有关身体活动的已发表文献，以描述旨在增加儿童身体活动的干预措施，并确定有助于项目有效性的因素。其次，对主流服务组织和小型社区机构的关键信息提供者进行了访谈，以确定他们对如何增加儿童和家庭身体活动的看法。一个工作组根据文献综述结果和社区需求评估结果制定了一个逻辑模型草案。第三，就该草案模型征求了利益相关者的意见。这包括与学校董事会成员（两场会议）、社区组织成员（三场会议）、在种族多元化社区为幼儿母亲提供支持的非专业家访人员（一场会议）以及六个文化群体的家长（六场会议）进行的12次焦点小组讨论。根据此次磋商的结果对逻辑模型进行了修订。最终的逻辑模型将3至8岁的儿童列为主要目标群体，将影响儿童的家长和各类社区成员列为中间目标群体。MSAPAP被描述为六种策略，即概念上相似的项目活动集群：社区参与、社区评估、可达性、推广、教育与技能发展以及包容性项目。该逻辑模型展示了项目活动、短期成果目标（如降低体育活动项目的用户费用）和长期成果目标（如提高身体活跃儿童的比例）之间的“因果”关系。社区广泛参与MSAPAP的规划，为后续制定、实施和评估MSAPAP中选定的项目活动计划提供了便利。
