一项全国农村青年健康与安全倡议的影响：随机对照试验的结果
Impact of a national rural youth health and safety initiative: results from a randomized controlled trial.
作者信息
Lee Barbara C, Westaby James D, Berg Richard L
机构信息
Marshfield Clinic Research Foundation, 1000 North Oak Avenue, Marshfield, WI 54449, USA.
出版信息
Am J Public Health. 2004 Oct;94(10):1743-9. doi: 10.2105/ajph.94.10.1743.
OBJECTIVES
We conducted a comprehensive evaluation of a rural youth health and safety initiative implemented in 4000 National FFA (formerly Future Farmers of America) chapters across the United States.
METHODS
Data were collected from high school students and their FFA advisers at 3 time intervals (preintervention, immediate postintervention, and 1 year postintervention) with a 3-group (standard, enhanced, and control), cluster-randomized, controlled trial design.
RESULTS
Matched data from 3081 students and 81 advisers revealed no significant effect of this initiative on agricultural health and safety knowledge, safety attitudes, leadership, self-concept, and self-reported injuries of project participants. Data from 30 public health nurses following the intervention confirmed the program's failure to develop sustainable community partnerships.
CONCLUSIONS
This nationally coordinated initiative was funded with more than $1 million donated by agribusinesses. Program implementation was inconsistent, and desired outcomes were not achieved. Future efforts should better guide effective use of private sector resources aimed at reducing agricultural disease and injury among rural youths.
目标
我们对在美国4000个全国FFA（前身为美国未来农民协会）分会实施的一项农村青年健康与安全倡议进行了全面评估。
方法
采用三组（标准组、强化组和对照组）整群随机对照试验设计，在3个时间点（干预前、干预后即刻和干预后1年）从高中生及其FFA顾问那里收集数据。
结果
来自3081名学生和81名顾问的匹配数据显示，该倡议对项目参与者的农业健康与安全知识、安全态度、领导力、自我概念和自我报告的伤害没有显著影响。30名公共卫生护士在干预后的随访数据证实该项目未能建立可持续的社区伙伴关系。
结论
这项全国协调的倡议由农业综合企业捐赠的100多万美元资助。项目实施不一致，未实现预期成果。未来的努力应更好地指导有效利用私营部门资源，以减少农村青年中的农业疾病和伤害。
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