Pérez-Rodrigo Carmen, Wind Marianne, Hildonen Christina, Bjelland Mona, Aranceta Javier, Klepp Knut-Inge, Brug Johannes
Community Nutrition Unit, Department of Public Health, Bilbao, Spain.
Ann Nutr Metab. 2005 Jul-Aug;49(4):267-77. doi: 10.1159/000087249. Epub 2005 Jul 28.
BACKGROUND/AIMS: The importance of careful theory-based intervention planning is recognized for fruit and vegetable promotion. This paper describes the application of the Intervention Mapping (IM) protocol to develop the Pro Children intervention to promote consumption of fruit and vegetable among 10- to 13-year-old schoolchildren.
Based on a needs assessment, promotion of intake of fruit and vegetable was split into performance objectives and related personal, social and environmental determinants. Crossing the performance objectives with related important and changeable determinants resulted in a matrix of learning and change objectives for which appropriate educational strategies were identified. Theoretically similar but culturally relevant interventions were designed, implemented and evaluated in Norway, the Netherlands and Spain during 2 school years.
Programme activities included provision of fruits and vegetables in the schools, guided classroom activities, computer-tailored feedback and advice for children, and activities to be completed at home with the family. Additionally, optional intervention components for community reinforcement included incorporation of mass media, school health services or grocery stores. School project committees were supported.
The Pro Children intervention was carefully developed based on the IM protocol that resulted in a comprehensive school-based fruit and vegetable promotion programme, but culturally sensible and locally relevant.
背景/目的：基于理论的精心干预规划对于水果和蔬菜推广的重要性已得到认可。本文描述了干预映射（IM）方案在制定“关爱儿童”干预措施中的应用，该措施旨在促进10至13岁学童对水果和蔬菜的消费。
基于需求评估，将促进水果和蔬菜摄入量的目标分解为绩效目标以及相关的个人、社会和环境决定因素。将绩效目标与相关的重要且可改变的决定因素相结合，形成了学习和变革目标矩阵，并据此确定了适当的教育策略。在挪威、荷兰和西班牙的两个学年里，设计、实施并评估了理论上相似但与文化相关的干预措施。
项目活动包括在学校提供水果和蔬菜、开展有指导的课堂活动、为儿童提供计算机定制的反馈和建议，以及与家人一起在家中完成的活动。此外，社区强化的可选干预组成部分包括大众媒体、学校健康服务或杂货店。学校项目委员会得到了支持。
“关爱儿童”干预措施是基于IM方案精心制定的，该方案产生了一个全面的、以学校为基础的水果和蔬菜推广计划，且具有文化敏感性和地方相关性。
