Dunn Carolyn, Thomas Cathy, Ward Dianne, Pegram Leslie, Webber Kelly, Cullitan Courtney
North Carolina State University, Department of Family and Consumer Sciences, North Carolina Cooperative Extension, Box 7605, North Carolina State University, Raleigh, NC 27695, USA.
Prev Chronic Dis. 2006 Apr;3(2):A58. Epub 2006 Mar 15.
Childhood overweight continues to increase in the United States. Children should begin establishing healthy eating and physical activity behaviors at a young age.
Many children spend a large part of their day in child care settings, whether in preschools or home day care settings. Child care providers in these settings have an opportunity to establish and reinforce habits that promote good health. However, the providers need training and creative educational materials to teach children about healthy eating and physical activity. Color Me Healthy is an educational program focusing on nutrition and physical activity that was developed for children aged 4 and 5 years by three of the authors (C.D., C.T., and L.P.).
In 2001 and 2002, the program was implemented in 47 North Carolina counties and the North Carolina Cherokee reservation. In December 2001, we used an information-dissemination model called Train the Trainer during a session to teach county teams comprising local public health professionals and cooperative extension employees how to teach child care providers in their communities to use the curriculum. The child care providers were then trained between March and August 2002. Follow-up evaluation forms were given to trained child care providers 8 weeks after the training.
Of the providers who completed the evaluations (n = 486), 92.0% indicated that using the Color Me Healthy curriculum increased the physical activity of their students, and 91.8% indicated that it increased the children's knowledge about movement. In addition, 93.0% of providers also indicated that using Color Me Healthy had increased the children's knowledge about healthy eating.
Child care providers need educational materials on healthy eating and physical activity and should be trained to use them. The Train the Trainer model is an effective way to teach public health professionals to train child care providers on the Color Me Healthy curriculum materials about healthy eating and physical activity.
美国儿童超重现象持续增加。儿童应在幼年时期就开始养成健康的饮食和体育活动习惯。
许多儿童一天中的大部分时间都在托儿所，无论是在幼儿园还是家庭日托环境中。这些环境中的儿童保育人员有机会建立并强化促进健康的习惯。然而，保育人员需要培训和有创意的教育材料来教导儿童健康饮食和体育活动。“为我绘健康”是一个专注于营养和体育活动的教育项目，由三位作者（C.D.、C.T.和L.P.）为4至5岁的儿童开发。
2001年和2002年，该项目在北卡罗来纳州的47个县以及北卡罗来纳州切诺基族保留地实施。2001年12月，我们在一次会议期间使用了一种名为“培训培训师”的信息传播模式，教导由当地公共卫生专业人员和合作推广员工组成的县级团队如何教导他们社区中的儿童保育人员使用该课程。然后在2002年3月至8月期间对儿童保育人员进行培训。培训8周后，向经过培训的儿童保育人员发放了后续评估表。
在完成评估的保育人员（n = 486）中，92.0%表示使用“为我绘健康”课程增加了学生的体育活动，91.8%表示这增加了儿童对运动的了解。此外，93.0%的保育人员还表示使用“为我绘健康”增加了儿童对健康饮食的了解。
儿童保育人员需要有关健康饮食和体育活动的教育材料，并且应该接受使用这些材料的培训。“培训培训师”模式是教导公共卫生专业人员对儿童保育人员进行关于“为我绘健康”课程材料中健康饮食和体育活动培训的有效方式。
