Hawley Suzanne R, Beckman Heidi, Bishop Thomas
Prairie View, Inc., Newton, Kansas, USA.
J Community Health Nurs. 2006 Summer;23(2):69-80. doi: 10.1207/s15327655jchn2302_1.
This study applied theory-based health behavior change constructs to childhood obesity prevention. Constructs such as goal setting, self-efficacy, and readiness for change were used within a rural community-based program designed to be developmentally appropriate for 6th graders. The project included 2 studies across 12 months. The 1st assessed the scope of the obesity problem within a 3-county area with key stakeholders in health and education. The 2nd implemented a pilot community intervention program within a rural middle school. Participants in the intervention included 65 middle-school students and the families of 25 of these students. Qualitative and quantitative analyses were conducted to assess the effectiveness of the intervention. Changes from pre- to postintervention on relevant measures were statistically significant for families but not for students. Issues related to family versus individual behavior change are discussed, along with implications for managing behaviorally based activity and nutrition interventions within a rural community.
本研究将基于理论的健康行为改变理念应用于儿童肥胖预防。在一个针对六年级学生设计的、适合其发展阶段的农村社区项目中，运用了目标设定、自我效能感和改变意愿等理念。该项目为期12个月，包括两项研究。第一项研究评估了一个三县地区内肥胖问题的范围，并与健康和教育领域的关键利益相关者进行了沟通。第二项研究在一所农村中学实施了一项社区干预试点项目。干预措施的参与者包括65名中学生以及其中25名学生的家庭。研究进行了定性和定量分析，以评估干预措施的有效性。干预前后相关指标的变化在家庭层面具有统计学意义，但在学生层面不具有统计学意义。文中讨论了与家庭行为改变和个人行为改变相关的问题，以及在农村社区开展基于行为的活动和营养干预措施的意义。
