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一项以学校为基础的环境干预措施改善荷兰儿童身体活动的对照试验:JUMP-in,儿童动起来。

A controlled trial of a school-based environmental intervention to improve physical activity in Dutch children: JUMP-in, kids in motion.

作者信息

Jurg Merlin E, Kremers Stef P J, Candel Math J J M, Van der Wal Marcel F, De Meij Judith S B

机构信息

Department of Epidemiology, Documentation and Health Promotion Municipal Health Service Amsterdam, Amsterdam, The Netherlands.

出版信息

Health Promot Int. 2006 Dec;21(4):320-30. doi: 10.1093/heapro/dal032. Epub 2006 Sep 8.

Abstract

Interventions to promote physical activity are important in preventing children from becoming overweight. Many projects have been developed but only a few showed (moderate) effects. JUMP-in is a systematically developed primary-school-based intervention that focuses on the use of theory, environmental changes, parental influences and cooperation with multi-level parties in intervention development. The effects of JUMP-in were evaluated with a quasi-experimental pre-test/post-test research design. In total, 510 children from Grades 4, 5 and 6 of four intervention schools and two control schools in Amsterdam were followed for an intervention period of one school year. Changes in physical activity as well as in the social cognitive determinants were assessed using self-reports. In addition, a process evaluation has been executed. The results show that JUMP-in was effective in influencing physical activity, especially among children from Grade 6. Children in the control group decreased their level of physical activity considerably, while activity levels in intervention children from Grade 6 remained stable. The intervention effects could not be explained by changes in the measured social cognitive determinants. In contrast, process information illuminated differences in intervention effects between the participating schools. The results from the JUMP-in study show the importance of intervention designs that focus on a theory-based mix of relevant environmental and social cognitive factors.

摘要

促进身体活动的干预措施对于防止儿童超重至关重要。已经开展了许多项目,但只有少数显示出(中等程度的)效果。“JUMP-in”是一项系统开发的基于小学的干预措施,在干预措施的制定过程中注重理论运用、环境变化、家长影响以及与多层次各方的合作。采用准实验性前测/后测研究设计对“JUMP-in”的效果进行评估。总共对阿姆斯特丹四所干预学校和两所对照学校的4、5、6年级的510名儿童进行了为期一学年的干预跟踪。使用自我报告评估身体活动以及社会认知决定因素的变化。此外,还进行了过程评估。结果表明,“JUMP-in”在影响身体活动方面是有效的,尤其是对六年级的儿童。对照组儿童的身体活动水平大幅下降,而六年级干预组儿童的活动水平保持稳定。干预效果无法通过所测量的社会认知决定因素的变化来解释。相反,过程信息揭示了参与学校之间干预效果的差异。“JUMP-in”研究的结果表明了注重基于理论的相关环境和社会认知因素组合的干预设计的重要性。

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