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V.I.K.(非常重要的儿童):一项旨在减少取笑行为和不健康体重控制行为的校本项目。

V.I.K. (Very Important Kids): a school-based program designed to reduce teasing and unhealthy weight-control behaviors.

作者信息

Haines Jess, Neumark-Sztainer Dianne, Perry Cheryl L, Hannan Peter J, Levine Michael P

机构信息

Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN 55454, USA.

出版信息

Health Educ Res. 2006 Dec;21(6):884-95. doi: 10.1093/her/cyl123. Epub 2006 Oct 23.

DOI:10.1093/her/cyl123
PMID:17060348
Abstract

The purpose of this study was to evaluate the feasibility and effectiveness of V.I.K. (Very Important Kids), a school-based, multi-component intervention designed to prevent teasing and unhealthy weight-control behaviors among fourth through sixth grade students. The effectiveness of the V.I.K. intervention was evaluated using a pre-post quasi-experimental design with one school assigned to each condition: intervention and assessment-only control. Data were collected at baseline and at 8-month post-test among 63 students at the intervention school and 57 students at the control school. The V.I.K. intervention included an after-school program, a theater program, school environment components and a family component. Process data suggest that the V.I.K. program can feasibly be implemented within a school setting and can effectively engage students, school staff and parents. Analysis of impact data revealed that the percentage of students reporting being teased decreased significantly in the intervention school relative to the control school, after controlling for baseline levels of teasing, body mass index z score and demographic factors (odds ratio = 0.22; 95% confidence interval = 0.06, 0.88; P = 0.03). These findings provide promising evidence that multi-component, school-based interventions may effectively reduce teasing in elementary schools. Future research of interventions aimed at preventing teasing using a larger sample of schools is warranted.

摘要

本研究的目的是评估V.I.K.(非常重要的孩子)项目的可行性和有效性,该项目是一项基于学校的多组分干预措施,旨在预防四至六年级学生中的取笑行为和不健康的体重控制行为。采用前后测准实验设计对V.I.K.干预措施的有效性进行评估,将一所学校分配到每种条件下:干预组和仅作评估的对照组。在干预学校的63名学生和对照学校的57名学生中,于基线期和8个月后的测试时收集数据。V.I.K.干预措施包括一个课外项目、一个戏剧项目、学校环境组分和一个家庭组分。过程数据表明,V.I.K.项目能够在学校环境中切实可行地实施,并且能够有效地让学生、学校工作人员和家长参与进来。对影响数据的分析显示,在控制了取笑行为的基线水平、体重指数z评分和人口统计学因素后,干预学校中报告遭受取笑的学生百分比相对于对照学校显著下降(优势比=0.22;95%置信区间=0.06, 0.88;P=0.03)。这些发现提供了有前景的证据,表明多组分、基于学校的干预措施可能有效地减少小学中的取笑行为。有必要对旨在使用更大规模学校样本预防取笑行为的干预措施开展进一步研究。

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