Center for Weight and Health, University of California, Berkeley, Berkeley, CA 94720, USA.
Am J Health Promot. 2010 Jan-Feb;24(3):186-9. doi: 10.4278/ajhp.08022719.
To test whether implementing a staff wellness program affects the nutrition and physical activity environment at child care centers.
Quasi-experimental controlled trial.
Child care centers in low income neighborhoods in California.
Eighty-two staff members at 13 centers completed the study.
Intervention and control groups received training and education about nutrition and physical activity. The intervention group also participated in a worksite wellness program.
Staff members' personal health habits, self-efficacy in working with families on nutrition and physical activity, and changes in children's food and physical activity environments were assessed.
Statistical software was used to analyze change scores for pre-post measures and to test differences for end point-only measures.
Although significant differences in staff members' personal health behaviors were not observed, staff from intervention sites exhibited more positive changes in their comfort level in talking to parents about nutrition and physical activity. Intervention sites reported providing more fresh fruits (p = .004) and vegetables (p = .03) to children as part of regular meals and snacks and serving more fresh fruits (p = .05) at children's celebrations. Control sites reported greater increases in sweetened foods (p = .02) and sweetened beverages (p = .05) at children's celebrations.
The wellness intervention shows promise in improving the children's food environment in a child care setting.
检验实施员工健康计划是否会影响儿童保健中心的营养和体育活动环境。
准实验对照试验。
加利福尼亚州低收入社区的儿童保健中心。
13 个中心的 82 名员工完成了这项研究。
干预组和对照组接受了关于营养和体育活动的培训和教育。干预组还参加了工作场所健康计划。
评估员工的个人健康习惯、与家长合作进行营养和体育活动的自我效能感，以及儿童饮食和体育活动环境的变化。
使用统计软件分析前后测量的变化分数，并测试终点测量的差异。
虽然员工个人健康行为没有显著差异，但干预组的员工在与家长谈论营养和体育活动方面的舒适度上表现出更积极的变化。干预组报告说，他们在常规膳食和零食中为儿童提供了更多的新鲜水果（p =.004）和蔬菜（p =.03），并在儿童庆祝活动中提供了更多的新鲜水果（p =.05）。对照组报告说，在儿童庆祝活动中，含糖食品（p =.02）和含糖饮料（p =.05）的摄入量增加更多。
健康干预措施有望改善儿童保健环境中的儿童饮食环境。
