The McCaughey Centre, Melbourne School of Population Health, The University of Melbourne, Victoria, Australia.
BMC Public Health. 2010 May 28;10:288. doi: 10.1186/1471-2458-10-288.
Kids--'Go for your life' (K-GFYL) is an award-based health promotion program being implemented across Victoria, Australia. The program aims to reduce the risk of childhood obesity by improving the socio-cultural, policy and physical environments in children's care and educational settings. Membership of the K-GFYL program is open to all primary and pre-schools and early childhood services across the State. Once in the program, member schools and services are centrally supported to undertake the health promotion (intervention) activities. Once the K-GFYL program 'criteria' are reached the school/service is assessed and 'awarded'. This paper describes the design of the evaluation of the statewide K-GFYL intervention program.
METHODS/DESIGN: The evaluation is mixed method and cross sectional and aims to: 1) Determine if K-GFYL award status is associated with more health promoting environments in schools/services compared to those who are members only; 2) Determine if children attending K-GFYL award schools/services have higher levels of healthy eating and physical activity-related behaviors compared to those who are members only; 3) Examine the barriers to implementing and achieving the K-GFYL award; and 4) Determine the economic cost of implementing K-GFYL in primary schools. Parent surveys will capture information about the home environment and child dietary and physical activity-related behaviors. Environmental questionnaires in early childhood settings and schools will capture information on the physical activity and nutrition environment and current health promotion activities. Lunchbox surveys and a set of open-ended questions for kindergarten parents will provide additional data. Resource use associated with the intervention activities will be collected from primary schools for cost analysis.
The K-GFYL award program is a community-wide intervention that requires a comprehensive, multi-level evaluation. The evaluation design is constrained by the lack of a non-K-GFYL control group, short time frames and delayed funding of this large scale evaluation across all intervention settings. However, despite this, the evaluation will generate valuable evidence about the utility of a community-wide environmental approach to preventing childhood obesity which will inform future public health policies and health promotion programs internationally.
ACTRN12609001075279.
“为你的生活而奋斗”（K-GFYL）是一项在澳大利亚维多利亚州实施的基于奖项的健康促进计划。该计划旨在通过改善儿童保育和教育环境中的社会文化、政策和物质环境，降低儿童肥胖的风险。该计划面向全州所有小学和学前学校以及幼儿服务机构开放。一旦加入该计划，成员学校和服务机构将得到集中支持，以开展健康促进（干预）活动。一旦达到 K-GFYL 计划的“标准”，学校/服务机构将进行评估并获得“奖项”。本文描述了全州范围内 K-GFYL 干预计划的评估设计。
方法/设计：该评估采用混合方法和横断面研究设计，旨在：1）确定与仅为成员的学校/服务机构相比，获得 K-GFYL 奖项的学校/服务机构在环境方面是否更具促进健康的作用；2）确定在获得 K-GFYL 奖项的学校/服务机构就读的儿童与仅为成员的儿童相比，其在健康饮食和与身体活动相关的行为方面是否更高；3）研究实施和获得 K-GFYL 奖项的障碍；以及 4）确定在小学实施 K-GFYL 的经济成本。家长调查将收集有关家庭环境以及儿童饮食和与身体活动相关行为的信息。幼儿教育环境和学校的环境调查问卷将收集有关身体活动和营养环境以及当前健康促进活动的信息。幼儿园家长的午餐盒调查和一组开放式问题将提供额外的数据。将从小学收集与干预活动相关的资源使用情况，以进行成本分析。
K-GFYL 奖项计划是一项社区范围的干预措施，需要进行全面、多层次的评估。由于缺乏非 K-GFYL 对照组、短时间框架以及对所有干预环境的大规模评估的延迟资金，评估设计受到限制。然而，尽管如此，该评估仍将生成有关社区环境方法预防儿童肥胖的有效性的有价值证据，这将为未来国际公共卫生政策和健康促进计划提供信息。
ACTRN12609001075279。
