Gabriele Jeanne M, Stewart Tiffany M, Sample Alicia, Davis Allison B, Allen Ray, Martin Corby K, Newton Robert L, Williamson Donald A
GV Sonny Montgomery VA Medical Center, Mental Health, Jackson, Mississippi, USA.
J Diabetes Sci Technol. 2010 May 1;4(3):723-32. doi: 10.1177/193229681000400328.
Childhood obesity is a growing problem, particularly in rural, Louisiana school children. Traditionally, school-based obesity prevention programs have used a primary prevention approach. Finding methods to deliver secondary prevention programs to large numbers of students without singling out overweight students has been a challenge. An innovative approach to achieving this goal is through use of an Internet intervention targeted toward a student's weight status. This article describes the Louisiana (LA) Health Internet intervention, including the student Web site, the Internet counselor Web site, and the Internet counseling process.
The LA Health Internet intervention had separate interfaces for students and Internet counselors. The main features of the student site were behavioral weight loss lessons, lesson activities, chat with an Internet counselor, and email. The Internet counselor site contained these same features, plus a student directory and various means of obtaining student information to guide counseling. Based on their baseline weight status, students received lessons and counseling that promoted either weight loss or weight maintenance. Intervention was delivered during class time, and teachers scheduled Internet counseling sessions with intervention personnel.
The LA Health Internet intervention was initially implemented within 14 schools; 773 students were granted access to the site. From Fall 2007 to Spring 2009, 1174 hours of Internet counselor coverage was needed to implement the Internet counseling component of this intervention
The LA Health Internet intervention is an innovative and feasible method of delivering a secondary prevention program within a school setting to large numbers of students.
儿童肥胖问题日益严重，在路易斯安那州农村地区的学童中尤为突出。传统上，以学校为基础的肥胖预防项目采用一级预防方法。要找到向大量学生提供二级预防项目而不挑出超重学生的方法一直是一项挑战。实现这一目标的一种创新方法是通过针对学生体重状况的互联网干预。本文介绍了路易斯安那州（LA）健康互联网干预措施，包括学生网站、互联网顾问网站以及互联网咨询流程。
LA健康互联网干预措施为学生和互联网顾问设有单独的界面。学生网站的主要功能包括行为减肥课程、课程活动、与互联网顾问聊天以及电子邮件。互联网顾问网站包含这些相同的功能，外加学生名录以及获取学生信息以指导咨询的各种方式。学生根据其基线体重状况接受促进减肥或维持体重的课程和咨询。干预在课堂时间进行，教师安排与干预人员的互联网咨询会议。
LA健康互联网干预措施最初在14所学校实施；773名学生获得了该网站的访问权限。从2００７年秋季到2００９年春季，实施该干预措施的互联网咨询部分需要1174小时的互联网顾问服务时间。
LA健康互联网干预措施是在学校环境中向大量学生提供二级预防项目的一种创新且可行的方法。
