Centre for Sports Medicine, University of Nottingham, Nottingham NG7 2UH, UK.
Br J Sports Med. 2010 Jun;44(8):546-54. doi: 10.1136/bjsm.2010.072223.
To develop, implement and assess an interactive, football-based health education programme for children in South Africa.
Prospective cohort study with control group.
Two schools in Khayelitsha township, South Africa.
370 children making up two intervention groups (Grade 6: 125; Grade 7: 131) and one control group (Grade 7: 114).
Eleven 90 min sessions, each divided into two 45 min halves of Play Football (football skills) and Play Fair (health issues), each session focused on one specific health risk factor.
Health knowledge using a 20-item questionnaire; coaches' attitudes towards their training programme using a 10-item questionnaire and children's attitudes towards the health education programme using a six-item questionnaire.
Children in the Grade 7 intervention group showed significant (p<0.05) increases in the proportion of correct responses for nine of the 20 health knowledge questions postintervention, and these increases were maintained at 3 months postintervention. The Grade 6 intervention group showed significant increases in the proportion of correct responses for 15 of the 20 health knowledge questions postintervention. The Grade 7 control group showed a significant increase in the proportion of correct responses to one of the 20 health knowledge questions post-Play Football sessions and nine of 20 questions post-Play Fair sessions. Over 90% of the children provided positive attitude responses to the health-education programme.
The programme demonstrated that it was possible to implement a football-based health-education programme for children in Africa that achieved significant increases in health knowledge and that was also well received by participants.
为南非儿童开发、实施并评估一个基于足球的互动式健康教育方案。
前瞻性队列研究，设有对照组。
南非开普敦镇的两所学校。
由两个干预组（6 年级：125 人；7 年级：131 人）和一个对照组（7 年级：114 人）共 370 名儿童组成。
11 个 90 分钟的课程，每个课程分为两部分，各 45 分钟，分别为“玩足球”（足球技能）和“公平竞赛”（健康问题），每个课程都集中于一个特定的健康风险因素。
采用 20 项问题的问卷评估健康知识；教练对其培训方案的态度采用 10 项问题的问卷评估；儿童对健康教育方案的态度采用 6 项问题的问卷评估。
7 年级干预组中，20 项健康知识问题的回答，有 9 项在干预后显著增加（p<0.05），并且这些增加在干预后 3 个月时仍能维持。6 年级干预组中，20 项健康知识问题的回答有 15 项在干预后显著增加。7 年级对照组在“玩足球”课程后，有 1 项 20 项健康知识问题的回答比例显著增加，在“公平竞赛”课程后，有 9 项 20 项健康知识问题的回答比例显著增加。超过 90%的儿童对健康教育方案做出了积极的态度回应。
该方案表明，在非洲为儿童实施基于足球的健康教育方案是可行的，可显著提高儿童的健康知识水平，同时也受到参与者的欢迎。
