Department of Family Health Care Nursing, University of California, San Francisco, CA 94143, USA.
J Adolesc Health. 2011 Aug;49(2):148-54. doi: 10.1016/j.jadohealth.2010.11.243. Epub 2011 Mar 12.
To examine the feasibility and efficacy of a theory-driven and family-based program delivered online to promote healthy lifestyles and weights in Chinese American adolescents.
A randomized controlled study of a web-based intervention was developed and conducted in 54 Chinese American adolescents (ages, 12-15 years) and their families. Data on anthropometry, blood pressure, dietary intake, physical activity, and knowledge and self-efficacy regarding physical activity and nutrition were collected at baseline and 2, 6, and 8 months after the baseline assessment. Data were analyzed using linear mixed modeling.
The intervention resulted in significant decreases in waist-to-hip ratio and diastolic blood pressure and increases in vegetable and fruit intake, level of physical activity, and knowledge about physical activity and nutrition.
This web-based behavior program for Chinese American adolescents and their families seems feasible and effective in the short-term. Long-term effects remain to be determined. This type of program can be adapted for other minority ethnic groups who are at high-risk for overweight and obesity and have limited access to programs that promote healthy lifestyles.
检验一种基于理论和家庭为基础、通过网络实施的方案,能否促进华裔美国青少年养成健康的生活方式和保持健康体重。
设计并开展了一项针对华裔美国青少年(12-15 岁)及其家庭的基于网络的干预措施的随机对照研究。在基线以及基线评估后 2、6 和 8 个月,收集关于人体测量、血压、饮食摄入、身体活动以及关于身体活动和营养的知识和自我效能的数据。使用线性混合模型进行数据分析。
干预导致腰围与臀围的比例和舒张压显著降低,蔬菜和水果的摄入量、身体活动水平以及关于身体活动和营养的知识增加。
这种针对华裔美国青少年及其家庭的基于网络的行为方案在短期内似乎是可行和有效的。长期效果仍有待确定。这种方案可以适应其他少数民族群体,这些群体超重和肥胖的风险较高,且获取促进健康生活方式的项目的机会有限。