使用干预映射协议在一个多中心的欧洲项目中开发预防儿童肥胖的基于社区的干预措施：IDEFICS 干预。
Using the intervention mapping protocol to develop a community-based intervention for the prevention of childhood obesity in a multi-centre European project: the IDEFICS intervention.
机构信息
Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, Ghent 9000, Belgium.
出版信息
Int J Behav Nutr Phys Act. 2011 Aug 1;8:82. doi: 10.1186/1479-5868-8-82.
BACKGROUND
The prevalence of childhood obesity has increased during the past decades and is now considered an urgent public health problem. Although stabilizing trends in obesity prevalence have been identified in parts of Europe, preventive efforts in children are still needed. Using the socio-ecological approach as the underlying theoretical perspective, the IDEFICS project aimed to develop, implement and evaluate a community-based intervention for the prevention of childhood obesity in eight European countries. The aim of the present manuscript was to describe the content and developmental process of the IDEFICS intervention.
METHODS
The intervention mapping protocol (IMP) was used to develop the community-based intervention for the prevention of childhood obesity in 3 to 10 years old children. It is a theory- and evidence-based tool for the structured planning and development of health promotion programs that requires the completion of six different steps. These steps were elaborated by two coordinating centers and discussed with the other participating centers until agreement was reached. Focus group research was performed in all participating centers to provide an informed basis for intervention development.
RESULTS
The application of the IMP resulted in an overall intervention framework with ten intervention modules targeting environmental and personal factors through the family, the school and the community. The summary results of the focus group research were used to inform the development of the overall intervention. The cultural adaptation of the overall intervention was realised by using country specific focus group results. The need for cultural adaptation was considered during the entire process to improve program adoption and implementation. A plan was developed to evaluate program effectiveness and quality of implementation.
CONCLUSIONS
The IDEFICS project developed a community-based intervention for the prevention of childhood obesity by using to the intervention mapping heuristic. The IDEFICS intervention consists of a general and standardized intervention framework that allows for cultural adaptation to make the intervention feasible and to enhance deliverability in all participating countries. The present manuscript demonstrates that the development of an intervention is a long process that needs to be done systematically. Time, human resources and finances need to be planned beforehand to make interventions evidence-based and culturally relevant.
背景
在过去几十年中，儿童肥胖症的患病率有所增加，现在被认为是一个紧迫的公共卫生问题。尽管在欧洲部分地区已经确定了肥胖症患病率的稳定趋势，但仍需要在儿童中进行预防工作。IDEFICS 项目采用社会生态学方法作为潜在的理论视角，旨在开发、实施和评估针对欧洲八个国家儿童肥胖预防的基于社区的干预措施。本手稿的目的是描述 IDEFICS 干预的内容和发展过程。
方法
干预映射方案 (IMP) 用于开发针对 3 至 10 岁儿童肥胖预防的基于社区的干预措施。它是一种基于理论和证据的健康促进计划结构化规划和开发工具，需要完成六个不同的步骤。这些步骤由两个协调中心详细阐述，并与其他参与中心进行讨论，直到达成一致。在所有参与中心进行焦点小组研究，为干预措施的开发提供信息基础。
结果
应用 IMP 产生了一个整体干预框架，其中包含十个干预模块，通过家庭、学校和社区针对环境和个人因素进行干预。焦点小组研究的总结结果用于为干预措施的制定提供信息。通过使用特定国家的焦点小组结果，实现了整体干预的文化适应性。在整个过程中考虑了文化适应性的需求，以提高计划的采用和实施。制定了一项计划来评估计划的有效性和实施质量。
结论
IDEFICS 项目通过使用干预映射启发式方法开发了针对儿童肥胖预防的基于社区的干预措施。IDEFICS 干预措施包括一个通用和标准化的干预框架，允许进行文化适应性调整，使干预措施在所有参与国家都具有可行性，并增强可交付性。本手稿表明，干预措施的开发是一个漫长的过程，需要系统地进行。需要事先规划时间、人力资源和财务，以使干预措施具有循证依据并与文化相关。
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