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探索性研究设计了一项由学校护士提供的干预措施,以治疗青少年超重和肥胖。

Exploratory research to design a school nurse-delivered intervention to treat adolescent overweight and obesity.

机构信息

Department of Nutrition, The University of Tennessee, Knoxville, TN 37996-1920, USA.

出版信息

J Nutr Educ Behav. 2012 Jan-Feb;44(1):46-54. doi: 10.1016/j.jneb.2011.02.009. Epub 2011 Oct 1.

DOI:10.1016/j.jneb.2011.02.009
PMID:21962865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3259244/
Abstract

OBJECTIVE

In preparation for a pilot study to evaluate the efficacy of a school nurse-delivered intervention, focus groups were conducted to gain insight into the perceptions of stakeholders regarding the design and implementation of the intervention.

SETTING AND PARTICIPANTS

Fifteen focus groups at participating schools. One hundred subjects, including overweight and obese high school students, parents, high school nurses, and staff.

MAIN OUTCOME MEASURE

Stakeholders' perceptions.

ANALYSIS

Focus groups were audiotaped and transcribed verbatim. Theme instances related to the research aim were identified, coded, and sorted into theme categories.

RESULTS

Major topics discussed included teen issues, family support, intervention implementation-related concerns, and curriculum content. Teen issues included dealing with peer pressure, avoiding emotional eating, and support from friends. Many participants thought it should be the teen's choice to involve parents. Confidentiality was the most commonly identified potential barrier to implementation. Recommendations for nutrition and physical activity curriculum content focused on concrete, practical strategies.

CONCLUSIONS AND IMPLICATIONS

Results of this research provided insight into stakeholder's needs and perceptions regarding the content and structure of a school nurse-delivered intervention to treat adolescent overweight and obesity. Findings were used in the design and implementation of intervention protocols and materials.

摘要

目的

在一项评估学校护士实施干预措施的疗效的试点研究之前,进行焦点小组讨论,以深入了解利益相关者对干预措施的设计和实施的看法。

地点和参与者

参与学校的 15 个焦点小组。100 名研究对象,包括超重和肥胖的高中生、家长、高中护士和工作人员。

主要观察指标

利益相关者的看法。

分析

对焦点小组进行了录音并逐字转录。与研究目的相关的主题实例被识别、编码并分类到主题类别中。

结果

讨论的主要话题包括青少年问题、家庭支持、与干预实施相关的问题、以及课程内容。青少年问题包括应对同伴压力、避免情绪化进食和朋友的支持。许多参与者认为,应该由青少年自己选择是否让家长参与。保密性是实施过程中最常见的潜在障碍。对营养和体育活动课程内容的建议侧重于具体、实用的策略。

结论和意义

这项研究的结果深入了解了利益相关者对治疗青少年超重和肥胖的学校护士实施干预措施的内容和结构的需求和看法。研究结果用于干预措施的设计和实施。

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