School of Sport, Coaching & Exercise Science, Faculty of Health, Life and Social Sciences, University of Lincoln, Lincoln, UK.
J Hum Nutr Diet. 2012 Dec;25(6):547-56. doi: 10.1111/j.1365-277X.2012.01266.x. Epub 2012 Jul 2.
Food for Fitness is an on-going multi-component health promotion programme, delivered in primary and secondary schools by community nutrition assistants. The programme uses nutritional interventions aimed at promoting healthier eating practices for children. This service evaluation investigated the receipt and delivery of the programme, as perceived by local stakeholders who had experienced and administered the service.
Semi-structured interviews and focus groups were carried out with three key stakeholder groups: health professionals (n = 9), school teachers (n = 10) and senior health officials (n = 3). Qualitative data were transcribed verbatim and received thematic analysis with deductive and inductive processes.
Stakeholders reported that the programme contributed to the development of food education and healthy-eating practices of children in the local area. Stakeholders considered that the main concern was the limited capacity and size of the service. They described problems with long-term sustainability in supporting schools with maintaining nutritional interventions, highlighting issues regarding contact, planning and organisation of several interventions.
The findings of the service evaluation inform service management, organisation and ground-level delivery. The use of stakeholder opinion provided contextualised information on the factors that impact on the implementation of the programme. The richness of the qualitative results can guide future planning and provision for similar health promotion nutrition programmes delivered in the school environment.
“为健康而食”是一个正在进行的多组分健康促进计划，由社区营养助理在中小学实施。该计划采用营养干预措施，旨在促进儿童更健康的饮食习惯。本服务评估调查了当地利益相关者对该计划的接收和实施情况，这些利益相关者体验并管理过该服务。
对三个主要利益相关者群体进行了半结构化访谈和焦点小组讨论：卫生专业人员（n=9）、学校教师（n=10）和高级卫生官员（n=3）。对定性数据进行了逐字转录，并进行了演绎和归纳的主题分析。
利益相关者报告称，该计划有助于当地儿童的食物教育和健康饮食习惯的发展。利益相关者认为主要关注的问题是服务能力和规模有限。他们描述了在支持学校维持营养干预方面长期可持续性存在的问题，强调了在联系、规划和组织多项干预措施方面存在的问题。
服务评估的结果为服务管理、组织和基层实施提供了信息。利用利益相关者的意见提供了关于影响计划实施的因素的背景信息。定性结果的丰富性可以为在学校环境中实施类似的健康促进营养计划提供未来的规划和提供指导。
