Millstein Rachel A, Sallis James F
SDSU/UCSD Joint Doctoral Program in Clinical Psychology, 3900 Fifth Avenue, Suite 310, San Diego, CA 92103 USA.
Transl Behav Med. 2011 Sep;1(3):497-505. doi: 10.1007/s13142-011-0060-0.
Recommended obesity prevention interventions target multiple levels. Effective advocacy is needed to influence factors at individual, social, environmental, and policy levels. This paper describes the rationale for engaging youth in obesity prevention advocacy efforts targeting environment and policy changes to improve nutrition and physical activity. Advocacy involves education, skill development, and behavior and attitude changes, with the goal of persuading others or taking action. Youth advocacy has been successfully used in substance use prevention, but it is relatively new in obesity prevention. A model is presented to guide intervention and evaluation in youth advocacy for obesity prevention. With youth advocacy as a central construct, the model outlines inputs and outcomes of advocacy at individual, social environment, built environment, and policy levels. The model can be used and refined in youth advocacy evaluation projects. By involving youth in their communities, advocacy can produce ownership, engagement, and future involvement yielding sustainable changes.
推荐的肥胖预防干预措施针对多个层面。需要有效的宣传来影响个人、社会、环境和政策层面的因素。本文描述了让青少年参与肥胖预防宣传工作的基本原理,这些工作旨在推动环境和政策变革,以改善营养和身体活动状况。宣传包括教育、技能培养以及行为和态度的改变,目的是说服他人或采取行动。青少年宣传已成功用于预防药物滥用,但在肥胖预防方面相对较新。本文提出了一个模型,以指导青少年肥胖预防宣传的干预和评估。该模型以青少年宣传为核心架构,概述了个人、社会环境、建筑环境和政策层面宣传的投入和成果。该模型可在青少年宣传评估项目中使用和完善。通过让青少年参与其社区事务,宣传可产生主人翁意识、参与度,并促使他们未来继续参与,从而带来可持续的变化。