Department of Public Health Sciences, University of Hawai'i at Mānoa, Honolulu, HI 96822 USA.
Transl Behav Med. 2012 Sep;2(3):276-85. doi: 10.1007/s13142-012-0120-0.
Examine the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) of an evidence-based physical activity and nutrition curriculum disseminated to after-school programs. Program components included nutrition, physical activity, and sustainability, adapted to after-school settings and disseminated across 4 years (2004-2008). The RE-AIM framework was used to evaluate dissemination quality through direct observations, surveys, and interviews. In the final year, the Fun 5 program was implemented in 90% (>22,000 students) of Hawai'i after-school sites. Despite substantial annual increases in program reach, implementation and adoption remained consistently effective, and students' physical activity levels during program activities peaked in the final year. Further, evaluations demonstrated strong long-term program sustainability potential. The Fun 5 program demonstrated promise for long-term maintenance with potential for a public health impact among Hawai`i after-school students. Future emphasis on wide-spread program dissemination is encouraged, bridging research and community efforts to improve our children's health and impact public health.
考察一项基于证据的体育活动和营养课程在课外项目中的传播范围、效果、采用情况、实施情况和维持情况（RE-AIM）。该课程的内容包括营养、体育活动和可持续性，根据课外环境进行了调整，并在 4 年内（2004-2008 年）进行了传播。该研究使用 RE-AIM 框架通过直接观察、调查和访谈来评估传播质量。在最后一年，“有趣的 5 项”计划在夏威夷 90%（超过 22000 名学生）的课外场所实施。尽管该计划的传播范围每年都有大幅增加，但实施和采用情况仍然保持有效，学生在计划活动期间的体育活动水平在最后一年达到峰值。此外，评估结果表明该计划具有很强的长期可持续发展潜力。“有趣的 5 项”计划在长期维持方面具有潜力，有可能对夏威夷的课外学生产生公共卫生影响。鼓励未来更加重视广泛传播该计划，将研究和社区工作结合起来，以改善我们孩子的健康状况并影响公共卫生。
