Health and Nutritional Sciences, South Dakota State University, Brookings, SD.
Food Science and Human Nutrition, University of Maine, Orono, ME.
J Nutr Educ Behav. 2014 Mar-Apr;46(2):S10-25. doi: 10.1016/j.jneb.2013.11.006. Epub 2014 Jan 20.
OBJECTIVE: To develop a tailored, theory-based, Web-delivered intervention to prevent excessive weight gain in young adults using a Community-Based Participatory Research model. DESIGN: Investigators from 14 universities developed the intervention and supporting administrative portal using the 4 phases of the PRECEDE model. Steering committees were composed of the target audience (aged 19-24 years) and key health/wellness personnel were formed at each institution and provided information during each phase that was used to guide development of the intervention, Project YEAH (Young Adults Eating and Active for Health). Piloting results were used to refine the curriculum and identify and avoid barriers to delivery. RESULTS: Qualitative and quantitative data collected at each phase informed Project YEAH development. In Phase 1, factors of highest priority to young adults were identified. In Phase 2, environmental supports for healthful lifestyles were elucidated. In Phase 3, behavior and environmental changes considered important and changeable were identified. In Phase 4, the 10-week, theory-based, stage-tailored, interactive-learning intervention with a 10-month reinforcement period was developed. CONCLUSIONS AND IMPLICATIONS: Applying the PRECEDE model with fidelity during development of Project YEAH resulted in an intervention that pilot participants found relevant and useful, gained attention, instilled confidence in the ability to apply the information, and provided a sense of satisfaction.
目的:使用基于社区的参与式研究模式,为预防年轻成年人过度增重,开发一种定制的、基于理论的、网络交付的干预措施。
设计:来自 14 所大学的研究人员使用 PRECEDE 模型的 4 个阶段开发了干预措施和支持行政门户。指导委员会由目标受众(19-24 岁)组成,在每个机构都成立了关键的健康/健康人员,并在每个阶段提供信息,这些信息用于指导干预措施的开发,即“YEAH 计划”(年轻成年人的饮食和健康活动)。试点结果用于改进课程,并确定和避免交付障碍。
结果:在每个阶段收集的定性和定量数据为“YEAH 计划”的开发提供了信息。在第 1 阶段,确定了对年轻人最重要的因素。在第 2 阶段,阐明了支持健康生活方式的环境支持。在第 3 阶段,确定了被认为重要和可改变的行为和环境变化。在第 4 阶段,开发了一个为期 10 周、基于理论、阶段定制、互动学习的干预措施,并设有 10 个月的强化期。
结论和意义:在“YEAH 计划”的开发过程中,忠实地应用 PRECEDE 模型,产生了一种干预措施,试点参与者认为该措施相关且有用,引起了关注,增强了应用信息的信心,并提供了一种满足感。
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