Bannink Rienke, Broeren Suzanne, Heydelberg Jurriën, van 't Klooster Els, van Baar Cathelijn, Raat Hein
Department of Public Health, Erasmus University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands, Municipality of Rotterdam, Librijesteeg 4, 3000 KS Rotterdam, The Netherlands and Public Health Care for Youth, Westblaak 171, 3012 KJ Rotterdam, The Netherlands.
Department of Public Health, Erasmus University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands, Municipality of Rotterdam, Librijesteeg 4, 3000 KS Rotterdam, The Netherlands and Public Health Care for Youth, Westblaak 171, 3012 KJ Rotterdam, The Netherlands
Health Educ Res. 2014 Oct;29(5):773-85. doi: 10.1093/her/cyu038. Epub 2014 Jul 7.
This study evaluates the appreciation, application and effects of an intervention (Your Health), in which adolescents received a consultation with the school nurse. A cluster randomized controlled trial with an intervention and control group (care-as-usual) was conducted among first-grade senior vocational students. Adolescents (n = 418) completed a questionnaire at baseline and 6-month follow-up assessing health and health behaviors. School absenteeism was monitored via the school registration system. After the consultation, adolescents and nurses evaluated the consultation by questionnaire. Adolescents appreciated being invited for the consultation and gave the consultation a positive mean rating of 8.78 on a 10-point scale. Adolescents rated the other nine items on the appreciation of the consultation also high. In 36.8% of the adolescents, nurses suspected problems. Most often these adolescents were given tailored advice (59.3%) or they were referred to another professional (40.7%). No statistically significant effects of the intervention were found on the health and health behaviors of adolescents. This study supports the use of Your Health as a promising intervention to reach senior vocational students. Future research is needed to evaluate long-term effects and the effects and appreciation of the subsequent help that is offered.
www.trialregister.nl, NTR3545.
本研究评估了一项干预措施(“你的健康”)的接受度、应用情况及效果,在该干预措施中,青少年接受了学校护士的咨询。在一年级高职学生中进行了一项整群随机对照试验,分为干预组和对照组(常规护理)。青少年(n = 418)在基线和6个月随访时完成了一份评估健康及健康行为的问卷。通过学校注册系统监测旷课情况。咨询结束后,青少年和护士通过问卷对咨询进行了评估。青少年对被邀请参加咨询表示满意,在10分制量表上对咨询的平均评分为8.78分。青少年对咨询的其他九个方面的满意度评价也很高。在36.8%的青少年中,护士怀疑存在问题。这些青少年大多得到了针对性建议(59.3%)或被转介给其他专业人员(40.7%)。未发现该干预措施对青少年的健康及健康行为有统计学上的显著影响。本研究支持将“你的健康”作为一项有前景的干预措施用于高职学生。需要进一步研究以评估长期效果以及后续提供的帮助的效果和接受度。