Alaimo Katherine, Oleksyk Shannon, Golzynski Diane, Drzal Nick, Lucarelli Jennifer, Reznar Melissa, Wen Yalu, Krabill Yoder Karen
Michigan State University, East Lansing, MI, USA
Blue Cross Blue Shield of Michigan, Lansing, MI, USA.
Health Promot Pract. 2015 May;16(3):401-10. doi: 10.1177/1524839915573923. Epub 2015 Mar 2.
The Michigan Healthy School Action Tools (HSAT) is an online self-assessment and action planning process for schools seeking to improve their health policies and practices. The School Nutrition Advances Kids study, a 2-year quasi-experimental intervention with low-income middle schools, evaluated whether completing the HSAT with a facilitator assistance and small grant funding resulted in (1) improvements in school nutrition practices and policies and (2) improvements in student dietary intake. A total of 65 low-income Michigan middle schools participated in the study. The Block Youth Food Frequency Questionnaire was completed by 1,176 seventh-grade students at baseline and in eighth grade (during intervention). Schools reported nutrition-related policies and practices/education using the School Environment and Policy Survey. Schools completing the HSAT were compared to schools that did not complete the HSAT with regard to number of policy and practice changes and student dietary intake. Schools that completed the HSAT made significantly more nutrition practice/education changes than schools that did not complete the HSAT, and students in those schools made dietary improvements in fruit, fiber, and cholesterol intake. The Michigan HSAT process is an effective strategy to initiate improvements in nutrition policies and practices within schools, and to improve student dietary intake.
密歇根健康学校行动工具（HSAT）是一个在线自我评估和行动计划流程，供寻求改善其健康政策和实践的学校使用。“学校营养促进儿童”研究是一项针对低收入初中的为期两年的准实验性干预研究，评估了在有主持人协助和小额赠款资金的情况下完成HSAT是否会带来以下结果：（1）学校营养实践和政策的改善；（2）学生饮食摄入量的改善。共有65所密歇根州的低收入初中参与了该研究。1176名七年级学生在基线时以及八年级（干预期间）完成了布洛克青少年食物频率问卷。学校使用学校环境与政策调查汇报了与营养相关的政策、实践和教育情况。就政策和实践变化的数量以及学生饮食摄入量而言，将完成HSAT的学校与未完成HSAT的学校进行了比较。完成HSAT的学校在营养实践/教育方面的变化明显多于未完成HSAT的学校，并且这些学校的学生在水果、纤维和胆固醇摄入量方面的饮食有所改善。密歇根HSAT流程是在学校内启动营养政策和实践改善以及改善学生饮食摄入量的有效策略。
