Cavanagh Bradley D, Meinen Amy
American Heart Association/American Stroke Association, 2850 Dairy Drive, Suite 300, Madison, WI 53718.
Wisconsin Obesity Prevention Network, c/o UW Madison Collaborative Center for Health Equity, 750 Highland Avenue, Suite 2110, Madison, WI 53705.
J Sch Health. 2015 Oct;85(10):697-703. doi: 10.1111/josh.12299.
Approximately 31.7% of children in the United States are overweight or obese. Interventions in the afterschool setting may help combat childhood obesity. Research exists on interventions in school settings, but a few data exist for interventions about afterschool programs. This study investigates increasing physical activity (PA) in Wisconsin afterschool programs.
A literature review was used to develop key informant interviews. Utilizing a constant comparative method, interview data were coded and themes were identified. The themes, literature review, and expert opinions were used to formulate recommendations for improving PA in afterschool programs.
Programs had success in utilizing different resources to improve PA. Key barriers to improving PA included grant-imposed academic restrictions, the need for provider education, fears of conflict and competitiveness, and a lack of understanding between health and sedentariness.
There is a clear need for additional exploration into improving PA in Wisconsin afterschool programs. This study resulted in specific recommendations to increase PA in afterschool programming, including utilizing school wellness policies and staff professional development to improve PA in afterschool programs.
在美国,约31.7%的儿童超重或肥胖。校外活动环境中的干预措施可能有助于对抗儿童肥胖问题。关于学校环境中的干预措施已有研究,但针对校外活动项目干预措施的数据较少。本研究调查了威斯康星州校外活动项目中增加身体活动(PA)的情况。
采用文献综述来开展关键信息人访谈。运用持续比较法,对访谈数据进行编码并确定主题。这些主题、文献综述和专家意见被用于制定改善校外活动项目中身体活动的建议。
各项目在利用不同资源改善身体活动方面取得了成功。改善身体活动的主要障碍包括拨款规定的学业限制、对提供者进行教育的必要性、对冲突和竞争的担忧以及对健康与久坐之间关系的缺乏理解。
显然需要对改善威斯康星州校外活动项目中的身体活动进行更多探索。本研究得出了在课外项目中增加身体活动的具体建议,包括利用学校健康政策和员工专业发展来改善校外活动项目中的身体活动。