Dominick Gregory M, Tudose Alina, Pohlig Ryan T, Saunders Ruth P
Department of Behavioral Health and Nutrition, University of Delaware, 26 North College Avenue, Newark, DE 19716, USA,
Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE 19716, USA.
Health Educ Res. 2016 Apr;31(2):207-19. doi: 10.1093/her/cyw004. Epub 2016 Mar 3.
Research examining sustainability of health promotion programs within organizational settings is limited. The Environmental Interventions in Residential Children's Homes (ENRICH) was a structural intervention that trained Wellness Teams (WTs) within residential children's homes (RCH) to target environmental changes that promote physical activity (PA) among residential youth. This study examines the sustainability of PA promoting environments and influences on sustainability within RCHs. A sustainability survey was administered to 14 RCHs 2 years after receiving ENRICH. Variables included sustainability of PA promoting environments, Organizational Influences, perceived organizational and individual benefits, and implementation of PA and general (i.e. Global) wellness activities. Activities reported as sustained and barriers were used descriptively to inform sustainability. Path analyses explained the relationship between sustainability influences and sustainability of PA promoting environments. Sustainability was found in 8 of 14 (57%) RCHs. Sustained activities reflected greater Global versus PA implementation. Global implementation mediated the relationship between Organizational Influences and sustainability, which may have been more easily achieved since Global activities were most likely controlled by WTs and did not require extensive organizational support from RCH administrators. Results highlight the importance of defining and assessing different implementation types when measuring sustainability and influences on sustainability within RCHs organizations.
对组织环境中健康促进项目可持续性的研究有限。儿童福利院环境干预项目（ENRICH）是一项结构性干预措施，旨在培训儿童福利院（RCH）的健康促进团队（WT），以实现环境改变，促进福利院儿童的身体活动（PA）。本研究探讨了儿童福利院中促进身体活动的环境的可持续性以及对可持续性的影响。在接受ENRICH项目两年后，对14所儿童福利院进行了可持续性调查。变量包括促进身体活动的环境的可持续性、组织影响、感知到的组织和个人利益，以及身体活动和一般（即整体）健康活动的实施情况。对报告为持续开展的活动和障碍进行描述性分析，以了解可持续性情况。路径分析解释了可持续性影响与促进身体活动的环境的可持续性之间的关系。在14所儿童福利院中有8所（57%）实现了可持续性。持续开展的活动表明整体健康活动的实施比身体活动更广泛。整体健康活动的实施在组织影响与可持续性之间起到了中介作用，这可能更容易实现，因为整体健康活动很可能由健康促进团队控制，并且不需要儿童福利院管理人员提供广泛的组织支持。研究结果强调了在衡量儿童福利院组织内的可持续性及其影响时，定义和评估不同实施类型的重要性。
