Maynard Maria, Baker Graham, Harding Seeromanie
Medical Research Council, Social & Public Health Sciences Unit, Glasgow, UK.
Prev Med Rep. 2017 Feb 24;6:130-136. doi: 10.1016/j.pmedr.2017.02.019. eCollection 2017 Jun.
Small-scale, detailed exploration of the recruitment, assessment, and evaluation processes of obesity intervention among minority ethnic children. The study took place in schools and places of worship during 2008-2010 in London, UK. Measures included 3-day food diaries, 24 h dietary recalls, the Youth Physical Activity Questionnaire, accelerometry, and diet and physical activity self-efficacy questionnaires. Potential intervention components were evaluated via observation, questionnaires, and focus group discussions. Schools and places of worship that reflected the ethnic and religious diversity of inner city London populations (Hindus, Muslims and Christians) were targeted. Telephone invitations to 12 schools achieved recruitment of five schools (42% response); 181 invitations to 94 places of worship, recruited eight organisations (9%). Multi-strategy approaches were required to build relationships with faith organisations. Sixty-five children aged 8-13 years participated in the testing of measures. High completion rates were achieved for 24 h recalls, diet and PA self-efficacy questionnaires (ranging from 89% to 100%), with more consistent quality in schools. Dietary assessment highlighted inadequacies in composition data for minority ethnic foods. Intervention sessions were tested among 155 children in all five schools, and 33 children in a church, temple and mosque. Evaluation coverage was more consistent in these places of worship than in schools. Schools may logistically be more straightforward settings for delivery of interventions but, despite complex issues (engagement strategies; cultural foodways), places of worship provide opportunities for effective reach of children, families and communities. We suggest community based participatory research between researchers, schools and community organisations to harness culturally-specific support.
对少数族裔儿童肥胖干预的招募、评估和评价过程进行小规模、详细的探索。该研究于2008年至2010年在英国伦敦的学校和宗教场所开展。测量方法包括3天食物日记、24小时饮食回顾、青少年身体活动问卷、加速度测量法以及饮食和身体活动自我效能量表。通过观察、问卷调查和焦点小组讨论对潜在的干预组成部分进行评估。目标是那些反映伦敦市中心人口（印度教徒、穆斯林和基督教徒）种族和宗教多样性的学校和宗教场所。向12所学校发出电话邀请，成功招募到5所学校（回应率42%）；向94个宗教场所发出181份邀请，招募到8个组织（9%）。需要采用多策略方法与宗教组织建立关系。65名8至13岁的儿童参与了测量方法的测试。24小时饮食回顾、饮食和身体活动自我效能量表的完成率很高（从89%到100%），学校的数据质量更一致。饮食评估突出了少数族裔食物成分数据的不足之处。在所有5所学校的155名儿童以及一所教堂、一座寺庙和一座清真寺的33名儿童中对干预课程进行了测试。在这些宗教场所的评估覆盖率比在学校更一致。从后勤角度看，学校可能是开展干预更直接的场所，但尽管存在复杂问题（参与策略；文化饮食方式），宗教场所为有效接触儿童、家庭和社区提供了机会。我们建议研究人员、学校和社区组织之间开展基于社区的参与性研究，以利用特定文化的支持。
