Zahnd Whitney E, Smith Tracey, Ryherd Susan J, Cleer Melissa, Rogers Valerie, Steward David E
Center for Clinical Research, Southern Illinois University School of Medicine, PO Box 19664, Springfield, IL 62794-9664.
Family & Community Medicine Medical Student Education and Community Outreach; Co-Director, Population Health & Prevention Curriculum; Assistant Professor of Family and Community Medicine, Springfield, IL 62794-9671.
J Sch Health. 2017 Jun;87(6):465-473. doi: 10.1111/josh.12515.
Schools may be an effective avenue for interventions that prevent childhood obesity. I am Moving I am Learning/Choosy Kids (IMIL/CK) is a curriculum recommended by Head Start (HS) for education in nutrition, physical activity, and healthy lifestyle habits.
We formed an academic-community partnership (ACP), the Springfield Collaborative for Active Child Health, to promote prevention of childhood obesity, in part, to implement the IMIL/CK curriculum in local HS sites. The ACP included a medical school, HS program, public school district, and state health department.
Community-based participatory research principles helped identify and organize important implementation activities: community engagement, curriculum support, professional teacher training, and evaluation. IMIL/CK was piloted in 1 school then implemented in all local HS sites. All sites were engaged in IMIL/CK professional teacher training, classroom curriculum delivery, and child physical activity assessments. Local HS policy changed to include IMIL/CK in lesson plans and additional avenues of collaboration were initiated. Furthermore, improvements in physical activity and/or maintenance or improvement of healthy weight prevalence was seen in 4 of the 5 years evaluated.
An ACP is an effective vehicle to implement and evaluate childhood obesity prevention programming in HS sites.
学校可能是预防儿童肥胖干预措施的有效途径。“我在行动，我在学习/挑剔的孩子”（IMIL/CK）是由开端计划（HS）推荐的关于营养、体育活动和健康生活方式习惯教育的课程。
我们组建了一个学术 - 社区伙伴关系（ACP），即斯普林菲尔德儿童积极健康协作组织，以促进儿童肥胖预防工作，部分目的是在当地的HS场所实施IMIL/CK课程。该ACP包括一所医学院、HS项目、公立学区和州卫生部门。
基于社区的参与性研究原则有助于确定和组织重要的实施活动：社区参与、课程支持、专业教师培训和评估。IMIL/CK先在1所学校进行试点，然后在所有当地HS场所实施。所有场所都参与了IMIL/CK专业教师培训、课堂课程授课以及儿童体育活动评估。当地HS政策发生变化，将IMIL/CK纳入教案，并且启动了更多合作途径。此外，在评估的5年中的4年里，观察到体育活动有所改善和/或健康体重患病率得以维持或提高。
ACP是在HS场所实施和评估儿童肥胖预防项目的有效载体。
