Lane Hannah, Porter Kathleen J, Hecht Erin, Harris Priscilla, Kraak Vivica, Zoellner Jamie
1 Growth and Nutrition Division, Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA.
2 Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
Am J Health Promot. 2018 Jul;32(6):1386-1401. doi: 10.1177/0890117117715052. Epub 2017 Jul 21.
To test the feasibility of Kids SIP smartER, a school-based intervention to reduce consumption of sugar-sweetened beverages (SSBs).
Matched-contact randomized crossover study with mixed-methods analysis.
One middle school in rural, Appalachian Virginia.
Seventy-four sixth and seventh graders (5 classrooms) received Kids SIP smartER in random order over 2 intervention periods. Feasibility outcomes were assessed among 2 teachers.
Kids SIP smartER consisted of 6 lessons grounded in the Theory of Planned Behavior, media literacy, and public health literacy and aimed to improve individual SSB behaviors and understanding of media literacy and prevalent regional disparities. The matched-contact intervention promoted physical activity.
Beverage Intake Questionnaire-15 (SSB consumption), validated theory questionnaires, feasibility questionnaires (student and teacher), student focus groups, teacher interviews, and process data (eg, attendance).
Repeated measures analysis of variances across 3 time points, descriptive statistics, and deductive analysis of qualitative data.
During the first intervention period, students receiving Kids SIP smartER (n = 43) significantly reduced SSBs by 11 ounces/day ( P = .01) and improved media ( P < .001) and public health literacy ( P < .01) understanding; however, only media literacy showed between-group differences ( P < .01). Students and teachers found Kids SIP smartER acceptable, in-demand, practical, and implementable within existing resources.
Kids SIP smartER is feasible in an underresourced, rural school setting. Results will inform further development and large-scale testing of Kids SIP smartER to reduce SSBs among rural adolescents.
测试Kids SIP smartER的可行性，这是一项以学校为基础的干预措施，旨在减少含糖饮料（SSB）的消费量。
采用匹配接触随机交叉研究，并进行混合方法分析。
弗吉尼亚州阿巴拉契亚农村地区的一所中学。
74名六年级和七年级学生（5个班级）在2个干预期内以随机顺序接受Kids SIP smartER。对2名教师进行了可行性结果评估。
Kids SIP smartER由6节基于计划行为理论、媒体素养和公共卫生素养的课程组成，旨在改善个人饮用SSB的行为，以及对媒体素养和普遍存在的地区差异的理解。匹配接触干预措施促进身体活动。
15项饮料摄入问卷（SSB消费量）、经过验证的理论问卷、可行性问卷（学生和教师）、学生焦点小组、教师访谈以及过程数据（如出勤率）。
对3个时间点进行重复测量方差分析、描述性统计以及定性数据的演绎分析。
在第一个干预期内，接受Kids SIP smartER的学生（n = 43）将SSB的摄入量显著减少了11盎司/天（P = 0.01），并提高了对媒体（P < 0.001）和公共卫生素养（P < 0.01）的理解；然而，只有媒体素养在组间存在差异（P < 0.01）。学生和教师认为Kids SIP smartER是可接受的、有需求的、实用的，并且可以在现有资源范围内实施。
Kids SIP smartER在资源匮乏的农村学校环境中是可行的。研究结果将为Kids SIP smartER的进一步开发和大规模测试提供参考，以减少农村青少年的SSB消费量。
