Pang Bo, Kubacki Krzysztof, Rundle-Thiele Sharyn
Department of Marketing and Social Marketing @ Griffith, Griffith University, 117 Kessels Road, Nathan, QLD, 4111, Australia.
BMC Public Health. 2017 Aug 5;17(1):638. doi: 10.1186/s12889-017-4648-2.
Interventions aiming to promote active school travel (AST) are being implemented globally to reverse AST decline. This systematic literature provides an update of AST interventions assessing study quality and theory use to examine progress in the field.
A systematic review was conducted to identify and analyse AST interventions published between 2010 and 2016. Seven databases were searched and exclusion criteria were applied to identify 18 AST interventions. Interventions were assessed using the Active Living by Design (ALBD) Community Action (5P) Model and the Evaluation of Public Health Practice Projects (EPHPP). Methods used to evaluate the effectiveness of each intervention and their outcomes and extent of theory use were examined.
Seven out of 18 studies reported theory use. The analysis of the interventions using the ALBD Community Action Model showed that Preparation and Promotion were used much more frequently than Policy and Physical projects. The methodological quality 14 out of 18 included interventions were assessed as weak according to the EPHPP framework.
Noted improvements were an increase in use of objective measures. Lack of theory, weak methodological design and a lack of reliable and valid measurement were observed. Given that change is evident when theory is used and when policy changes are included extended use of the ALBD model and socio-ecological frameworks are recommended in future.
旨在促进校园主动出行（AST）的干预措施正在全球范围内实施，以扭转AST下降的趋势。本系统文献综述更新了AST干预措施，评估研究质量和理论应用情况，以审视该领域的进展。
进行了一项系统综述，以识别和分析2010年至2016年间发表的AST干预措施。检索了七个数据库，并应用排除标准确定了18项AST干预措施。使用“通过设计促进积极生活”（ALBD）社区行动（5P）模型和公共卫生实践项目评估（EPHPP）对干预措施进行评估。研究了用于评估每项干预措施有效性的方法及其结果以及理论应用程度。
18项研究中有7项报告了理论应用情况。使用ALBD社区行动模型对干预措施的分析表明，准备和推广的使用频率远高于政策和实体项目。根据EPHPP框架，18项纳入研究中的14项干预措施的方法学质量被评估为薄弱。
值得注意的改进是客观测量方法的使用有所增加。研究发现存在理论缺失、方法学设计薄弱以及缺乏可靠有效的测量等问题。鉴于在使用理论和纳入政策变化时会出现明显变化，建议未来扩大使用ALBD模型和社会生态框架。
