Chaiopanont Sompong
J Med Assoc Thai. 2016 Aug;99(8):853-60.
To evaluate the outcome of a program on behavioral change to control weight on overweight and obese students at a primary school in 2013. The present study aimed to find whether the Knowledge Attitude Practice (KAP) and behavior on weight control from the behavioral change program were sustained.
This cross-sectional study was performed on overweight and obesity (OWOB) students in a primary school between June 2013 and July 2016. At the first visit in 2013, the affected students, parents, health education teachers, and food retailers were educated about the Behavior Change Program. They were then given 3-month interventions. Weight and height of the participants were recorded before and after interventions. The present study collected information on behaviors and factors associated with weight control of the affected students and parents at the two schools in July 2016 for comparison. Descriptive statistics, independent t-test, and Chi-square test were used for analysis.
Review of the Behavior Change Program in 2013 showed that after three months-interventions 18% and 24% of 50 students had reduction and weight stability, respectively. The present study could follow 45 students. The comparison group consists of 50 students from another school who were matched by private-own type included capacity of the school, students of the same age group, and study classes. The analysis showed that three years after the program, the intervention group had more interest in weight control, and scored higher on food consumption behavior. Parents of the intervention group were older, had higher education, chronic illness, knowledge scores on food consumption and physical activities, and had higher parental attitude scores.
The behavior change program resulted in 42% weight control. The present study found that sustained behavior and significant factors were personal factor (interest to control weight), behavioral factor about food consumption, and parental factors of older age, more chronic illness, higher education, better knowledge on food consumption and physical activities, and better attitude.
评估2013年一项针对某小学超重和肥胖学生的行为改变以控制体重项目的结果。本研究旨在探究行为改变项目中关于体重控制的知识、态度、实践（KAP）及行为是否得以维持。
这项横断面研究于2013年6月至2016年7月在某小学的超重和肥胖（OWOB）学生中开展。2013年首次就诊时，对受影响的学生、家长、健康教育教师和食品零售商进行了行为改变项目相关教育。随后他们接受了为期3个月的干预。记录干预前后参与者的体重和身高。本研究于2016年7月收集了两所学校受影响学生及其家长与体重控制相关的行为和因素信息以作比较。采用描述性统计、独立t检验和卡方检验进行分析。
2013年行为改变项目回顾显示，50名学生经过3个月干预后，分别有18%体重减轻，24%体重稳定。本研究能够追踪到45名学生。对照组由来自另一所学校的50名学生组成，这些学生按私立学校类型匹配，包括学校规模、同年龄组学生及班级。分析表明，项目开展三年后，干预组对体重控制更感兴趣，在食物消费行为方面得分更高。干预组家长年龄更大、受教育程度更高、患有慢性病、在食物消费和体育活动方面知识得分更高，且家长态度得分更高。
行为改变项目实现了42%的体重控制。本研究发现，持续的行为及重要因素包括个人因素（控制体重的兴趣）、食物消费行为因素以及家长因素，如年龄较大、慢性病较多、受教育程度较高、对食物消费和体育活动知识掌握更好以及态度更好。
