Shams-White Marissa M, Cuccia Alison, Ona Fernando, Bullock Steven, Chui Kenneth, McKeown Nicola, Must Aviva
Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
Cancer Prevention Fellowship Program, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.
Environ Health Insights. 2019 Jul 12;13:1178630219862231. doi: 10.1177/1178630219862231. eCollection 2019.
The US Army Public Health Center developed the Creating Active Communities and Healthy Environments (CACHE) Toolkit to help military installations evaluate the quality of their built environments relative to healthy eating, physical activity, and tobacco-free living. This study sought to improve its implementation process and assess subsequent Action Plan Guides' utility at 5 military installations. Baseline data included a knowledge, attitudes, and beliefs survey (N = 34); post-Toolkit implementation data included focus groups (N = 2) and interviews (N = 10). Although >80% of participants agreed the built environment affects healthy living, only 44%, 53%, and 35% agreed their installations' built environments promoted healthy eating, physical activity, and tobacco-free living, respectively. Emerging themes comprised "Opportunities to Improve Toolkit and Action Plan Guide Functionality," the "Sociopolitical Landscape Affects Toolkit Implementation," and the "Sociopolitical and Physical Landscapes Affect the Toolkit's Value and Utility." This study provides concrete lessons for the CACHE Toolkit and other public health-based military initiatives.
美国陆军公共卫生中心开发了“创建活跃社区与健康环境（CACHE）工具包”，以帮助军事设施评估其建筑环境在促进健康饮食、体育活动和无烟生活方面的质量。本研究旨在改进其实施过程，并评估后续行动计划指南在5个军事设施中的效用。基线数据包括一项知识、态度和信念调查（N = 34）；工具包实施后的数据包括焦点小组（N = 2）和访谈（N = 10）。尽管超过80%的参与者认为建筑环境会影响健康生活，但分别只有44%、53%和35%的参与者认为其所在军事设施的建筑环境促进了健康饮食、体育活动和无烟生活。新出现的主题包括“改进工具包和行动计划指南功能的机会”、“社会政治环境影响工具包实施”以及“社会政治和自然环境影响工具包的价值和效用”。本研究为CACHE工具包和其他基于公共卫生的军事举措提供了具体经验教训。
