基于学校的 Girls Active 项目的过程评估。
Process evaluation of the school-based Girls Active programme.
机构信息
School of Health, Social Care and Life Sciences, Inverness, IV2 3JH, UK.
University of Leicester, Diabetes Research Centre, Leicester General Hospital, Leicester, LE5 4PW, UK.
出版信息
BMC Public Health. 2019 Aug 29;19(1):1187. doi: 10.1186/s12889-019-7493-7.
BACKGROUND
Girls Active is a physical activity programme, delivered in UK secondary schools, with the aim of increasing moderate-to-vigorous physical activity (MVPA) in girls aged 11-14 years. This study presents the process evaluation as part of a 14-month cluster randomised controlled trial designed to evaluate the effectiveness of the Girls Active programme and which showed no difference in the primary outcome (MVPA at 14 months) between intervention and control arms.
METHODS
Quantitative and qualitative data were collected from intervention schools over the course of the 14 month trial. Feedback forms and attendance records were completed at the end of all teacher and peer leader training and review days. At 7- and 14-months, semi-structured interviews were conducted with the lead Girls Active teacher in all intervention schools (n = 10) and staff from the intervention provider (n = 4) and hub school (n = 1). At 14 months, separate focus groups with peer leaders (n = 8 schools), girls who participated in the evaluation component of the trial (n = 8 schools), and a sample of boys (n = 6 schools) were conducted. All participants in the intervention schools were asked to complete an exit survey at 14 months. Teachers (intervention and control) completed a school environment questionnaire at baseline, 7- and 14-months.
RESULTS
The Girls Active programme, i.e., the training and resources, appeared to be well received by teachers and pupils. Factors that may have contributed to the lack of effectiveness include: some initial uncertainty by teachers as to what to do following the initial training, a predominant focus on support activities (e.g., gathering opinions) rather than actual physical activity provision, and school-level constraints that impeded implementation.
CONCLUSIONS
Girls Active and what it was trying to achieve was valued by schools. The programme could be improved by providing greater guidance to teachers throughout, the setting of timelines, and providing formal training to peer leaders.
TRIAL REGISTRATION
ISRCTN, ISRCTN10688342 . Registered 12 January 2015.
背景
Girls Active 是一项在英国中学开展的体育活动项目，旨在增加 11-14 岁女孩的中高强度身体活动（MVPA）。本研究呈现了该项目的过程评估部分，这是一项为期 14 个月的群组随机对照试验的一部分，旨在评估 Girls Active 项目的有效性，该试验在主要结局（14 个月时的 MVPA）上并未显示出干预组与对照组之间的差异。
方法
在 14 个月的试验过程中，从干预学校收集了定量和定性数据。在所有教师和同伴领袖培训和审查日结束时，填写反馈表和出勤记录。在 7 个月和 14 个月时，对所有干预学校的首席 Girls Active 教师（n=10）以及干预提供者（n=4）和中心学校（n=1）的工作人员进行了半结构化访谈。在 14 个月时，还对同伴领袖（n=8 所学校）、参加试验评估部分的女孩（n=8 所学校）和部分男孩（n=6 所学校）进行了单独的焦点小组讨论。干预学校的所有参与者都被要求在 14 个月时完成一份退出调查。教师（干预组和对照组）在基线、7 个月和 14 个月时填写了学校环境问卷。
结果
Girls Active 项目，即培训和资源，似乎受到教师和学生的欢迎。可能导致缺乏效果的因素包括：教师在初始培训后最初对做什么感到不确定，主要关注支持活动（例如收集意见）而不是实际的体育活动提供，以及阻碍实施的学校层面的限制。
结论
Girls Active 及其试图实现的目标受到学校的重视。通过在整个过程中为教师提供更多指导、设定时间表以及为同伴领袖提供正式培训，可以改进该项目。
试验注册
ISRCTN，ISRCTN10688342。于 2015 年 1 月 12 日注册。
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