School of Public Health, University of Alberta, 3-50 University Terrace, 8303-112 Street, Edmonton, AB, T6G 2T4, Canada.
Department of Secondary Education, Faculty of Education, University of Alberta, 350 Education Centre South, 11210 - 87 Ave, Edmonton, Alberta, T6G 2G5, Canada.
BMC Public Health. 2020 Aug 25;20(1):1279. doi: 10.1186/s12889-020-09369-y.
After-school care programs have garnered interest in recent years as the hours of 3:00-6:00 p.m. are an opportune time for children to engage in healthy behaviours, specifically healthy eating and physical activity. Care providers are major influencers within the after-school care setting, impacting health promoting opportunities for children. However, little is known regarding the role care providers play in health promotion interventions in the after-school care setting, specifically those using comprehensive approaches. The purpose of this research was to explore care providers' role and experience promoting healthy eating and physical activity through the after-school care health promotion intervention School's Out … Let's Move (SOLMo). SOLMo was guided by the evidence-based comprehensive school health framework. SOLMo had two main goals: [1] to serve a healthy snack with vegetable or fruit, and milk or water as the drink; [2] to include 30 min of moderate to vigorous physical activity. The intervention included resources and coaching for care providers to promote healthy eating and physical activity for children and took place in four after-school sites over a six-month period. Three of four sites were located in a school. The primary researcher was engaged with the sites over 22-months.
This research was guided by the qualitative method focused ethnography. Semi-structured interviews with care providers (n = 13) taking part in SOLMo were conducted. Participant observation was included as part of data generation to further understand care provider roles. Latent content analysis was utilized iteratively and concurrently throughout data generation.
Overall, care providers were supportive of promoting health behaviours in the after-school setting. Through analysis, five themes and eight subthemes emerged related to care providers' role and experience promoting healthy eating and physical activity through SOLMo: 1) enhanced awareness; 2) improved programming; 3) strong relationships; 4) collaborative approach; and 5) role tension.
As major influencers, care providers play a crucial role in promoting healthy lifestyle behaviours for children. This research provides valuable insight into this role and the implementation of comprehensive health promotion approaches in the after-school setting. Findings contribute to the implementation knowledge base and help inform the promotion of healthy lifestyle behaviours for children.
近年来，3 点至 6 点的课后时间成为孩子们养成健康行为（尤其是健康饮食和身体活动）的黄金时段，因此课后托管项目受到了关注。托管服务提供者是课后托管环境中的主要影响者，他们影响着儿童促进健康的机会。然而，对于托管服务提供者在课后托管环境中促进健康的作用，特别是在使用综合方法的情况下，人们知之甚少。本研究旨在探索托管服务提供者在通过课后健康促进干预措施 School's Out...Let's Move（SOLMo）促进健康饮食和身体活动方面的作用和经验。SOLMo 以循证综合学校健康框架为指导。SOLMo 有两个主要目标：[1]提供健康零食，配以蔬菜或水果和牛奶或水作为饮品；[2]包括 30 分钟的中等到剧烈的身体活动。该干预措施包括为托管服务提供者提供资源和指导，以促进儿童的健康饮食和身体活动，为期六个月，在四个课后场所开展。其中三个场所位于一所学校。主要研究者在 22 个月内与各个场所保持联系。
本研究以注重民族志的定性方法为指导。对参与 SOLMo 的托管服务提供者（n=13）进行了半结构化访谈。参与者观察被纳入数据生成的一部分，以进一步了解托管服务提供者的角色。在数据生成过程中，使用潜在内容分析法进行迭代和并发分析。
总体而言，托管服务提供者支持在课后环境中促进健康行为。通过分析，出现了五个主题和八个子主题，涉及托管服务提供者在通过 SOLMo 促进健康饮食和身体活动方面的角色和经验：1）增强意识；2）改善编程；3）良好的关系；4）协作方法；5）角色紧张。
作为主要影响者，托管服务提供者在促进儿童健康生活方式行为方面发挥着至关重要的作用。本研究深入了解了这一角色以及在课后环境中实施综合健康促进方法的情况。研究结果为实施知识基础做出了贡献，并有助于为儿童促进健康的生活方式行为提供信息。
