一项关于大学校园内减肥项目需求及可行性的定性研究。
A qualitative investigation of the need for and feasibility of weight loss programs on university campuses.
机构信息
Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.
College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
出版信息
Obes Res Clin Pract. 2022 Jan-Feb;16(1):72-81. doi: 10.1016/j.orcp.2021.11.003. Epub 2022 Jan 5.
BACKGROUND
Despite the public health significance of overweight and obesity, weight management has remained a low priority for health-related programming on university campuses.
OBJECTIVE
Investigate the need for and feasibility of implementing university-based weight loss programs.
METHODS
The Practical, Robust Implementation and Sustainability Model (PRISM) was used as a framework. Semi-structured individual interviews were conducted with fifteen university staff and students from two large U.S. universities in the Northeast and Mid-Atlantic. Interviews aimed to assess readiness, preferences, characteristics, barriers and facilitators in each of the four adapted PRISM domains: (1) Organizational and Recipient (Student) Perspectives on the Intervention, (2) Recipient (Student) Characteristics, (3) Internal Environment (organizational characteristics and infrastructure), and (4) External Environment. Verbatim transcriptions were analyzed using inductive and deductive thematic analyses. Themes were extracted as outlined by Consensual Qualitative Research.
RESULTS
Participants supported university-based weight loss programs, but recognized barriers of resources, coordination across entities, and competing health issues taking priority for school programming. Campus built environment and students' busy schedules were identified as barriers to maintaining healthy weight and participation in weight loss programs. Recommendations included designing weight loss programming with a positive and holistic approach, minimizing weight-stigma, ensuring support from university leaders and students, and securing external funding.
CONCLUSIONS
The identified themes provide recommendations for universities looking to develop and implement weight loss programming.
背景
尽管超重和肥胖对公众健康意义重大，但体重管理在大学校园的健康相关规划中仍然是一个低优先级事项。
目的
调查在大学校园内实施基于大学的减肥计划的必要性和可行性。
方法
使用实用、稳健实施和可持续性模型（PRISM）作为框架。对来自美国东北部和大西洋中部的两所大型大学的 15 名大学工作人员和学生进行了半结构化的个人访谈。访谈旨在评估每个四个适应的 PRISM 领域的准备情况、偏好、特征、障碍和促进因素：（1）干预措施的组织和接收者（学生）观点，（2）接收者（学生）特征，（3）内部环境（组织特征和基础设施），以及（4）外部环境。使用归纳和演绎主题分析对逐字转录进行分析。根据共识定性研究的概述提取主题。
结果
参与者支持基于大学的减肥计划，但认识到资源、跨实体协调以及优先考虑学校编程的竞争健康问题等障碍。校园建筑环境和学生忙碌的日程安排被确定为保持健康体重和参与减肥计划的障碍。建议包括设计减肥计划采用积极和整体的方法，尽量减少体重歧视，确保得到大学领导和学生的支持，并确保获得外部资金。
结论
确定的主题为希望开发和实施减肥计划的大学提供了建议。
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