Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Warwick Business School, Warwick University, Coventry, UK.
Health Soc Care Community. 2022 Nov;30(6):2392-2403. doi: 10.1111/hsc.13773. Epub 2022 Mar 8.
The Healthy Eating, Active Living Matters (HEALing Matters) program is being scaled up across residential out-of-home care (OOHC) in Victoria, Australia and is providing young people with the knowledge, skills and resources to promote better health through healthy eating and activity. HEALing Matters was piloted as the HEAL program, a dual-intervention program that aimed to provide young people living in residential care with education and opportunities to improve their eating and physical activity habits, while simultaneously building the capacity of their carers to promote, encourage and role model healthy lifestyle behaviours. Qualitative findings indicated that HEAL resulted in increased participation in community sport, increased availability of sports equipment, healthy meal preparation and healthy food availability and improvements in perceived young person self-esteem and independent living skills. Findings also revealed some limitations of the program. Following the pilot, a participatory methodological approach was used to better understand how to align the HEAL program with individual and community needs. This approach engaged diverse stakeholders to better understand the barriers and enablers, address limitations, identify key intervention points and build trust and a shared vision to co-design the HEALing Matters program. HEALing Matters is now delivered within a framework that is informed by attachment, trauma and resilience theories. This paper outlines the HEALing Matters journey from what matters, to what works, to what translates in relation to a healthy eating and active living intervention in OOHC.
健康饮食、积极生活 matters（HEALing Matters）计划正在澳大利亚维多利亚州的寄宿式家庭外托育（OOHC）中扩大规模，并为年轻人提供知识、技能和资源，通过健康饮食和活动促进更好的健康。HEALing Matters 作为 HEAL 计划进行了试点，该计划是一项双重干预计划，旨在为居住在寄宿护理中的年轻人提供教育和机会，以改善他们的饮食和体育锻炼习惯，同时提高照顾者的能力，以促进、鼓励和树立健康生活方式行为的榜样。定性研究结果表明，HEAL 促进了社区体育的参与度增加、体育设备的可用性增加、健康膳食的准备和健康食品的供应增加，以及年轻人自尊心和独立生活技能的提高。研究结果还揭示了该计划的一些局限性。试点结束后，采用了参与式方法来更好地了解如何使 HEAL 计划与个人和社区的需求保持一致。这种方法使不同的利益相关者参与进来，以更好地了解障碍和促成因素，解决局限性，确定关键干预点，并建立信任和共同愿景，共同设计 HEALing Matters 计划。HEALing Matters 现在是在一个框架内进行的，该框架以依恋、创伤和恢复力理论为依据。本文概述了从重要的事情到有效的事情，再到在 OOHC 中进行健康饮食和积极生活干预方面转化的 HEALing Matters 之旅。
