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为新兴成年促进者提供基于学校的健康计划的影响:一项准对照临床试验。

The Impact of Delivering School-Based Wellness Programs for Emerging Adult Facilitators-A Quasi-Controlled Clinical Trial.

机构信息

Department of Nutritional Sciences, Tel-Hai College, Upper Galilee 1220800, Israel.

Shahaf, Community Based Facility for Body Image and Eating, Ganey Hadar 7683000, Israel.

出版信息

Int J Environ Res Public Health. 2022 Apr 2;19(7):4278. doi: 10.3390/ijerph19074278.

Abstract

A quasi-controlled clinical trial included a university-based supervision course for facilitators of an interactive wellness school-based program. The study aimed to investigate how students that facilitate prevention programs are personally affected by delivering content related to self-esteem, body-image, and media literacy. In total, 66 university students who were either facilitators of preventive programs (intervention group) or non-facilitators (comparison group) completed questionnaires before, after, and three months following the program’s termination. All methods were performed following the Declaration of Helsinki regulations and Consort 2010 guidelines. Participants in the facilitator group demonstrated statistically significant superiority, with large effect size, regarding improvement in identifying advertisement strategies. Weight-related body-esteem, and the reduced impact of media messages’ pressure also had statistically significant superiority, with small effect size. The number of participants with pathological EAT-26 scores (>20) decreased from 5 to 2 in the facilitator group compared to an increase from 5 to 6 (no statistical significance) in the comparison group. Both groups demonstrated statistically significant decreases in eating disorder perceptions and behaviors from baseline to 3-month follow-up. Delivering a prevention program proved beneficial to facilitators, in addition to the target school pupils, and thus may be considered as part of the prevention programs’ effectiveness assessment.

摘要

一项准对照临床试验纳入了一项基于大学的干预者监督课程,以促进互动式健康学校项目。本研究旨在探究参与预防项目的学生在传递与自尊、身体意象和媒体素养相关内容时,个人会受到何种影响。共有 66 名大学生参与了该研究,他们或是预防项目的干预者(干预组),或是非干预者(对照组),在项目结束前、结束后以及结束后三个月分别完成了问卷调查。所有方法均遵循赫尔辛基宣言规定和 CONSORT 2010 指南进行。干预组在识别广告策略、体重相关的身体自尊、减少媒体信息压力方面的改善方面具有统计学上的显著优势,且具有较大的效应量。与对照组相比(从 5 人增加到 6 人,无统计学意义),干预组中 EAT-26 得分(>20)异常的参与者人数从 5 人减少到 2 人,具有统计学意义。两组在饮食障碍观念和行为方面均从基线到 3 个月随访时呈现出统计学显著下降。除了目标学校的学生,开展预防项目对干预者也有益处,因此可将其视为预防项目效果评估的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62d/8998311/925454a7a9da/ijerph-19-04278-g001.jpg

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