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一项东米德兰郡 2021 年夏季假期活动和食品项目的混合方法过程评价,重点介绍了项目协调员、供应商和家长的观点。

A mixed-method process evaluation of an East Midlands county summer 2021 holiday activities and food programme highlighting the views of programme co-ordinators, providers, and parents.

机构信息

Centre for Physical Activity and Life Sciences, University of Northampton, Northampton, United Kingdom.

Centre for Sport and Exercise Life Science, Coventry University, Coventry, United Kingdom.

出版信息

Front Public Health. 2022 Aug 18;10:912455. doi: 10.3389/fpubh.2022.912455. eCollection 2022.

Abstract

BACKGROUND

The Holiday Activities and Food (HAF) Programme is a UK Government initiative created to alleviate food insecurity and promote health and well-being among children and their families, who are eligible for Free School Meals (FSM), during the school holidays. This process evaluation investigated factors that facilitated and acted as a barrier to the delivery of the HAF Programme from the perspectives of key stakeholders (Co-ordinators, Providers, and Parents) involved in the HAF Programme across an East Midlands county.

METHODS

This evaluation utilized a mixed-methods approach, incorporating focus groups and online surveys to gain rich, multifaceted data. The focus groups were analyzed using a hybrid inductive-deductive thematic analysis and the online surveys were analyzed using mixed-methods approach due to the variation in question type (i.e., quantitative, Likert scale and open response) to align themes to the Government Aims and Standards of the HAF Programme.

FINDINGS

The stakeholders highlighted several factors that facilitated and acted as a barrier to the delivery of the HAF Programme. Facilitating factors included existing and maintaining relationships between Co-ordinators, Providers, and facilities/schools/communities as this improved communication and attendance. Additionally, transport provision for those attending the Programme helped overcome barriers to attendance. The primary barrier of the Programme was the late awarding of the Programme contract as this limited the time available to prepare and organize the Programme. This in turn, had several "knock on" effects that created more barriers and resulted in some of the Government Aims and Standards not being met such as, nutrition education for children and parents. Despite the challenges faced, Co-ordinators and Providers were able to deliver the Programme and positively impact upon the children and their families that attended the Programme.

CONCLUSION

Following the facilitators and barriers that were highlighted in this evaluation, several recommendations have been made to enhance the delivery of the HAF Programme and ensure Government Aims and Standards, to improve children and family's health and well-being, are attained.

摘要

背景

假日活动和食品(HAF)计划是英国政府的一项倡议,旨在缓解有资格享受免费校餐(FSM)的儿童及其家庭在学校假期期间的粮食不安全问题,并促进他们的健康和福祉。本过程评估从参与东米德兰郡 HAF 计划的主要利益相关者(协调员、提供者和家长)的角度调查了促进和阻碍 HAF 计划实施的因素。

方法

本评估采用混合方法,结合焦点小组和在线调查,获取丰富、多方面的数据。使用混合方法分析焦点小组,采用混合方法分析在线调查,因为问题类型(即定量、李克特量表和开放式回答)不同,以将主题与 HAF 计划的政府目标和标准保持一致。

结果

利益相关者强调了促进和阻碍 HAF 计划实施的几个因素。促进因素包括协调员、提供者和设施/学校/社区之间现有的和维持的关系,因为这可以改善沟通和出勤率。此外,为参加该计划的人提供交通服务有助于克服出勤障碍。该计划的主要障碍是计划合同的授予时间较晚,这限制了筹备和组织计划的可用时间。这反过来又产生了一些“连锁”效应,造成了更多的障碍,导致一些政府目标和标准无法实现,例如儿童和家长的营养教育。尽管面临挑战,协调员和提供者仍能够实施该计划,并对参加该计划的儿童及其家庭产生积极影响。

结论

根据本评估中强调的促进因素和障碍,提出了一些建议,以增强 HAF 计划的实施,并确保实现政府目标和标准,从而改善儿童和家庭的健康和福祉。

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