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在小学中共同制定和实施健康零食政策:来自辛特拉健康成长的研究数据。

Co-Creation and Implementation of a Healthy Snacks Policy in Primary Schools: Data from Sintra Grows Healthy.

机构信息

Laboratório de Nutrição, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, Edifício Reynaldo dos Santos, Piso 4, 1649-028 Lisboa, Portugal.

Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, Edifício Egas Moniz, 1649-028 Lisboa, Portugal.

出版信息

Nutrients. 2024 Oct 4;16(19):3374. doi: 10.3390/nu16193374.

Abstract

Policy interventions in the school food environment can improve dietary behaviors. However, the literature describing its development and implementation is scarce. This manuscript aims to describe the process of co-creation, implementation, monitoring, and evaluation of a Healthy Snacks Policy, in the scope of Sintra Grows Healthy intervention. Through a community-based participatory research methodology, the co-creation of the Healthy Snacks Policy comprises six stages: snacks evaluation, feedback sessions, class assemblies, school community assemblies, school cluster policy approval, and process evaluation. Within one school year, a Healthy Snacks Policy was co-created, approved, incorporated in the school regulations, implemented, continuously monitored, and evaluated. Regarding snacks evaluation, 1900 snacks were evaluated at the beginning of the school year and 1079 at the end of the school year. There were three feedback sessions, twenty-two class assemblies, and three school community assemblies. Most teachers perceived that children began to consume healthier snacks (72%); 66% of the children were considered to have started eating healthier; and most families said "yes or sometimes" when asked whether their children started requesting healthier snacks (70%), trying new foods (63%), and noticing improvements in their eating habits (74%). The co-creation of a Healthy Snacks Policy establishes an approach to effectively implement existing guidelines for school food supplies, complying with national priority implementation recommendations.

摘要

政策干预学校食品环境可以改善饮食行为。然而,描述其发展和实施的文献却很少。本文旨在描述 Sintra Grows Healthy 干预范围内的一项健康零食政策的共同制定、实施、监测和评估过程。通过基于社区的参与式研究方法,健康零食政策的共同制定包括六个阶段:零食评估、反馈会议、班会、学校社区大会、学校集群政策批准和过程评估。在一个学年内,共同制定、批准、纳入学校规定、实施、持续监测和评估了健康零食政策。在零食评估方面,本学年开始时评估了 1900 种零食,学年结束时评估了 1079 种。共举行了三次反馈会议、二十二次班会和三次学校社区大会。大多数教师认为孩子们开始食用更健康的零食(72%);66%的孩子被认为开始吃得更健康;大多数家庭在被问及孩子是否开始要求更健康的零食(70%)、尝试新食物(63%)以及注意到饮食习惯的改善(74%)时表示“是”或“有时”。健康零食政策的共同制定为有效实施现有的学校食品供应指南提供了一种方法,符合国家优先实施建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f842/11478851/700952419f76/nutrients-16-03374-g001.jpg

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