Strong Teens for Healthy Schools Change Club: A civic engagement approach to improving physical activity and healthy eating environments

健康学校的坚强青少年改变俱乐部：改善身体活动和健康饮食环境的公民参与方法

• 批准号: 10706629
• 负责人: Alexandra L MacMillan Uribe
• 金额: $ 30.3万
• 依托单位: TEXAS A&M AGRILIFE RESEARCH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-19 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10706629
• 关键词: Address; Administrator; Adolescence; Adult; Advisory Committees; Affect; Behavior; Cardiovascular Diseases; Caring; Child; Collection; Communities; Competence; Consumption; Data Analyses; Development; Disease Outcome; Eating Behavior; Educational Curriculum; Effectiveness; Effectiveness of Interventions; Environment; Evidence based intervention; Focus Groups; Food; Fostering; Funding; Goals; Health; Health Food; Health Policy; Health Promotion; Health behavior; Health behavior and outcomes; Healthy Eating; Individual; Intervention; Interview; Leadership; Life Cycle Stages; Metabolic syndrome; Middle School Student; Modeling; Neighborhoods; Outcome; Overweight; Participant; Pattern; Physical activity; Play; Policies; Population; Prevalence; Preventive service; Process; Randomized, Controlled Trials; Recommendation; Risk; Risk Factors; Role; Rural Community; Schools; Socioeconomic Status; Students; Teenagers; Testing; United States; United States National Institutes of Health; Weight; Youth; cardiovascular disorder risk; catalyst; community engagement; dietary; effective intervention; effectiveness evaluation; empowerment; environmental change; ethnic diversity; evidence base; food environment; fruits and vegetables; healthy weight; improved; junior high school; low socioeconomic status; novel; nutrition; obesity prevention; peer; peer support; positive youth development; post intervention; programs; racial diversity; rural underserved; school health; seventh grade; sixth grade; skills; social; teacher; theories

Abstract One in three youth in the United States are overweight, and 85% of all overweight youth have at least one Metabolic Syndrome (MetS) risk factor that increases their chance of developing cardiovascular disease. Comprehensive school- and evidence-based interventions (EBIs) that focus on students’ physical activity and fruit and vegetable consumption can reduce a school’s prevalence of overweight students by up to 8%. Additionally, multi-level interventions that target school health environments may be more effective than interventions that focus on individuals alone. Currently, there is an absence of multi-level EBIs for middle school students that address both physical activity and healthy eating behaviors and environments. Strong Teens for Healthy Schools Change Club (STHS-CC) is a novel, multi-level, and theory-based civic engagement program that equips and supports middle school students in racially/ethnically diverse, Title 1 middle schools to make a positive food and physical activity environmental change and personally engage in physical activity and healthy eating behaviors to reduce their MetS risk. This study utilizes a community advisory board to engage Cooperative Extension agents, 4-H staff, school administrators, teachers, and students in the refinement of STHS-CC for the middle school setting. Once refined, the community advisory board oversees the delivery and testing of STHS-CC using traditional and collaborative data analysis processes (e.g., Photovoice) in a pilot cluster-randomized controlled trial (n=20 schools; 20-25 participants per school). At the individual level, this study tests STHS-CC’s effectiveness for improving students’ MetS risk factors and positive youth development outcomes (i.e., competence, confidence, character, connection, and caring). At the social level, this study evaluates peers’ support for and participation in physical activity and healthy eating behaviors. At the environmental level, this study evaluates the physical, situational, and policy aspects of schools’ physical activity and nutrition environments. Long-term, the goal of this body of work is to motivate middle school students to improve their physical activity and nutrition behaviors and environments through a student led EBI that is part of a collection of comprehensive school-based health promotion programs. If effective, STHSCC has the potential to be disseminated through schools, Cooperative Extension networks, and 4-H organizations statewide and nationally.

抽象的 美国三分之一的年轻人超重，全年有85％的年轻人至少有一个 代谢综合征（METS）危险因素增加了他们患心血管疾病的机会。 全面的学校和基于证据的干预措施（EBI），专注于学生的体育锻炼和 水果和蔬菜的消费量可以使学校的超重学生的患病率最多减少8％。 此外，针对学校健康环境的多层次干预措施可能比 专注于个人的干预措施。目前，中间没有多级EBI 既应对体育锻炼和健康饮食行为和环境的学生。强的 健康学校变革俱乐部（STHS-CC）的青少年是一种新颖，多层次，基于理论的公民参与 计划和支持种族/种族潜水员的中学学生，标题1中学 进行积极的食物和体育锻炼环境变化，个人从事体育锻炼 和健康的饮食行为，以降低其大都会的风险。这项研究利用社区顾问委员会 参与合作扩展代理，4-H的员工，学校管理人员，教师和学生参与 在中学环境中对STHS-CC的细化。一旦完善，社区顾问委员会监督 使用传统和协作数据分析过程（例如， 在一项飞行员集群随机对照试验中（n = 20所学校；每学校20-25名参与者）。在 个人级别，这项研究测试了STHS-CC在改善学生大都会风险因素和积极因素方面的有效性 青年发展成果（即能力，信心，性格，联系和关怀）。在社会上 水平，这项研究评估了同龄人对体育活动和健康饮食行为的支持和参与。 在环境层面，本研究评估了学校身体的身体，情况和政策方面 活动和营养环境。长期，这项工作的目标是激励中学 学生通过学生LED改善其体育锻炼和营养行为和环境 EBI是全面的基于学校的健康促进计划的一部分。如果有效，STHS CC有可能通过学校，合作推广网络和4-H传播 组织在全州和全国范围内。