在一所中学实施促进健康进程的可行性研究，以及如何了解其对青少年生活方式选择的影响

IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice Pub Date : 2025-02-15 DOI:10.1016/j.puhip.2025.100591

C.A. Forbes , A.J. Williams , K. Wyatt

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引用次数: 0

摘要

目的：学校是影响青少年健康选择的环境；将学校理解为复杂的适应性系统，我们开发了一系列适应学校环境的过程，以支持学校为促进健康创造条件。本研究的目的是确定捕获实施健康促进学校（HPS）过程的影响的可行性和可接受性。研究设计可行性研究。方法在英国有目的地选择一所免费供餐（FSM）分配较高的中学来实施HPS流程，其中包括年度学校审计。我们制作了一份调查问卷，记录生活方式行为和学校文化，在审计前和审计后9个月完成。描述性分析分析了问卷的回答，以了解它是否捕获了审计的类似反应。干预后对工作人员的访谈和对学生的焦点小组评估了干预和研究设计的可接受性和实用性。结果HPS流程于2022年9月~ 2023年9月实施。学生（n = 337）、家庭（n = 49）和工作人员（n = 22）分别在2022年11月和2023年11月完成了学校审计。237名学生在基线（2022年9月）完成了生活方式和学校问卷，210名学生在随访（2022年6月）完成了问卷。在最初的学校审计之后，改善学校食品的需求被确定并成为学校的重点；第二次审计的结果反映出学生对食品供应的看法出现了小的积极变化。使用问卷获取生活方式和学校文化数据是可行的，最初的问卷也捕获了与食物相关的优先级。然而，学校环境变化的实施时间意味着这在后续问卷调查结果中没有被捕获。结论本研究表明，在学校开展青少年生活方式选择问卷调查是可行的。这些发现还表明，实施一套HPS过程是可行和可接受的。需要更多的研究来证明对个人健康行为的影响。

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Feasibility study of the implementation of health promoting processes in a secondary school and ways to capture its impact on adolescent lifestyle choices

Objectives

Schools are environments that influence adolescent health choices; understanding schools as complex adaptive systems, we have developed a series of processes that are adaptive to the school context, to support schools to create the conditions for health promotion. The aim of this study was to determine the feasibility and acceptability of capturing the impact of implementing the health promoting school (HPS) process.

Study design

feasibility study.

Methods

A purposefully selected secondary school in England, with high Free School Meal (FSM) allocation, was recruited to implement the HPS processes, which includes an annual school audit. We developed a questionnaire, to capture lifestyle behaviours and school culture, completed before the audit and 9 months after. Descriptive analysis analysed the questionnaire responses to understand whether it captured similar responses to the audit. Post intervention interviews with staff and a focus group with students assessed the acceptability and practicality of the intervention and study design.

Results

The HPS processes were implemented September 2022–September 2023. Students (n = 337), families (n = 49) and staff (n = 22) completed the school audit in November 2022 and November 2023. 237 students completed The Lifestyle and School Questionnaire at baseline (September 2022) and 210 at follow-up (June 2022). Following the initial school audit, the need to improve the school food was identified and became the school focus; results from the second audit reflected a small positive shift in students’ opinion of food provision. It was feasible to capture lifestyle and school culture data using the questionnaire and the same food related priority was captured by the initial questionnaire. However, the timing of the implementation of the changes to the school context meant that this was not captured in the follow up questionnaire results.

Conclusion

This study demonstrates that it is possible to administer questionnaires regarding adolescent lifestyle choices in schools. These findings also suggest that it is feasible and acceptable to implement a set of HPS processes. More research is needed to demonstrate an impact on individual health behaviours.

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