评估密歇根州中部资源有限学区的影响干预-情境契合度。

IF 1.8 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH
Rebecca E Hasson, Michele Marenus, Amy Wassmann, Andria B Eisman, Thomas Templin, Lexie R Beemer, Tiwaloluwa A Ajibewa, Anna Schwartz, Lynn Malinoff, Ronald F Zernicke
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引用次数: 0

摘要

背景:许多以学校为基础的体育活动(PA)干预措施在实施时没有充分评估其情境契合度,这可能会阻碍其有效性和可持续性,最终降低其对学生健康和福祉的影响。本研究旨在评估在一个资源有限的中级学区(ISD;包括密歇根州中部的16个地区和32所小学。方法:2020-2021年,由区域学校卫生协调员和ISD支持人员使用Hexagon讨论和分析工具进行评估。在李克特5分量表上,对需要、适合、支持、证据、可用性和能力进行了评分。结果:第一次评估得分为19/30;第二次评估得分为28/30,表明一年内健康度增加了47%。实地记录显示,由于2019冠状病毒病期间机会有限,对校本PA的需求日益增长。支助、适宜性、证据、可用性和能力方面的改进与区域学校卫生协调员的知识和能力的提高有关。对学校卫生政策、实践和公平的影响:干预措施与环境之间最初的不一致突出了在资源有限的学校中解决环境障碍以有效促进PA公平的重要性。结论:通过进行多重评估,学校可以识别和解决干预适合的障碍,增加准备和成功实施的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating InPACT Intervention-Context Fit in Resource-Limited School Districts in Central Michigan.

Background: Many school-based physical activity (PA) interventions are implemented without adequately assessing their contextual fit, which can hinder their effectiveness and sustainment, ultimately reducing their impact on student health and well-being. This study aimed to assess the pre-implementation fit of the Interrupting Prolonged Sitting with ACTivity (InPACT) classroom PA intervention in one resource-limited intermediate school district (ISD; encompassing 16 local districts and 32 elementary schools) in central Michigan.

Methods: Assessments were conducted by the regional school health coordinator and ISD support staff during 2020-2021, using the Hexagon Discussion and Analysis Tool. Ratings on a 5-point Likert scale were totaled for need, fit, support, evidence, usability, and capacity.

Results: The first assessment score was 19/30; the second assessment score was 28/30, indicating a 47% increase in fit over a year. Field notes revealed a growing need for school-based PA due to limited opportunities during COVID-19. Improvements in support, fit, evidence, usability, and capacity were linked to enhanced knowledge and capacity of the regional school health coordinator.

Implications for school health policy, practice, and equity: The initial misalignment between intervention and context highlights the importance of addressing contextual barriers in resource-limited schools to effectively promote PA equity.

Conclusions: By conducting multiple assessments, schools can identify and address barriers to intervention fit, increasing readiness and the likelihood of successful implementation.

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来源期刊
Journal of School Health
Journal of School Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.70
自引率
9.10%
发文量
134
审稿时长
6-12 weeks
期刊介绍: Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.
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