- 期刊
The Diamond Level Health Promoting Schools (Dlhps) Program for Reduced Child Obesity in Thailand: Lessons Learned from Interviews and Focus Groups
泰国降低儿童肥胖的钻石级健康促进学校计划：从访谈和小组讨论中学到的经验
摘要
儿童超重和肥胖的发病率在全球不断增加。泰国已经启动健康促进学校政策来解决这个问题。肥胖管理计划执行最好的学校被评为钻石级健康促进学校（DLHPS）。然而，这些学校所使用的方法和这些方法的功效没有得到很好的记录。本研究旨在定性分析肥胖管理计划中的4所DLHPS所采用的方法和活动。采用深入采访的方法从学校领导、老师和厨师中获得信息，而采用小组讨论的方法从学生中获得信息。以学校为基础的肥胖管理计划源于健康促进学校政策和超重学生患病率的增加。团队合作一直是项目实施的关键策略。政策的传播和分工由学校董事们安排。采用监督程序以保证计划的实施。本研究最明显的成功因素是跨部门合作。面临的挑战包括：获得DLHPS状况标准的混淆，父母的参与，学生对消费蔬菜等健康食品的抵触。从学生的小组讨论中获得的最宝贵的3项活动是：课堂上健康和营养知识的学习；食堂提供健康的食物和饮品，而去除软饮料和不健康的调味品；和体育锻炼。部门间的合作是DLHPS可操作性成功的关键因素，尤其是学校和家庭提供健康的食物，以及常态的体育锻炼。
並列摘要
Overweight and obesity prevalence among children is increasing globally. Health promoting school policy has been initiated in Thailand to tackle this problem. The schools that best conduct obesity management programs are rated as diamond level health promoting schools (DLHPS). However, the methods used by these schools and their efficacies have not been well-documented. This qualitative study aims to analyze the processes and activities used by four DLHPSs in obesity management programs. In-depth interviews were used to obtain information from school directors, teachers, and cooks, whereas focus group discussions were used for students. School-based obesity management programs have resulted from health promoting school policy and the increasing prevalence of overweight students. Teamwork has been a key strategy in program implementation. Policy diffusion and division of labor have been effected by school directors. A monitoring process is put in place to ensure program delivery. The most evident success factor in the present study has been intersectoral cooperation. Challenges have included confusion about the criteria in obtaining the DLHPS status, parental involvement, and students' resistance to consume vegetables and other healthy foods. From the student focus groups discussions, three activities were most valued: class health and nutrition learning; provision of healthy foods and drinks, together with removal of soft drinks and seasoning from the cafeteria; and exercise for health. Intersectoral cooperation is the key success factor for the operationality of DLHPS, especially in making healthy foods available and physical activity the norm, at school and home.