Purpose:The comprehensive and free Healthy Kids Initiative (HKI) was developed with key features including social support, family support, and cognitive behavior education in order to promote program completion and improve health outcomes among youth. The first objective was to determine program completion rates and independent risk indicators for non-completion. The second objective was to determine the 12-week impact of the Healthy Kids Initiative on aerobic fitness, depressed mood and health-related quality of life.Patients and Methods:Obese youth (ages 10-17) were referred to a community-based, multidisciplinary, free program by their doctor or pediatrician. Each participant was requested to attend the program with a "buddy" and complete three social support contracts with family and friends to support their behavioral modifications. The program duration was 12 weeks with physical activity, dietary, and cognitive behavior education sessions. Those who completed the program, and those who did not, were compared across socioeconomic variables, age, gender, depressed mood and aerobic fitness.Results:Across five cohorts, 1789 of 1995 youth completed the program (89.7% completion rate). Five referred youth never started. Independent risk indicators associated with non-completion included older age (OR 3.07, 95% CI 2.26-4.17; p0.001), mother with a non-professional occupation (OR 1.84, 95% CI 1.22-2.78; p=0.004), and living in a low-income neighborhood (OR 9.37, 95% CI 5.61-15.65; p0.001). There were significant improvements from baseline for aerobic fitness (mCAFT score 35.84 to 55.72 mL × kg -1 × min -1 ; p0.001), depressed mood (mean CES-D 12 score 21.47 to 17.40; p0.001), and health-related quality of life (mean SF-12 score 23.4 to 33.8; p0.001).Conclusion:The HKI program had high completion rates and early success in improving outcomes. Knowing the independent risk indicators for non-completion will allow for program revision to help at-risk participants complete the program.? 2020 Lemstra and Rogers.
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机译：目的：全面和自由的健康儿童倡议（HKI）是由关键特征制定的，包括社会支持，家庭支持和认知行为教育，以促进方案完成，并改善青年之间的健康成果。第一个目标是确定未完成的计划完成率和独立风险指标。第二个目标是确定健康的儿童对健康健身，情绪和健康相关的生命质量的12周的影响。患者和方法：肥胖青年（10-17岁）被提交给社区，多学科，他们的医生或儿科医生的免费计划。要求每位参与者与“伙伴”一起参加该计划，并完成与家人和朋友的三个社会支持合同，以支持他们的行为修改。该计划持续时间为12周，体育活动，膳食和认知行为教育会议。那些完成该计划的人和那些没有的人在社会经济变量，年龄，性别，沮丧的情绪和有氧健身中进行了比较。结果：跨五个队列，1995年的1789年青年完成了该计划（完成率为89.7％）。五个推荐的年轻人从未开始。与未完成的独立风险指标包括较旧的年龄（或3.07,95％CI 2.26-4.17; P <0.001），母亲具有非专业职业（或1.84,95％CI 1.22-2.78; P = 0.004），生活在低收入街区（或9.37,95％CI 5.61-15.65; P <0.001）。有氧健身的基线有显着改善（Mcafe得分35.84至55.72ml×kg -1×min -1; p <0.001），抑郁情绪（平均CES-D 12得分21.47至17.40; p <0.001），以及健康 - 相关的生活质量（平均SF-12分数23.4至33.8分; P <0.001）。结论：香港航空公司计划在改善成果方面具有高完成率和早期成功。了解未完成的独立风险指标将允许计划修订，以帮助风险参与者完成该计划。 2020 lemstra和rogers。
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