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The application of mHealth to monitor implementation of best practices to support healthy eating and physical activity in afterschool programs

机译：移动健康监测中的应用实现的最佳实践支持健康的饮食和身体活动课外的活动

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Background:Childhood obesity continues to be a global epidemic and many child-based settings (e.g. school, afterschool programs) have great potential to make a positive impact on children's health behaviors. Innovative and time-sensitive methods of gathering health behavior information for the purpose of evaluation and strategically deploying support are needed in these settings.Purpose:The aim is to (1) demonstrate the feasibility of mobile health (mHealth) for monitoring implementation of healthy eating and physical activity (HEPA) standards and, (2) illustrate the utility of mHealth for identifying areas where support is needed, within the afterschool setting.Methods:Site leaders (N = 175) of afterschool programs (ASPs) were invited to complete an online observation checklist via a mobile web app (Healthy Eating and Physical Activity Mobile, HEPAm) once per week during ASP operating hours. Auto-generated weekly text reminders were sent to site leaders' mobile devices during spring and fall 2015 and 2016 and spring 2017 school semesters. Data from HEPAm was separated into HEPA variables, and expressed as a percent of checklists where an item was present. A higher percentage for a given item would indicate an afterschool has higher compliance with current HEPA standards.Results:A total of 141 site leaders of ASPs completed 13,960 HEPAm checklists. The average number of checklists completed per ASP was 43 (range 1-220) for healthy eating and 50 (range 1-230) for physical activity. For healthy eating, the most common challenge for ASPs was 'Staff educating children about healthy eating', and for physical activity checklists, 'Girls only physical activity is provided at ASP'.Conclusion:HEPAm was widely used and provided valuable information that can be used to strategically deploy HEPA support to ASPs. This study gives confidence to the adoption of mHealth strategies as a means for public health practitioners to monitor compliance of an initiative or intervention.
机译：背景:儿童肥胖仍然是全球流行和许多child-based设置(如学校,课外的程序)有很大的可能使对儿童产生积极的影响健康行为。收集健康行为信息的方法评价的目的和战略在这些需要部署的支持设置。移动健康(mHealth)的可行性健康饮食和监控的实现身体活动(HEPA)标准和(2)说明mHealth识别的实用程序需要支持的领域内课外的设置。175)课外的项目(asp)被邀请通过完成一个在线观察清单移动web应用程序(健康饮食和身体活动移动,HEPAm)每周在ASP操作时间。提醒被送到站点领导人的移动在2015年和2016年春季和秋季和设备2017年春季学期。分为HEPA变量,表示为一个百分比的清单,一个项目。对于一个给定的项目比例更高显示一个课外的更高的遵从性与当前HEPA标准。141网站asp完成了13960 HEPAm领导人清单。完成/ ASP是43(范围1 - 220)健康饮食和身体50(范围1 - 230)活动。挑战asp是员工教育孩子对健康饮食和身体活动清单,”女孩只有体育活动提供了在ASP。并提供有价值的信息用于战略部署的高效支持asp。是公共的健康策略卫生工作者监控合规的倡议或干预。

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