An evaluation of a pilot school-based "Mighty heart health promotion program" for primary school students.

Cheung Yuk Lin Porky.Thesis (M.Phil.)--Chinese University of Hong Kong, 2006.Includes bibliographical references (leaves 236-248).Abstracts in English and Chinese; appendices also in Chinese.Acknowledgements --- p.iAbstract --- p.ii論文摘要 --- p.ivTable of Contents --- p.viList of Figures --- p.xiiList of Tables --- p.xiiiList of Abbreviations --- p.xixPresentations --- p.xxChapter CHAPTER 1: --- INTRODUCTION --- p.1Chapter 1.1 --- Overview on Childhood Obesity --- p.1Chapter 1.1.1 --- Worldwide Situation --- p.1Chapter 1.1.2 --- Hong Kong Situation --- p.3Chapter 1.2 --- Consequences of Childhood Obesity --- p.4Chapter 1.2.1 --- Physiological Problems --- p.4Chapter 1.2.2 --- Psychosocial Problems --- p.6Chapter 1.2.3 --- Economic Problems --- p.6Chapter 1.3 --- Possible Causes and Associated Factors of Childhood Obesity --- p.7Chapter 1.3.1 --- Genetics --- p.7Chapter 1.3.2 --- Lifestyle Patterns --- p.8Chapter 1.3.2.1 --- Physical Activity --- p.8Chapter 1.3.2.2 --- Dietary Factors --- p.8Chapter 1.3.3 --- Environmental Influence --- p.10Chapter 1.3.3.1 --- Parental Influence and Home Environment --- p.10Chapter 1.3.3.2 --- Other External Environmental Factors --- p.10Chapter 1.4 --- Prevention and Treatment of Childhood Obesity --- p.12Chapter 1.4.1 --- Clinical Trials --- p.12Chapter 1.4.2 --- Family Based Interventions --- p.13Chapter 1.4.3. --- School Based Interventions --- p.14Chapter 1.4.4 --- Other Possible Measures --- p.17Chapter 1.5 --- Local Intervention Implementation --- p.17Chapter 1.6 --- "Study Rationale, Design，Aims and Objectives" --- p.18Chapter 1.6.1 --- Study Rationale --- p.18Chapter 1.6.2 --- Study Design --- p.19Chapter 1.6.3 --- Study Aims and Objectives --- p.21Chapter 1.7 --- Conceptual Framework and Hypothesis --- p.21Chapter 1.7.1 --- Conceptual Framework --- p.22Chapter 1.7.2 --- Hypothesis --- p.23Chapter CHAPTER 2: --- METHODOLOGY --- p.23Chapter 2.1 --- Sample --- p.23Chapter 2.1.1 --- School Recruitment --- p.23Chapter 2.1.2 --- Subject Recruitment --- p.23Chapter 2.2 --- Parental Consent --- p.24Chapter 2.3 --- Focus Groups --- p.24Chapter 2.4 --- Assessment Tools --- p.25Chapter 2.4.1 --- Weight and Height measures --- p.25Chapter 2.4.2 --- Physical Fitness Tests --- p.25Chapter 2.4.3 --- Student Questionnaire --- p.26Chapter 2.4.4 --- Parental Questionnaire --- p.27Chapter 2.4.5 --- Questionnaires Pre-testing --- p.27Chapter 2.5 --- Intervention --- p.28Chapter 2.5.1 --- Intervention A: Mighty Heart Health Promotion Program --- p.28Chapter 2.5.1.1 --- Materials --- p.28Chapter 2.5.1.2 --- Procedures --- p.30Chapter 2.5.2 --- Intervention B: Health Club --- p.31Chapter 2.5.2.1 --- Materials --- p.31Chapter 2.5.2.2 --- Procedures --- p.32Chapter 2.6 --- Evaluation --- p.35Chapter 2.6.1 --- Qualitative Evaluation --- p.35Chapter 2.6.2 --- Quantitative Evaluation --- p.35Chapter 2.7 --- Data Manasement --- p.36Chapter 2.8 --- Statistics --- p.37Chapter 2.8.1 --- Health Knowledge and Food Preferences Scores of Students --- p.37Chapter 2.8.2 --- "Health Knowledge, Dietary Habits and Home Food Availability Scores of Parents" --- p.40Chapter 2.9 --- Ethical Approval --- p.42Chapter CHAPTER 3: --- RESULTS --- p.43Chapter PART A: --- Baseline Focus Groups ResultsChapter 3.1 --- Baseline Focus Groups Results --- p.43Chapter 3.1.1 --- General Description of Participants --- p.44Chapter 3.1.2 --- "Views of ""Health"" held by students" --- p.44Chapter 3.1.3 --- "Views of ""Health"" of parents" --- p.45Chapter 3.1.4 --- "Views of ""Healthy Eating"" of students" --- p.46Chapter 3.1.5 --- "Views of ""Healthy Eating"" held by parents" --- p.47Chapter 3.1.6 --- "Perceived views on ""Physical Activity"" by students" --- p.48Chapter 3.1.7 --- "Views on ""Physical Activity"" of parents" --- p.49Chapter 3.1.8 --- Preferred delivery mode of activities communication channels --- p.50Chapter PART B: --- Baseline Profile of ParticipantsChapter 3.2 --- Response Rate --- p.52Chapter 3.3 --- Baseline Characteristics and Socio-dem ograph ic Profile of Participants --- p.54Chapter 3.3.1 --- Students --- p.54Chapter 3.3.2 --- Parents --- p.56Chapter 3.4 --- "Self-perceived Important Values, Health and Weight Status at baseline" --- p.60Chapter 3.4.1 --- Students --- p.60Chapter 3.4.2 --- Parents --- p.62Chapter 3.5 --- Baseline Physical Activity --- p.63Chapter 3.5.1 --- Students --- p.63Chapter 3.5.2 --- Parents --- p.69Chapter 3.6 --- Baseline Dietary Aspects --- p.71Chapter 3.6.1 --- Students --- p.71Chapter 3.6.2 --- Parents --- p.81Chapter 3.7 --- Summary of Baseline associations between students，and parents 'parameters --- p.94Chapter 3.7.1 --- Factors associated with Students' weight status --- p.94Chapter 3.7.2. --- Factors associated with Studente´ة Dietary Habits --- p.97Chapter 3.7.3 --- Factors associated with students´ة physical Activity Habits --- p.104Chapter 3.8 --- Summary of Baseline Profile of Participants --- p.108Chapter PART C: --- Outcome EvaluationChapter 3.9 --- The Final MH activities Conducted --- p.111Chapter 3.10 --- Comparisons of Weight Status --- p.112Chapter 3.11 --- Comparisons of Self-perceived Health Status and Important Values --- p.114Chapter 3.12 --- Comparisons of Physical Activity Parameters --- p.118Chapter 3.12.1 --- Students --- p.118Chapter 3.12.2 --- Parents --- p.126Chapter 3.13 --- Comparisons of Dietary and Health Related Aspects --- p.129Chapter 3.13.1 --- Students --- p.129Chapter 3.13.2 --- Parents --- p.148Chapter 3.13.3 --- Home Food and Meal Environments --- p.167Chapter PART D: --- Results of Health ClubChapter 3.14 --- Baseline Profile of the Participants --- p.180Chapter 3.14.1 --- Characteristics and Health Status --- p.180Chapter 3.14.2 --- Baseline Physical Activity --- p.181Chapter 3.14.3 --- Baseline Dietary Related Parameters --- p.183Chapter 3.15 --- The Final HC Lessons Conducted --- p.187Chapter 3.16 --- Outcome Evaluation of HC program --- p.188Chapter 3.16.1 --- Physical Fitness and Anthropometric Parameters --- p.188Chapter 3.16.2 --- Self-perceived Health Status and Important Values --- p.192Chapter 3.16.3 --- Physical Activity Related Aspects --- p.193Chapter 3.16.4 --- Dietary Aspects --- p.196Chapter 3.17 --- Summary of results of the HC Program --- p.201Chapter PART E: --- Process EvaluationChapter 3.18 --- Process Evaluations of Mighty Heart --- p.203Chapter 3.18.1 --- Students --- p.203Chapter 3.18.1.1 --- Comments on Program Activities and Materials --- p.203Chapter 3.18.1.2 --- Comments on Program Effectiveness and Acceptability --- p.204Chapter 3.18.1.3 --- Overall Comments and Suggestions --- p.204Chapter 3.18.2 --- Teachers --- p.205Chapter 3.18.2.1 --- Comments on Program Activities and Materials --- p.205Chapter 3.18.2.2 --- Comments on Program Effectiveness and Acceptability --- p.205Chapter 3.18.2.3 --- Overall Comments and suggestions --- p.206Chapter 3.19 --- Process Evaluations of the Health Club --- p.207Chapter 3.19.1 --- Students --- p.207Chapter 3.19.1.1 --- Comments on Program Activities and Materials --- p.207Chapter 3.19.1.2 --- Comments on Program Effectiveness and Acceptability --- p.208Chapter 3.19.1.3 --- Overall Comments and Suggestions --- p.208Chapter 3.19.2 --- Teacher --- p.209Chapter 3.19.2.1 --- "Comments on Program Activities, Educational Materials/Resources" --- p.209Chapter 3.19.2.2 --- Comments on Program Effectiveness and Acceptability --- p.210Chapter 3.19.2.3 --- Overall Comments and Suggestions --- p.211Chapter Chapter 4: --- Discussion --- p.212Chapter 4.1 --- Overall Effects of the MH Program --- p.213Chapter 4.1.1 --- Changes in PA-related Aspects --- p.213Chapter 4.1.2 --- Changes in Dietary-related Aspects --- p.216Chapter 4.1.3 --- Changes in Health Status related Aspects --- p.225Chapter 4.1.4 --- Acceptability and Appropriateness of the MH --- p.225Chapter 4.2 --- Overall Effects of the HC Program --- p.226Chapter 4.2.1 --- Changes in PA Related Aspects --- p.226Chapter 4.2.2 --- Changes in Dietary-related Aspects --- p.227Chapter 4.2.3 --- Changes in Health Status related Aspects --- p.228Chapter 4.2.4 --- Acceptability and Appropriateness of the HC --- p.229Chapter 4.3 --- Strengths and Limitations of the Study --- p.231Chapter 4.4 --- Implications and Recommendations for Future Research --- p.233Chapter Chapter 5: --- Conclusions --- p.234References --- p.236Appendix A Principal/ teacher Questionnaire --- p.249Appendix B Consent form for parents --- p.252Appendix C Focus group questionnaire - Students --- p.258Appendix D Focus group questionnaire - Parents --- p.262Appendix E Survey questionnaire -Students --- p.266Appendix F Survey Questionnaire - Parents --- p.274Appendix G Powerpoint material for teachers´ة monthly sharing --- p.282Appendix H Working sheets --- p.283Appendix I Newsletters for parents --- p.287Appendix J Teachers´ة guide for the “Mighty Heart´حprogram --- p.302Appendix K Teachers' guide for Health Club --- p.307Appendix L The student workbook --- p.311"Appendix M Discussion guide for students participating in the ""Mighty Heart ""program" --- p.312Appendix N Discussion guide for students participating in the Health Club --- p.313Appendix O Discussion guide for teachers conducting the Mighty Heart program --- p.314Appendix P Discussion guide for the teachers conducting the Health Club --- p.31