Weihao Zhang, Miao Jiang, Wei Zhao, Shuai Li, Fan Li, Feifei Feng, Yongjing Wang, Yan Li, Lan Liu
Evaluation of the effectiveness of using flipped classroom in puncture skills teaching
BMC medical education
pediatric obesity rates reaching epidemic scales across united states innovative research identify key factors successful implementation obesity intervention programs increasingly paramount project healthy attitudes produces positive youth happy family centered pediatric obesity prevention program targeting elementary age children families determine whether project happy interventions emphasizing social networks successful small scale evaluation project happy pilot program conducted school public elementary campus solano county california april 2018 may 2018 first year medical students touro university california college osteopathic medicine served family navigators guiding participants 5 week curriculum didactic lessons cooking demonstrations physical exercises eligibility requirements project happy included basic english proficiency confirmed enrollment least one child elementary school willingness attend study sessions primary outcome evaluated shift attitude toward individual health changes body mass index bmi health behaviors assessed secondary outcomes outcomes assessed surveys measurements bmi completed session 1 session 10 4 6 8 month follow sessions initial study participants included seven families consisting elementary school students siblings parents n27 four families n13 completed entire 5 week intervention course study survey results participants attitudes regarding health suggested positive trend toward self efficacy bmi appeared stable increased participants demonstrated retention successful health behaviors 8 months end intervention qualitative reports conscious meals eating valuing nutrition daily basis playing lot outside inside weekends carrying water bottle cooking lot higher percentage respondents final session compared selected option strongly agree following statements healthier family works together 875 final session vs 846 first session drinking water makes healthy 875 final session vs 846 first session moving body makes healthy 875 final session vs 769 first session reach goals even things get way 625 final session vs 462 first session eating fruits veggies make healthy 100 final session vs 923 first session healthy enjoy favorite foods 875 final session vs 667 first session create healthy balanced meal 870 final session vs 750 first session concrete data analysis severely complicated loss study participants follow incomplete data collection project happy showed promising indications evaluated studies larger scale longer duration