Tailored communications for obesity prevention in pediatric primary care: a feasibility study.
Tailored communications for obesity prevention in pediatric primary care: a feasibility study.
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儿科初级保健中肥胖预防的定制沟通：可行性研究。
DOI：
10.1093/her/cyx063
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发表时间：
2018
影响因子：
2.4
通讯作者：
Hayman,LauraL
中科院分区：
文献类型：
--
作者：
Wright,JulieA;Whiteley,JessicaA;Watson,BonnieL;SheinfeldGorin,SherriN;Hayman,LauraL
预防儿童肥胖的建议鼓励提供者向父母及其孩子提供健康饮食和活动行为方面的建议。这项研究评估了在健康儿童访问期间提供的基于理论、量身定制的肥胖预防沟通干预措施（Team Up for Health）的可行性。使用了双组随机对照试验。 4-10 岁儿童的家长是从儿科初级保健诊所需要进行儿童健康检查的患者名单中招募的。家长被随机分配到“立即”条件（家长和儿科医生在健康儿童就诊时收到量身定制的报告）或“延迟”条件（家长在研究结束时收到报告）。自我报告措施评估了体力活动、水果、蔬菜、看电视的时间、含糖饮料和 100% 果汁。家长在基线、<48 小时和 4 周随访时完成评估。研究结束时对提供者进行了采访。独立测试用于检查组间差异。评估了七个可行性领域：招募、随机化、测量、保留、可接受性、实施和需求。结果显示干预措施的测量率 (85%)、可接受率 (89%) 和实施率 (80%) 较高。综上所述，“健康同行”是可行的；然而，需要进行更大规模的研究来评估其功效。
Recommendations for the prevention of childhood obesity encourage providers to counsel parents and their children on healthy diet and activity behaviors. This study evaluated the feasibility of a theory-based, tailored communication intervention for obesity prevention (Team Up for Health) delivered during a well-child visit. A two-armed randomized controlled trial was used. Parents of children aged 4–10 years were recruited from a list of patients due for a well-child visit at a pediatric primary care clinic. Parents were randomized to either the ‘immediate’ condition (parent and pediatrician received the tailored report at the well-child visit) or the ‘delayed’ condition (parent received the report at the end of the study). Self-report measures assessed physical activity, fruits, vegetables, television time, sugary drinks, and 100% fruit juice. Parents completed assessments at baseline, <48 h and 4-week follow-up. Providers were interviewed at the end of the study. Independentt-tests were used to examine between group differences. Seven areas of feasibility were evaluated: Recruitment, randomization, measurement, retention, acceptability, implementation and demand. Results showed high rates of measurement (85%) and acceptability (89%) and implementation (80%) of the intervention. In conclusion,Team Up for Healthwas feasible; however, a larger study is needed to evaluate its efficacy.