Human-centered designed communication tools for obesity prevention in early life.

Human-centered designed communication tools for obesity prevention in early life.
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DOI:
10.1016/j.pmedr.2023.102333
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发表时间:
2023-10
影响因子:
2.8
通讯作者:
Carroll, Aaron E.
Carroll, Aaron E.
中科院分区:
医学3区
文献类型:
--
作者:
Cheng, Erika R.;Moore, Courtney;Parks, Lisa;Taveras, Elsie M.;Wiehe, Sarah E.;Carroll, Aaron E.

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随着治疗范式向上游转变,我们如何沟通肥胖问题至关重要。我们之前确定了父母对早期肥胖风险的看法、担忧、信念和沟通偏好。我们与 0 至 24 个月大儿童的家长和来自美国印第安纳州印第安纳波利斯的儿科医生共同设计了信息和工具,可用于促进家长/医疗服务提供者就早期肥胖预防进行对话。 2021 年 4 月至 6 月,我们与 0 至 24 个月大的儿童家长和儿科医生举办了一系列共同设计研讨会,以确定他们在儿科健康检查中沟通肥胖预防的偏好。以人为本的设计技术,包括亲和图和模型构建,被用来告知通信模型和通信策略消息的关键元素。这些元素经过组合和改进,创建了原型工具,随后根据利益相关者的反馈进行了改进。家长参与者包括 11 名母亲和 2 名父亲:8 名白人、4 名黑人和 1 名亚裔;年龄中位数为 33 岁,其中 38% 的家庭年收入低于 50,000 美元。儿科医生包括 7 名女性和 6 名男性; 69% 白色。通过反复的共同设计过程,我们制作了一张考场海报,解决了有关婴儿喂养、睡眠和锻炼的常见误解,并制定了一项行为改变计划,以促进家长/提供者的合作,重点关注实现儿童的健康体重。通过确保父母始终处于预防工作的中心,我们的实践、协作方法可能最终会提高早期肥胖干预措施的接受度、可接受性和可用性。
How we communicate about obesity is critical as treatment paradigms shift upstream. We previously identified parental perceptions, concerns, beliefs, and communication preferences about early life obesity risk. We engaged parents of children 0 to 24 months of age and pediatricians from Indianapolis, Indiana, USA in the co-design of messages and tools that can be used to facilitate parent/provider conversations about early life obesity prevention. From April to June 2021, we conducted a series of co-design workshops with parents of children ages 0 to 24 months and pediatricians to identify their preferences for communicating obesity prevention in the setting of a pediatric well visit. Human-centered design techniques, including affinity diagraming and model building, were used to inform key elements of a communication model and communication strategy messages. These elements were combined and refined to create prototype tools that were subsequently refined using stakeholder feedback. Parent participants included 11 mothers and 2 fathers: 8 white, 4 black, and 1 Asian; median age 33 years with 38% reporting annual household incomes less than $50,000. Pediatricians included 7 female and 6 male providers; 69% white. Through an iterative process of co-design, we created an exam room poster that addresses common misconceptions about infant feeding, sleep and exercise, and a behavior change plan to foster parent/provider collaboration focused on achieving children’s healthy weight. Our hands-on, collaborative approach may ultimately improve uptake, acceptability and usability of early life obesity interventions by ensuring that parents remain at the center of prevention efforts.
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