Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study.
Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study.
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DOI：
10.1136/bmjopen-2017-017694
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发表时间：
2017-09-06
期刊：
影响因子：
2.9
通讯作者：
Glazebrook C
中科院分区：
文献类型：
--
作者：
Redsell SA;Rose J;Weng S;Ablewhite J;Swift JA;Siriwardena AN;Nathan D;Wharrad HJ;Atkinson P;Watson V;McMaster F;Lakshman R;Glazebrook C
评估使用数字技术与英国健康访问者（HV）和父母一起进行婴儿期肥胖风险主动评估（ProAsk）的可行性和可接受性。多中心、干预前和干预后可行性研究及过程评价。农村和城市贫困地区，英国社区护理。66名婴儿的父母和22名艾滋病毒携带者。ProAsk在平板设备上交付。它包括一个经过验证的风险预测工具，以量化超重风险状况和一个治疗轮，详细说明预防性父母行为的激励策略。鼓励父母同意与接受动机访谈培训的HV行为改变的目标。我们评估了招募、响应和流失率。收集人口统计学资料和超重风险状况。拟定的主要结局指标是年龄别体重z评分。建议的次要结果是养育自我效能，母亲喂养方式，婴儿饮食和身体活动/久坐行为的暴露。定性访谈确定了研究过程和干预保真度的可接受性。HIV筛查了324/589名婴儿以纳入研究，招募了66/226（29%）符合条件的婴儿。对53名婴儿进行了超重风险评估，其中40%被确定为高于人群风险。处于群体风险的婴儿和高于群体风险的婴儿之间的年龄别体重z评分（SD）在基线时存在显著差异（-0.67 SD vs 0.32 SD）。HV能够收集数据并计算婴儿的超重风险。方案依从性和干预保真度是一项挑战。HV和父母认为治疗轮中提供的信息是适当和可接受的。研究招募和方案依从性存在问题。ProAsk被大多数父母和HV接受，但干预保真度低。有有限的证据支持在没有大量额外资源的情况下实施ProAsk的可行性。未来的研究可以评估ProAsk作为HV支持的，父母主导的干预措施。NCT 02314494（可行性研究结果）
To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents. Multicentre, pre- and post-intervention feasibility study with process evaluation. Rural and urban deprived settings, UK community care. 66 parents of infants and 22 HVs. ProAsk was delivered on a tablet device. It comprises a validated risk prediction tool to quantify overweight risk status and a therapeutic wheel detailing motivational strategies for preventive parental behaviour. Parents were encouraged to agree goals for behaviour change with HVs who received motivational interviewing training. We assessed recruitment, response and attrition rates. Demographic details were collected, and overweight risk status. The proposed primary outcome measure was weight-for-age z-score. The proposed secondary outcomes were parenting self-efficacy, maternal feeding style, infant diet and exposure to physical activity/sedentary behaviour. Qualitative interviews ascertained the acceptability of study processes and intervention fidelity. HVs screened 324/589 infants for inclusion in the study and 66/226 (29%) eligible infants were recruited. Assessment of overweight risk was completed on 53 infants and 40% of these were identified as above population risk. Weight-for-age z-score (SD) between the infants at population risk and those above population risk differed significantly at baseline (−0.67 SD vs 0.32 SD). HVs were able to collect data and calculate overweight risk for the infants. Protocol adherence and intervention fidelity was a challenge. HVs and parents found the information provided in the therapeutic wheel appropriate and acceptable. Study recruitment and protocol adherence were problematic. ProAsk was acceptable to most parents and HVs, but intervention fidelity was low. There was limited evidence to support the feasibility of implementing ProAsk without significant additional resources. A future study could evaluate ProAsk as a HV-supported, parent-led intervention. NCT02314494 (Feasibility Study Results)
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影响因子：
4
作者：
Bonevski B;Randell M;Paul C;Chapman K;Twyman L;Bryant J;Brozek I;Hughes C
通讯作者：
Hughes C
影响因子：
2.5
作者：
Bugge, Carol;Williams, Brian;Sinclair, Lesley
通讯作者：
Sinclair, Lesley
影响因子：
3.5
作者：
Edwards, Elizabeth J.;Stapleton, Peta;Ball, Lauren
通讯作者：
Ball, Lauren
DOI：
10.3945/ajcn.111.027870
发表时间：
2012-05
期刊：
The American journal of clinical nutrition
影响因子：
--
作者：
Elks CE;Loos RJ;Hardy R;Wills AK;Wong A;Wareham NJ;Kuh D;Ong KK
通讯作者：
Ong KK
影响因子：
1.8
作者：
Ferguson, Melanie;Brandreth, Marian;Wharrad, Heather
通讯作者：
Wharrad, Heather