The keys to healthy family child care homes intervention: Study design and rationale
The keys to healthy family child care homes intervention: Study design and rationale
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DOI：
10.1016/j.cct.2014.11.003
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发表时间：
2015-01-01
影响因子：
2.2
通讯作者：
Ward, Dianne S.
中科院分区：
文献类型：
--
作者：
Ostbye, Truls;Mann, Courtney M.;Ward, Dianne S.
背景：肥胖是一个主要的公共卫生问题，需要及早采取预防措施。大量幼儿参加了某种形式的托儿计划，使这些设施对儿童的发展产生了影响。家庭托儿所(FCCH)是一种特定类型的儿童护理，儿童在提供者自己的住所内得到照顾。FCCH在美国为大约150万儿童提供服务：然而，迄今为止的研究忽略了FCCH提供者及其对儿童健康相关行为产生积极影响的潜力。方法：健康家庭儿童护理之家(Keys)是一项整群随机对照试验，旨在测试干预措施的有效性，旨在帮助提供者成为健康的榜样，提供优质的食物和体育活动支持的FCCH环境，并实施有效的商业实践。干预通过研讨会、家访、量身定做的指导电话和教育工具包进行。主要结果是通过加速度计数据测量儿童的体力活动，并使用FCCH的直接观察收集饮食摄入量数据。其次，结果包括儿童体重指数、供应商体重相关行为和观察到的肥胖环境特征。结论：KEES是一种促进幼儿健康饮食和体育活动的创新方法。该干预措施在一种新的环境下运作，以关键发育时期的儿童为目标，并处理提供者和儿童的行为，以协同促进健康。(C)2014年，爱思唯尔公司出版。
Background: Obesity is a major public health problem for which early preventive interventions are needed. Large numbers of young children are enrolled in some form of child care program, making these facilities influential environments in children's development. Family child care homes (FCCH) are a specific type of child care in which children are cared for within the provider's own residence. FCCHs serve approximately 1.5 million children in the U.S.: however, research to date has overlooked FCCH providers and their potential to positively influence children's health-related behaviors.Methods: Keys to Healthy Family Child Care Homes (Keys) is a cluster-randomized controlled trial testing the efficacy of an intervention designed to help providers become healthy role models, provide quality food- and physical activity-supportive FCCH environments, and implement effective business practices. The intervention is delivered through workshops, home visits, tailored coaching calls, and educational toolkits. Primary outcomes are child physical activity measured via accelerometry data and dietary intake data collected using direct observation at the FCCH. Secondaiyoutcomes include child body mass index, provider weight-related behaviors, and observed obesogenic environmental characteristics.Conclusion: Keys is an innovative approach to promoting healthy eating and physical activity in young children. The intervention operates in a novel setting, targets children during a key developmental period, and addresses both provider and child behaviors to synergistically promote health. (C) 2014 Published by Elsevier Inc.