Process evaluation of a kindergarten-based intervention for obesity prevention in early childhood: the Toybox study Malaysia.
Process evaluation of a kindergarten-based intervention for obesity prevention in early childhood: the Toybox study Malaysia.
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DOI：
10.1186/s12889-023-16023-w
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发表时间：
2023-06-06
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
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作者：
Toybox 是一项基于幼儿园的干预计划，针对久坐行为、吃零食和饮酒习惯以及促进身体活动，以改善马来西亚幼儿园儿童的健康能量平衡相关行为。该项目的试点是一项随机对照试验（RCT），分别涉及来自 22 所干预幼儿园和 26 所对照幼儿园的 837 名儿童。本文概述了这种干预的过程评估。我们评估了玩具盒计划的五个流程指标：招募、保留、剂量、忠诚度和满意度。数据收集是通过教师每月的日志、通过问卷调查进行干预后反馈以及与教师、家长和儿童进行的焦点小组讨论（FGD）进行的。使用定量和定性数据分析方法对数据进行分析。共有1072名儿童受邀参加。在父母同意参加的 1001 名儿童中，只有 837 名完成了该项目（保留率：88.4%）。 44 名教师及其助理中，高达 91% 的人积极参与一种或多种过程评估数据收集方法。在剂量和保真度方面，76% 的家长在适当的时间收到了新闻通讯、提示卡和海报。所有教师及其助理都对干预计划感到满意。不过，他们也提到了实施过程中的一些障碍，包括缺乏合适的室内环境进行活动，以及需要让袋鼠故事更有趣以吸引孩子们的注意力。至于家长方面，88%的家长对家庭活动表示满意并享受其中。他们还认为所提供的材料易于理解并且能够提高他们的知识。最后，孩子们在摄入更多的水、水果和蔬菜方面表现出了积极的行为。家长和老师认为玩具盒计划可以接受并且可以实施。然而，在将其推广并纳入马来西亚各地作为常规做法之前，需要改进几个因素。
Toybox is a kindergarten-based intervention program that targets sedentary behavior, snacking and drinking habits, as well as promoting physical activity in an effort to improve healthy energy balance-related behaviors among children attending kindergartens in Malaysia. The pilot of this program was conducted as a randomized controlled trial (RCT) involving 837 children from 22 intervention kindergartens and 26 control kindergartens respectively. This paper outlines the process evaluation of this intervention. We assessed five process indicators: recruitment, retention, dosage, fidelity, and satisfaction for the Toybox program. Data collection was conducted via teachers’ monthly logbooks, post-intervention feedback through questionnaires, and focus group discussions (FGD) with teachers, parents, and children. Data were analyzed using quantitative and qualitative data analysis methods. A total of 1072 children were invited. Out of the 1001 children whose parents consented to join, only 837 completed the program (Retention rate: 88.4%). As high as 91% of the 44 teachers and their assistants engaged positively in one or more of the process evaluation data collection methods. In terms of dosage and fidelity, 76% of parents had received newsletters, tip cards, and posters at the appropriate times. All teachers and their assistants felt satisfied with the intervention program. However, they also mentioned some barriers to its implementation, including the lack of suitable indoor environments to conduct activities and the need to make kangaroo stories more interesting to captivate the children’s attention. As for parents, 88% of them were satisfied with the family-based activities and enjoyed them. They also felt that the materials provided were easy to understand and managed to improve their knowledge. Lastly, the children showed positive behaviors in consuming more water, fruits, and vegetables. The Toybox program was deemed acceptable and feasible to implement by the parents and teachers. However, several factors need to be improved before it can be expanded and embedded as a routine practice across Malaysia.
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DOI：
10.3390/ijerph17197312
发表时间：
2020-10-07
影响因子：
--
作者：
De Craemer M;Verbestel V;Verloigne M;Androutsos O;Moreno L;Iotova V;Koletzko B;Socha P;Manios Y;Cardon G
通讯作者：
Cardon G
影响因子：
2.7
作者：
Van Ryzin, Mark J.;Nowicka, Paulina
通讯作者：
Nowicka, Paulina
影响因子：
3.6
作者：
Poh, Bee Koon;Ng, Boon Koon;Norimah, A. Karim
通讯作者：
Norimah, A. Karim
影响因子：
2.2
作者：
O'Dea, J;Maloney, D
通讯作者：
Maloney, D
影响因子：
8.9
作者：
Manios, Y.;Androutsos, O.;De Bourdeaudhuij, I.
通讯作者：
De Bourdeaudhuij, I.