Feasibility and Efficacy of the "FUNPALs Playgroup" Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial.
Feasibility and Efficacy of the "FUNPALs Playgroup" Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial.
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DOI：
10.3390/ijerph18157828
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发表时间：
2021-07-23
影响因子：
--
通讯作者：
Ledoux TA
中科院分区：
文献类型：
--
作者：
Cepni AB;Taylor A;Crumbley C;Thompson D;Moran NE;Olvera N;O'Connor DP;Arlinghaus KR;Johnston CA;Ledoux TA
本研究评估了家庭了解营养和体育锻炼生活方式 (FUNPAL) 游戏小组对幼儿（12-36 个月大）饮食和活动行为的可行性和影响。从弱势社区招募亲子组合，并随机分配接受每周 10 次的 FUNPAL 游戏小组 (n = 24) 或剂量匹配的健康教育对照组 (n = 26)。 FUNPAL 游戏小组涉及体育活动和零食活动、健康信息的传递以及积极的育儿指导。对照组仅对家长进行团体健康教育。流程结果（例如保留率、保真度）和焦点小组决定可行性和感知效果。为了评估初步效果，在事前和事后收集了幼儿饮食（食物频率调查问卷和类胡萝卜素生物标志物）、体力活动（PA；加速计）、一般和喂养养育（自我报告调查）以及家庭环境（电话访谈）的有效措施。样本包括自认为是西班牙裔/拉丁裔 (38%) 和/或非裔美国人 (32%) 的父母（84% 为女性）。保留率很高（78%）。两组家长都喜欢该计划，并认为孩子的健康行为有所改善。客观测量表明，幼儿饮食（p < 0.001）有很大改善（η2 = 0.29），但 PA 没有改善（p = 0.099）。总之，FUNPALs 游戏小组是可行的，并且可以改善幼儿的饮食行为。
This study evaluated the feasibility and effects of the Families Understanding Nutrition and Physically Active Lifestyles (FUNPALs) Playgroup on toddler (12–36-month-old) diet and activity behaviors. Parent–toddler dyads were recruited from disadvantaged communities and randomly assigned to receive 10-weekly sessions of the FUNPALs Playgroup (n = 24) or dose-matched health education control group (n = 26). FUNPALs Playgroups involved physical and snack activities, delivery of health information, and positive parenting coaching. The control group involved group health education for parents only. Process outcomes (e.g., retention rate, fidelity) and focus groups determined feasibility and perceived effects. To evaluate preliminary effects, validated measures of toddler diet (food frequency questionnaire and a carotenoid biomarker), physical activity (PA; accelerometers), general and feeding parenting (self-report surveys), and home environment (phone interview) were collected pre and post. The sample comprised parents (84% female) who self-identified as Hispanic/Latino (38%) and/or African American (32%). Retention was high (78%). Parents from both groups enjoyed the program and perceived improvements in their children’s health behaviors. Objective measures demonstrated improvement with large effects (η2 = 0.29) in toddler diet (p < 0.001) but not PA (p = 0.099). In conclusion, the FUNPALs Playgroup is feasible and may improve toddler eating behaviors.
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