Acceptability and appropriateness of a novel parent-staff co-leadership model for childhood obesity prevention in Head Start: a qualitative interview study.

Acceptability and appropriateness of a novel parent-staff co-leadership model for childhood obesity prevention in Head Start: a qualitative interview study.
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DOI:
10.1186/s12889-021-10159-3
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发表时间:
2021-01-22
期刊:
影响因子:
4.5
通讯作者:
Davison KK
Davison KK
中科院分区:
医学2区
文献类型:
--
作者:
Beckerman-Hsu JP;Gago C;Aftosmes-Tobio A;Jurkowski JM;Lansburg K;Leonard J;Torrico M;Haneuse S;Subramanian SV;Kenney EL;Davison KK

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同伴领导可以是实施健康计划的有效策略,使计划参与者和同伴领导者都受益。为了实现这些好处,同侪领导者的角色必须适合社区环境。此外,同行领导者必须发现他们的角色是可以接受的(即,(三)确保成功招聘和留住人才。到目前为止,家长同侪领导人很少参与儿童早期肥胖预防工作。此外,家长在头开始学前教育很少参与作为同龄人的领导者。本研究的目的是评估一种创新模式的适当性和可接受性,让父母作为同龄人的领导者,这个新的内容领域(儿童早期肥胖预防)和设置(先声夺人)。Parents Connect for Healthy Living(PConnect)是一项为期10节的家长计划,作为健康生活社区儿童早期肥胖预防试验的一部分,正在学前教育机构实施。PConnect由一名家长同行主持人共同领导,他与一名Head Start员工主持人配对。在2019年春季,10名PConnect主持人参加了关于他们经验的半结构化访谈。访谈记录由两名编码员使用归纳-演绎混合分析进行分析。主题被确定,并与两名受访者成员检查。确定的主题同样适用于家长和工作人员的调解人。可接受性很高,因为PConnect辅导员能够学习和教学,建立有意义的关系,并积极影响参与其小组的父母,尽管辅导员在低出勤率限制其影响范围时确实表示沮丧。适当性也很高,因为“联接方案”提供了适当的结构和支持,但又不过于僵化,而且主持人能够克服他们遇到的大多数挑战。PConnect的共同促进模式是高度可接受的,适合父母的调解人(同行领导人)和工作人员的调解人。包括家长作为同龄人的领导人一致的开端对家长参与的重视,使其成为一个强有力的候选人,持续实施开端。在这种特定的背景下,同行领导的适当性和可接受性的驱动程序获得的见解可以用来通知同行领导的健康计划的设计和实施其他地方。clinicaltrials.gov,NCT 03334669(7-11-17)。在线版本包含补充材料,可通过10.1186/s12889-021-10159-3获得。
Peer leadership can be an effective strategy for implementing health programs, benefiting both program participants and peer leaders. To realize such benefits, the peer leader role must be appropriate for the community context. Also, peer leaders must find their role acceptable (i.e., satisfactory) to ensure their successful recruitment and retention. To date, parent peer leaders have seldom been part of early childhood obesity prevention efforts. Moreover, parents at Head Start preschools have rarely been engaged as peer leaders. The aim of this study is to evaluate the appropriateness and acceptability of an innovative model for engaging parents as peer leaders for this novel content area (early childhood obesity prevention) and setting (Head Start). Parents Connect for Healthy Living (PConnect) is a 10-session parent program being implemented in Head Start preschools as part of the Communities for Healthy Living early childhood obesity prevention trial. PConnect is co-led by a parent peer facilitator who is paired with a Head Start staff facilitator. In the spring of 2019, 10 PConnect facilitators participated in a semi-structured interview about their experience. Interview transcripts were analyzed by two coders using an inductive-deductive hybrid analysis. Themes were identified and member-checked with two interviewees. Themes identified applied equally to parent and staff facilitators. Acceptability was high because PConnect facilitators were able to learn and teach, establish meaningful relationships, and positively impact the parents participating in their groups, although facilitators did express frustration when low attendance limited their reach. Appropriateness was also high, as PConnect provided adequate structure and support without being overly rigid, and facilitators were able to overcome most challenges they encountered. The PConnect co-facilitation model was highly acceptable and appropriate for both the parent facilitators (peer leaders) and the staff facilitators. Including parents as peer leaders aligns to Head Start’s emphasis on parent engagement, making it a strong candidate for sustained implementation in Head Start. The insights gained about the drivers of peer leadership appropriateness and acceptability in this particular context may be used to inform the design and implementation of peer-led health programs elsewhere. clinicaltrials.gov, NCT03334669 (7–11-17). The online version contains supplementary material available at 10.1186/s12889-021-10159-3.
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期刊: Implementation science : IS
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