Innovative Tools Help Counselors Discuss Childhood Obesity with Parents
Innovative Tools Help Counselors Discuss Childhood Obesity with Parents
复制标题
DOI：
10.1089/chi.2012.0095
复制
发表时间：
2013-04-01
影响因子：
2.5
通讯作者：
Bailey, Angie
中科院分区：
文献类型：
--
作者：
Herrera, Jennifer;Lockner, Donna;Bailey, Angie
背景：儿童超重和肥胖对许多5岁以下儿童构成潜在的健康风险。妇女、婴儿和儿童（WIC）营养学家在帮助减少这一问题方面处于独特的地位，因为他们在认证访问期间经常与客户进行咨询联系。因此，开发了四种新工具，以促进超重儿童父母在认证期间的营养咨询，并对其进行了系统评估。方法：由WIC营养学家通过在线调查对患者的营养和活动自我历史表（NASH）、报告卡/行动计划（ReCAP）、谈话技巧和健康体重海报进行评估。在李克特量表上，0表示强烈不同意，6表示强烈同意。还进行了四个区域焦点小组。对数据进行描述性分析。结果：调查回复率为83% （n = 63）。焦点小组由自愿参加的工作人员组成（n = 34）。NASH表格取代了识别营养风险的食物频率调查问卷，“在体重咨询方面有帮助”的平均评分为5.20分。ReCAP、Talking Tips和Healthy Weight Poster在这一类别中分别获得了5.70、4.75和5.30的平均评分。焦点小组的反应对ReCAP和健康体重海报的有用性非常积极，它们使用绿色、黄色和红色编码的“红绿灯”方法直观地传达年龄BMI百分位数的概念，以显示健康与不健康的BMI值。结论：WIC项目和其他儿科卫生保健机构可能需要考虑采用这些创新工具来更好地服务他们的客户，并解决他们所服务人群中的儿科超重问题。
Background: Childhood overweight and obesity pose potential health risks for many children under the age of 5 years. Women, Infants, and Children (WIC) nutritionists are in a unique position to help reduce this problem because of their frequent counseling contacts with clients during certification visits. Therefore, four new tools to facilitate nutritional counseling of parents of overweight children during certifications were developed and systematically evaluated.Methods: The Nutrition and Activity Self-History (NASH) form, Report Card/Action Plan (ReCAP), Talking Tips, and Healthy Weight Poster were evaluated by WIC nutritionists via an online survey. Anchors on the Likert scale were 0 for Strongly Disagree to 6 for Strongly Agree. Four regional focus groups were also conducted. Data were analyzed descriptively.Results: The response rate on the survey was 83% (n = 63). Focus groups were comprised of staff that volunteered to participate (n = 34). The NASH form, which replaces a food frequency questionnaire for identifying nutrition risk, had a mean rating of 5.20 as "Helpful when counseling about weight." The ReCAP, Talking Tips, and Healthy Weight Poster achieved mean ratings of 5.70, 4.75, and 5.30, respectively, in this category. Focus group responses were very positive about the usefulness of the ReCAP and Healthy Weight Poster to visually convey the concept of BMI percentile for age using a green, yellow, and red color-coded "traffic light" approach to showing healthy versus unhealthy BMI values.Conclusions: WIC programs and other pediatric health care settings may want to consider adopting these innovative tools to better serve their clients and address pediatric overweight in the populations they serve.