Using the Medical Research Council framework for the development and evaluation of complex interventions in a theory-based infant feeding intervention to prevent childhood obesity: the baby milk intervention and trial.
Using the Medical Research Council framework for the development and evaluation of complex interventions in a theory-based infant feeding intervention to prevent childhood obesity: the baby milk intervention and trial.
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DOI：
10.1155/2014/646504
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发表时间：
2014
影响因子：
3.3
通讯作者：
Ong KK
中科院分区：
文献类型：
--
作者：
Lakshman R;Griffin S;Hardeman W;Schiff A;Kinmonth AL;Ong KK
导论.我们描述了我们的经验，使用医学研究理事会框架复杂的干预措施，以指导开发和评估的干预措施，以防止肥胖，通过修改婴儿喂养行为。方法.我们回顾了肥胖的早期危险因素和预防该年龄组肥胖的干预措施的流行病学证据。该综述建议预防奶瓶喂养婴儿的体重过度增加和适当的断奶作为干预目标;因此，我们进行了系统的评价，以进一步了解这些行为。我们选择的理论和行为改变技术，证明在改变饮食行为的有效性的证据。随后，我们开发了干预材料和评估工具，并与母亲（干预接受者）和医疗保健专业人员（干预提供者）进行了定性研究，以完善它们。我们开发了一个问卷来评估产妇的态度和喂养方式，以了解任何干预效果的机制。结论.除了告知我们的具体干预和评估材料的发展，医学研究理事会框架的使用有助于建立一个可推广的证据基础，为生命早期营养干预。然而，这一过程是资源密集型和长期的，公共卫生研究资助者应该考虑到这一点。本试验在ISRTCN注册：20814693婴儿奶粉试验。
Introduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. Methods. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients) and healthcare professionals (intervention deliverers) to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects. Conclusions. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN: 20814693 Baby Milk Trial.