Resource mobilization combined with motivational interviewing to promote healthy behaviors and healthy weight in low-income families: An intervention feasibility study.
Resource mobilization combined with motivational interviewing to promote healthy behaviors and healthy weight in low-income families: An intervention feasibility study.
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DOI：
10.1177/20503121221102706
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发表时间：
2022
影响因子：
2.3
通讯作者：
中科院分区：
文献类型：
--
作者：
这项非随机的试点试验检验了对父母一方患有肥胖症、葡萄糖耐受不良和/或糖尿病的低收入家庭进行干预的可行性和可接受性。这项为期12个月的干预措施结合了健康指导，使用动机性访谈来促进生活方式行为的改变，并动员社区资源来帮助满足基本需求，同时提高饮食质量和身体活动。结果测量包括过程测量、开放式问题和家庭营养和身体活动量表。45个家庭平均完成了2.1次健康教练亲自拜访，其中15个家庭失去了随访。参与干预的家长报告干预是有帮助的。一些家庭和健康教练在联系上有困难，其中一些家庭表示，他们希望与教练进行更多的交流。所有儿童的家庭营养和体育活动评分均有显著改善（6个月：2.9;p < 0.01； 12个月：3.2;p < 0.01）。指数儿6个月时（6个月：3.5;p < 0.01； 12个月：2.9;p = 0.09）。家庭间的FNPA和其他结果变化存在差异。这种干预在招募和提供家庭会议和社区转介方面是可行的，并且为参与者所接受，但与参与者保持联系是困难的。研究结果表明，需要改进，以帮助家庭和教练之间的沟通保持和后勤方面，并在随机对照试验中进行测试。
This non-randomized pilot trial examined the feasibility and acceptability of an intervention for low-income families with one parent with obesity, glucose intolerance and/or diabetes. The 12-month intervention combined health coaching using motivational interviewing to promote lifestyle behavior change and community resource mobilization to assist with basic needs plus diet quality and physical activity. Outcome measures included process measures, open-ended questions, and the Family Nutrition and Physical Activity scale. Forty-five families completed an average of 2.1 health coach in-person visits, including 15 families lost to follow-up. Parents who stayed in the intervention reported the intervention was helpful. Some families and the health coach had difficulties contacting one another, and some of these families reported they would have liked more sessions with the coach. The Family Nutrition and Physical Activity scores improved significantly for all children (6 months: 2.9; p < .01; 12 months: 3.2; p < .05) and at 6 months for index children (6 months: 3.5; p < .01; 12 months: 2.9; p = .09). There was variation in the FNPA and other outcome changes between families. This intervention was feasible in terms of recruitment and delivery of family sessions and community referrals and acceptable to participants, but maintaining contact with participants was difficult. Findings warrant improvements to help retention and logistical aspects of communication between families and coaches and testing in a randomized, controlled trial.
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