The Healthy Children, Strong Families intervention promotes improvements in nutrition, activity and body weight in American Indian families with young children.
The Healthy Children, Strong Families intervention promotes improvements in nutrition, activity and body weight in American Indian families with young children.
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DOI：
10.1017/s1368980016001014
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发表时间：
2016-10
影响因子：
3.2
通讯作者：
Adams, Alexandra K.
中科院分区：
文献类型：
--
作者：
Tomayko, Emily J.;Prince, Ronald J.;Cronin, Kate A.;Adams, Alexandra K.
关键词：
美国印第安学龄前儿童的肥胖率非常高，因此有患相关疾病的风险。健康的孩子，强大的家庭是一项以家庭为基础的随机试验，评估由导师提供的肥胖预防工具包的有效性。邮寄交付，使用基于社区的参与性研究方法设计和管理。在第一年，12个健康行为工具包的教训是由社区为基础的家庭导师或每月邮寄。主要结局为儿童BMI百分位数、儿童BMI Z评分和成人BMI。次要结果包括水果/蔬菜消费量，糖消费量，看电视，体育活动，成人健康相关的自我效能感和自觉健康状况。在一个维持年度内，接受家庭辅导的家庭可以每月参加支助小组，所有家庭都收到每月通讯。美国威斯康星州四个部落社区的家庭住宅。成人和儿童（2-5岁）二联体（n 150）。没有发现指导与邮寄干预交付的显着效果;然而，在接触工具包的两组中均观察到显着改善。肥胖儿童参与者在第1年BMI百分位数下降，持续到第2年（P<0.05）;成人BMI没有变化。儿童水果/蔬菜消费量增加（P= 0.006），儿童（P= 0.05）和成人（P= 0.002）的平均电视观看量减少。报告的成人自我效能的健康相关的行为变化（P= 0.006）和生活质量增加（P= 0.02）。虽然没有效果的交付方法被证明，工具包接触积极影响成人和儿童的健康。干预措施受到社区合作伙伴的好评;目前正在根据这些调查结果进行更全面的干预。
American Indian children of pre-school age have disproportionally high obesity rates and consequent risk for related diseases. Healthy Children, Strong Families was a family-based randomized trial assessing the efficacy of an obesity prevention toolkit delivered by a mentor v. mailed delivery that was designed and administered using community-based participatory research approaches. During Year 1, twelve healthy behaviour toolkit lessons were delivered by either a community-based home mentor or monthly mailings. Primary outcomes were child BMI percentile, child BMI Z-score and adult BMI. Secondary outcomes included fruit/vegetable consumption, sugar consumption, television watching, physical activity, adult health-related self-efficacy and perceived health status. During a maintenance year, home-mentored families had access to monthly support groups and all families received monthly newsletters. Family homes in four tribal communities, Wisconsin, USA. Adult and child (2–5-year-olds) dyads (n 150). No significant effect of the mentored v. mailed intervention delivery was found; however, significant improvements were noted in both groups exposed to the toolkit. Obese child participants showed a reduction in BMI percentile at Year 1 that continued through Year 2 (P<0·05); no change in adult BMI was observed. Child fruit/vegetable consumption increased (P=0·006) and mean television watching decreased for children (P=0·05) and adults (P=0·002). Reported adult self-efficacy for health-related behaviour changes (P=0·006) and quality of life increased (P=0·02). Although no effect of delivery method was demonstrated, toolkit exposure positively affected adult and child health. The intervention was well received by community partners; a more comprehensive intervention is currently underway based on these findings.