Mixed methods feasibility and usability testing of a childhood obesity risk estimation tool.
Mixed methods feasibility and usability testing of a childhood obesity risk estimation tool.
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DOI：
10.1186/s12889-023-16500-2
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发表时间：
2023-09-04
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
儿童肥胖风险评估工具（SLOPE CORE）是根据预测模型开发的，该模型使用常规可用的孕产妇和幼儿数据来估计4 - 5岁儿童肥胖的风险。本研究的目的是测试的可行性，可接受性和可用性的SLOPE核心内增强健康访问（EHV）在英国的服务，作为一个上下文中，这个工具可以利用。采用混合方法评估实施SLOPE CORE的可行性。健康访问者（HV）接受了使用该工具的培训，并在招募父母参与研究的过程中接受了培训。采用目的抽样和方便抽样的父母招募艾滋病毒。艾滋病毒感染者和家长被邀请参加访谈或焦点小组，以探讨他们的经验的工具。要求HV完成系统可用性量表（SUS）调查问卷。五名HV和七名父母参加了这项研究。HV发现SLOPE CORE易于使用，平均SUS为84.4（n = 4，范围70 - 97.5），表明可用性极佳。五名艾滋病毒感染者和三名家长参加了定性工作。该工具是可以接受的，对父母和艾滋病毒感染者都有用。父母表示希望了解他们的孩子未来肥胖的风险，前提是这是伴随着额外的信息，或支持修改风险。HV赞赏的健康促进的机会，该工具提出，并认为它促进了困难的对话，围绕体重，通过提供“临床证据”的风险，并把谈话的重点放在工具的结果，而不是他们的专业判断。使用该工具的主要潜在障碍包括需要上网，以及对围绕一个概念上困难的主题（风险）进行敏感讨论所需时间的担忧。SLOPE CORE在临床实践中可能有用。它可以支持将有限的资源用于儿童肥胖风险最大的家庭。需要进一步的研究来探索如何将该工具有效地纳入实践，并评估该工具以及任何后续干预措施对预防儿童肥胖的影响。在线版本包含补充材料，可通过10.1186/s12889 - 023 - 16500 - 2获得。
A Childhood Obesity Risk Estimation tool (SLOPE CORE) has been developed based on prediction models using routinely available maternity and early childhood data to estimate risk of childhood obesity at 4–5 years. This study aims to test the feasibility, acceptability and usability of SLOPE CORE within an enhanced health visiting (EHV) service in the UK, as one context in which this tool could be utilised. A mixed methods approach was used to assess feasibility of implementing SLOPE CORE. Health Visitors (HVs) were trained to use the tool, and in the processes for recruiting parents into the study. HVs were recruited using purposive sampling and parents by convenience sampling. HVs and parents were invited to take part in interviews or focus groups to explore their experiences of the tool. HVs were asked to complete a system usability scale (SUS) questionnaire. Five HVs and seven parents took part in the study. HVs found SLOPE CORE easy to use with a mean SUS of 84.4, (n = 4, range 70–97.5) indicating excellent usability. Five HVs and three parents took part in qualitative work. The tool was acceptable and useful for both parents and HVs. Parents expressed a desire to know their child’s risk of future obesity, provided this was accompanied by additional information, or support to modify risk. HVs appreciated the health promotion opportunity that the tool presented and felt that it facilitated difficult conversations around weight, by providing ‘clinical evidence’ for risk, and placing the focus of the conversation onto the tool result, rather than their professional judgement. The main potential barriers to use of the tool included the need for internet access, and concerns around time needed to have a sensitive discussion around a conceptually difficult topic (risk). SLOPE CORE could potentially be useful in clinical practice. It may support targeting limited resources towards families most at risk of childhood obesity. Further research is needed to explore how the tool might be efficiently incorporated into practice, and to evaluate the impact of the tool, and any subsequent interventions, on preventing childhood obesity. The online version contains supplementary material available at 10.1186/s12889-023-16500-2.
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DOI：
10.1177/1367493520917863
发表时间：
2021-06
期刊：
Journal of child health care : for professionals working with children in the hospital and community
影响因子：
--
作者：
Narzisi K;Simons J
通讯作者：
Simons J
影响因子：
2.9
作者：
Redsell SA;Rose J;Weng S;Ablewhite J;Swift JA;Siriwardena AN;Nathan D;Wharrad HJ;Atkinson P;Watson V;McMaster F;Lakshman R;Glazebrook C
通讯作者：
Glazebrook C
DOI：
10.1371/journal.pgph.0000258
发表时间：
2022
期刊：
PLOS global public health
影响因子：
--
作者：
Ziauddeen, Nida;Roderick, Paul J;Santorelli, Gillian;Wright, John;Alwan, Nisreen A
通讯作者：
Alwan, Nisreen A
影响因子：
7.9
作者：
Bradbury, Daisy;Chisholm, Anna;Birtwistle, Sarah
通讯作者：
Birtwistle, Sarah
影响因子：
4.2
作者：
Desai, Mina;Beall, Marie;Ross, Michael G.
通讯作者：
Ross, Michael G.