BMI Data Collection and Communication Practices in a Multistate Sample of Head Start Programs.
BMI Data Collection and Communication Practices in a Multistate Sample of Head Start Programs.
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领先计划多州样本中的 BMI 数据收集和沟通实践。
DOI：
10.1089/chi.2021.0199
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Beltran,Marco
中科院分区：
文献类型：
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作者：
Tovar,Alison;Miller,MElizabeth;Stage,VirginiaC;Hoffman,JessicaA;Guseman,EmilyHill;Sisson,Susan;Shefet,Dana;Bejamin-Neelon,SaraE;Swindle,Taren;Hasnin,Saima;Beltran,Marco
背景：尽管联邦政府强制要求在 Head Start (HS) 中收集人体测量数据，但目前人们对跨项目收集身高和体重测量数据的流程以及如何将结果传达给家长/监护人知之甚少。本研究的目的是了解为 3-5 岁儿童服务的 HS 项目样本中的人体测量数据收集和传播程序。方法：通过个人联系人和 HS 州主管招募 HS 健康或营养经理的方便样本来完成电子调查。使用描述性统计（平均值、标准差和频率）对定量数据进行分析。使用主题分析对开放式问题进行编码。所有方案和程序均得到迈阿密大学机构审查委员会的批准。结果：大约一半的项目报告称，他们有指导测量的方案 (57.1%)，并且这些测量主要由 HS 工作人员 (64.5%) 进行。大多数计划向家长解释测量结果（82.3%），并报告收集身高/体重数据有助于支持儿童的健康（76.0%）。大多数计划（80.3%）为超重或肥胖儿童的父母提供资源。开放式回答中出现了四个主题：（1）社区合作伙伴的角色（例如，提供与他人冲突的信息）； (2) 与家人沟通儿童的体重状况（例如使用敏感的沟通方式）； (3) 测量儿童体重状况的挑战（例如数据的准确性、儿童的意识）； (4) 家庭对体重状况沟通的反应（例如，积极或消极的经历）。结论：质量改进的机会包括更广泛地使用标准化、书面协议和数据收集政策，以及加强与家长分享信息的沟通实践。
Background:Although there is a federal mandate to collect anthropometric data in Head Start (HS), little is currently known about the processes used to collect the height and weight measurements across programs and how the results are communicated to parents/guardians. The goal of this study was to understand anthropometric data collection and dissemination procedures in a sample of HS programs serving children 3–5 years.Methods:A convenience sample of HS Health or Nutrition managers were recruited via personal contacts and HS state directors to complete an electronic survey. Quantitative data were analyzed using descriptive statistics (means, standard deviations and frequencies). Open-ended questions were coded using thematic analysis. All protocols and procedures were approved by the Institutional Review Board at Miami University.Results:Approximately half of the programs reported that they have a protocol in place to guide measurements (57.1%) and those measurements are primarily taken by HS staff (64.5%). Most programs explain measurements to parents (82.3%) and report that collecting height/weight data is helpful in supporting children's health (76.0%). Most programs (80.3%) provide resources to parents of children with overweight or obesity. Four themes emerged from open-ended responses: (1) Role of Community Partners (e.g., providing information that conflicts with others); (2) Communicating Children's Weight Status with Families (e.g., using sensitive communication methods); (3) Challenges Measuring Children's Weight Status (e.g., accuracy of data, children's awareness); and (4) Family Reaction to Weight Status Communication (e.g., positive or negative experiences).Conclusion:Opportunities for quality improvement include wider use of standardized, written protocols and policies on data collection and enhanced communication practices to share information with parents.