Case study: Behavior changes in the family-focused obesity prevention HOME Plus program.
Case study: Behavior changes in the family-focused obesity prevention HOME Plus program.
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案例研究：以家庭为中心的肥胖预防 HOME Plus 计划中的行为改变。
DOI：
10.1111/phn.12403
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Flattum,ColleenF
中科院分区：
文献类型：
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作者：
Myers,MichelleL;Fulkerson,JayneA;Friend,SarahE;Horning,MelissaL;Flattum,ColleenF
本案例研究的目的是描述两个成功的HOME Plus参与者，并强调个人和团体干预如何帮助家庭改变生活方式，从而改善儿童体重状况。160个家庭参加了HOME Plus研究，并被随机分为对照组和干预组。我们选择了两名成功的HOME Plus参与者，因为他们的体重状况和行为都发生了健康的变化，并且对该计划的参与度很高。测量数据收集于基线和干预后1年。数据包括身高、体重、家庭食物清单、饮食召回和心理社会调查。干预组的家庭参与烹饪和营养教育课程、目标设定活动和动机性访谈电话，以促进与膳食计划、家庭用餐频率、膳食和零食健康相关的行为目标。结果家庭行为分析显示，奥利弗（假名）在营养知识和烹饪技能发展方面发生了变化，而索菲亚（假名）的变化与健康食品的可获得性和家庭用餐频率的增加有关。这些案例表明，提供一个多成分的、以家庭为中心的项目可以让参与者选择适合他们独特家庭需求的行为策略。
ObjectiveThe purpose of this case study is to describe two successful HOME Plus participants and highlight how an intervention with individual and group components can help families make lifestyle changes that result in improvements in child weight status.DesignOne hundred and sixty families participated in the HOME Plus study, and were randomized to either a control or intervention group.SampleTwo successful HOME Plus participants were chosen because of their healthful changes in weight status and behavior and high engagement in the program.MeasurementsData were collected at baseline and postintervention, 1 year later. Data included height, weight, home food inventory, dietary recalls, and psychosocial surveys.InterventionFamilies in the intervention group participated in cooking and nutrition education sessions, goal‐setting activities, and motivational interviewing telephone calls to promote behavioral goals associated with meal planning, family meal frequency, and healthfulness of meals and snacks.ResultsAnalysis of the families' behaviors showed that Oliver (fictitious name) experienced changes in nutritional knowledge and cooking skill development while Sophia's (fictitious name) changes were associated with healthful food availability and increased family meal frequency.ConclusionThese cases show that offering a multicomponent, family‐focused program allows participants to select behavior strategies to fit their unique family needs.