Cluster-randomised trial to evaluate the 'Change for Life' mass media/ social marketing campaign in the UK.
Cluster-randomised trial to evaluate the 'Change for Life' mass media/ social marketing campaign in the UK.
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DOI：
10.1186/1471-2458-12-404
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发表时间：
2012-06-06
影响因子：
4.5
通讯作者：
Wardle J
中科院分区：
文献类型：
--
作者：
Croker H;Lucas R;Wardle J
社会营销活动为预防儿童肥胖症提供了一种有希望的方法。Change 4Life（C4L）是英国的一项全国性肥胖预防运动。它包括旨在将肥胖重新定义为与所有人相关的健康问题的大众媒体报道，并为父母提供了完成简短问卷（“孩子们怎么样”）的机会，并获得关于他们孩子饮食和活动的个性化反馈。印刷和在线C4L资源可用于指导健康饮食和体育活动。该研究的目的是在一项以社区为基础的随机分组对照试验中，研究C4L运动的个性化反馈和印刷材料对父母对孩子饮食和活动的态度和行为的影响。研究人员从英格兰40所小学招募了5-11岁儿童的父母。学校被随机分为干预组和对照组（“常规护理”）。收集了基本的人口统计数据和关于他们对子女健康态度的简要信息。干预学校的家庭邮寄了C4L印刷材料和“孩子们怎么样”的问卷;那些返回问卷的人收到了个性化的反馈，其他人收到了通用材料。结果包括对C4L的认识，对C4L中建议的行为的态度，育儿行为（监测和建模）和儿童健康行为（饮食，体育活动和看电视）。六个月后通过邮寄问卷从父母那里收集随访数据。定性访谈进行了一个子集的父母（n = 12）。3，774个家庭完成了基线问卷，并从1，419个家庭（37.6%）获得了随访数据。在基线时，两组的意识都很高（75%），但在随访时，干预组的意识显著增加（96%对87%）。很少有父母（干预组的5.2%）返回问卷以获得个性化的反馈。在随访中，父母的态度或育儿和儿童健康行为几乎没有显着的组间差异。在干预组中，身体活动被评为不太重要，但一个显着的社会经济地位（SES）组的相互作用表明，这种影响仅限于较高的SES家庭。身体活动监测和儿童电视时间也出现了类似的相互作用;在较高的SES家庭中有不良影响，而在较低的SES家庭中没有变化。在完成调查问卷并收到个性化反馈的家庭中，效果略好。在采访中，干预的可接受性是适度的，虽然在较低的SES家庭较高。C4L宣传材料提高了人们对该运动的认识，但在这一样本中，对态度或行为的影响甚微。对干预措施的参与程度低似乎是一个关键问题。当前对照试验ISRCTN 00791709。
Social marketing campaigns offer a promising approach to the prevention of childhood obesity. Change4Life (C4L) is a national obesity prevention campaign in England. It included mass media coverage aiming to reframe obesity into a health issue relevant to all and provided the opportunity for parents to complete a brief questionnaire (‘How are the Kids’) and receive personalised feedback about their children’s eating and activity. Print and online C4L resources were available with guidance about healthy eating and physical activity. The study aims were to examine the impact of personalised feedback and print material from the C4L campaign on parents’ attitudes and behaviours about their children’s eating and activity in a community-based cluster-randomised controlled trial. Parents of 5–11 year old children were recruited from 40 primary schools across England. Schools were randomised to intervention or control (‘usual care’). Basic demographic data and brief information about their attitudes to their children’s health were collected. Families in intervention schools were mailed the C4L print materials and the ‘How are the Kids’ questionnaire; those returning the questionnaire were sent personalised feedback and others received generic materials. Outcomes included awareness of C4L, attitudes to the behaviours recommended in C4L, parenting behaviours (monitoring and modelling), and child health behaviours (diet, physical activity and television viewing). Follow-up data were collected from parents by postal questionnaire after six months. Qualitative interviews were carried out with a subset of parents (n = 12). 3,774 families completed baseline questionnaires and follow-up data were obtained from 1,419 families (37.6%). Awareness was high in both groups at baseline (75%), but increased significantly in the intervention group by follow-up (96% vs. 87%). Few parents (5.2% of the intervention group) returned the questionnaire to get personalised feedback. There were few significant group differences in parental attitudes or parenting and child health behaviours at follow-up. Physical activity was rated as less important in the intervention group, but a significant group-by-socioeconomic status (SES) interaction indicated that this effect was confined to higher SES families. Similar interactions were also seen for physical activity monitoring and child television time; with adverse effects in higher SES families and no change in the lower SES families. Effects were little better in families that completed the questionnaire and received personalised feedback. At interview, acceptability of the intervention was modest, although higher in lower SES families. The C4L campaign materials achieved increases in awareness of the campaign, but in this sample had little impact on attitudes or behaviour. Low engagement with the intervention appeared a key issue. Current Controlled Trials ISRCTN00791709.
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DOI：
10.1186/1479-5868-6-88
发表时间：
2009-12-09
影响因子：
8.7
作者：
Craig, Cora L.;Bauman, Adrian;Murumets, Kelly
通讯作者：
Murumets, Kelly
影响因子：
1.9
作者：
Peterson, Michael;Abraham, Avron;Waterfield, Allan
通讯作者：
Waterfield, Allan
影响因子：
3.2
作者：
Pollard, Christina M.;Miller, Margaret R.;Binns, Colin W.
通讯作者：
Binns, Colin W.
影响因子：
8
作者：
Huhman, M;Potter, LD;Heitzler, CD
通讯作者：
Heitzler, CD
影响因子：
2.4
作者：
Miles, A;Rapoport, L;Duman, M
通讯作者：
Duman, M