中国における妊婦の過度の体重増加予防を目的とする社会的ネットワークの有効性の検証

今年，我继续了关于探索中国孕妇孕期体重增加潜在障碍的定性研究：1)将收集的数据总结为英文科学数据；2)使用PhotoVoice进行参与式行动研究，探索潜在的干预工具(健康板和教育)1)总结工作《无法控制孕期体重增加：中国孕妇的定性分析》成功地发表在BMJ Open上。2)15名参与者被邀请到微信小组，其中包括两名医务人员。他们收到了健康牌和教育材料(参考哈佛大学健康牌)。最后，他们接受了采访，谈了他们使用盘子的感受和经验。采访表明，这个盘子对摄入量很有用，可以很好地提醒人们平衡饮食。此外，配有大量插图的教材也对他们的家庭成员产生了积极的影响。然而，他们中的大多数人表示他们不习惯使用盘子(例如，与普通碗相比太重，与其他人一起吃饭不方便，担心盘子的质量)。食物盘子在许多其他研究中被证明是有用的(西方国家)。然而，在中国的背景下，这可能是文化上的不相容。相关教育材料(健康板)有望成为进一步研究的有效干预策略。健康盘的插图被认为比提供真正的盘更具成本效益。

This year I continued the qualitative study on the exploration of potential barriers of controlling gestational weight gain among pregnant Chinese women: 1) summarized the collecting data to English scientific data; 2) conducted a participatory action research using photovoice to explore potential intervention tools (Health Plate and education)1) The summarized work “Inability to control gestational weight gain: a qualitative analysis of pregnant Chinese women” was successfully published on BMJ Open.2) 15 participants were invited to a WeChat group individually including two medical staffs. They were delivered a Health Plate and education materials (referred to Harvard University Health Plate). Finally, they were interviewed on their feelings and experiences on using the plate. The interview showed that the plate is useful on intakes and can be a good reminder of balance diet. In addition, the education material with plenty illustrations also positively influenced their family members. However, most of them said they were not used to using the plate (e.g. too heavy compared to the normal bowl, not convenient when eat with other people, be anxious for the quality of plate).The food plate is showed to be useful in many other studies (western countries). However, it may be culturally incompatible in Chinese setting. Related education material (Health Plate) is expected to be an effective intervention strategy in further research. The illustration of Health Plate is considered to be more cost-effectiveness than delivering a real plate.