Parent-Perceived Important Topics for Childhood Obesity (PPITCH)

项目摘要 建议在儿科初级保健就诊期间进行肥胖咨询，但这通常是不可行的 处理所有建议的健康和保健主题(例如，评估营养和体力活动 习惯、激励性采访、设定目标)，在20分钟的探望孩子的背景下。此外，简短 咨询不太可能涉及那些特别不可能改变行为的高危家庭 由于文化规范、低健康素养和相互竞争的护理优先事项。最佳-最差扩展(BWS)是 一种结构化的、基于调查的方法，用于有效量化患者的偏好和优先顺序 关于医疗保健决策，同时避免极端反应和社会期望偏差。在这项研究中， 我们建议开发和部署最佳-最差比例调查，以确定和确定以下特征的优先级 父母最关心的肥胖问题。因此，我们可以排除不会影响的较低优先级的问题 来自健康传播消息的决定。我们假设，将风险沟通的重点放在 对父母很重要的特定肥胖相关问题可能会催化更多肥胖儿童的父母 进行行为改变，以解决孩子的体重状况，并在有指示的情况下，进入童年 肥胖症治疗计划。

PROJECT ABSTRACT It is recommended that obesity counseling happen during pediatric primary care visits, but it is often infeasible to address all recommended health and wellness topics (e.g. assessment of nutrition and physical activity habits, motivational interviewing, setting goals) in the context of a 20-minute well child visit. Moreover, brief counseling is unlikely to engage high-risk families who are particularly unlikely to engage in behavior change due to cultural norms, low health literacy, and competing caregiving priorities. Best-worst scaling (BWS) is a structured, survey-based approach that has been used to efficiently quantify patient preferences and priorities regarding healthcare decisions while avoiding extreme response and social desirability biases. In this study, we propose developing and fielding a best-worst scaling survey to identify and prioritize the characteristics of obesity that parents care most about. We can therefore weed out lower priority issues that would not influence a decision from health communication messaging. We hypothesize that focusing risk communication on the specific obesity-related issues that are important to parents may catalyze more parents of children with obesity to engage in behavior change to address their child’s weight status and when indicated, to engage in childhood obesity treatment programs.