Development and feasibility testing of an interactive, educational programme to facilitate Proactive Assessment of Obesity Risk during Infancy: ProAsk

体重超过正常体重的儿童更有可能生病和旷课。童年时超重也会为以后的健康问题埋下种子，比如心脏病和糖尿病。大多数超重的儿童会变成超重的成年人。一种解决方案是试图通过在生命早期进行干预来防止儿童超重。研究人员研究了一些因素，这些因素表明，与其他没有这些风险因素的婴儿相比，婴儿超重的风险更大。我们开发了一份问卷，询问父母关于这些风险因素的问题，比如他们的孩子出生时是否超重，以及他们的孩子体重增加的速度有多快。与所有这类问卷一样，一些婴儿可能被认为有更大的风险成为超重儿童，而他们并不是这样。这项研究项目将设计一个基于计算机的互动教育程序，使健康访客能够向父母提交这份问卷，计算婴儿的风险，并将风险反馈给父母。必要时，卫生访客还将提出一些可能的解决方案，如有关喂养的额外帮助。然而，问题仍然是父母是否想知道他们的孩子超重的风险，以及他们可以做些什么来保持孩子的健康。我们还需要知道健康访客将这类信息提供给父母的感受，这样该项目就会询问健康访客和父母的意见。父母还将被问及是否愿意参加未来的一项研究，该研究计算婴儿超重的风险分数，如果超重风险分数较高，则通过饮食、喂养和体力活动提供额外的健康访问支持。

Children who are above healthy weight are more likely to be ill and to miss time off school. Being overweight in childhood can also sow the seeds for health problems in later life such as heart disease and diabetes. Most overweight children become overweight adults. One solution is to try to prevent children becoming overweight by intervening very early in life. Researchers have looked at some of the factors which suggest that a baby may be at greater risk of becoming overweight compared to other babies without these risk factors. We have developed a questionnaire which asks parents about these risk factors such as whether their baby was heavy at birth and how quickly their baby is gaining weight. As with all such questionnaires there is a risk that some babies might be identified as at greater risk of becoming overweight children when they are not. This research project will design a computer-based interactive educational programme to enable health visitors to present this questionnaire to parents, calculate a baby's risk and feed that risk back to parents. Where necessary, health visitors will also present some possible solutions, such as additional help around feeding. However, the question remains as to whether parents would like to know about their baby's risk of overweight and what they could do to keep their child healthy. We also need to know how health visitors feel about giving this sort of information to parents so the project will ask both health visitors and parents for their views. Parents will also be asked if they would be willing to enter a future study that calculates their baby's overweight risk score and, if this is high, offers additional health visiting support with diet, feeding and physical activity.