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

体重超过健康体重的儿童更容易生病，也更容易缺课。儿童时期超重也会为以后的健康问题埋下种子，如心脏病和糖尿病。大多数超重的孩子长大后都会超重。一个解决办法是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，与没有这些风险因素的其他婴儿相比，婴儿可能有更大的超重风险。我们设计了一份调查问卷，询问父母这些风险因素，比如他们的宝宝出生时是否超重，以及他们的宝宝体重增加的速度有多快。与所有此类问卷一样，存在一种风险，即一些婴儿可能被确定为更有可能成为超重儿童，而实际上他们并不是。这项研究项目将设计一个以计算机为基础的互动教育方案，使保健视察员能够向父母提出这一问卷，计算婴儿的风险，并将风险反馈给父母。必要时，健康访问者还将提出一些可能的解决方案，例如在喂养方面提供额外的帮助。然而，问题仍然是父母是否想知道他们的婴儿超重的风险，以及他们可以做些什么来保持他们的孩子健康。我们还需要知道健康访问者对向父母提供这类信息的看法，以便该项目同时征求健康访问者和父母的意见。父母还将被询问是否愿意参加未来的研究，计算他们的婴儿的超重风险评分，如果这是高的，提供额外的健康访问支持与饮食，喂养和体育活动。

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.