Automated Behavioral Text Messaging and Face-to-Face Intervention for Parents of Overweight or Obese Preschool Children: Results From a Pilot Study.
Automated Behavioral Text Messaging and Face-to-Face Intervention for Parents of Overweight or Obese Preschool Children: Results From a Pilot Study.
复制标题
超重或肥胖学龄前儿童父母的自动行为文本消息传递和面对面的干预：试点研究的结果。
DOI：
10.2196/mhealth.4398
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发表时间：
2016-03-14
影响因子：
5
通讯作者：
Jacobson D
中科院分区：
文献类型：
--
作者：
Militello L;Melnyk BM;Hekler EB;Small L;Jacobson D
如果儿童在学龄前时期超重，他们在12岁时超重的可能性会增加5倍。本研究的目的是确定认知行为干预（TEXT2COPE）与定制移动技术（mHealth）协同对在初级保健机构分娩的超重和肥胖学龄前儿童父母健康生活方式行为的可行性、可接受性和初步效果。通过初级保健诊所招募的15名学龄前父母完成了为期7周的人工认知行为技能培养干预。Beck的认知理论指导TEXT2COPE干预内容，Fogg的行为模型指导实施。干预措施结合了面对面的诊所访问和使用短信（短消息服务，SMS）的生态瞬间干预措施。为了提高干预措施与家庭需求的相关性，家长们决定了短信的措辞，并能够在整个项目实施过程中调整发送的频率和时间。自我报告的结果表明，该方案是可行的，可接受的，在这一人群。干预显示了初步效果，父母对孩子的营养知识（P=.001）和体育活动（P=.012），父母对健康生活方式的信念（P=.001），以及父母对孩子健康生活方式选择的行为（P=.040）均有显著改善。所有变量的效应量均为中到大。短信的时间、频率和措辞都是针对每个家庭量身定制的，69%的父母（9/13）将定制短信的频率从每周发送一次增加到每周发送5次。利用SMS的认知行为技能干预在支持超重和肥胖学龄前儿童及其家庭的临床护理方面具有很大的潜力。有必要进一步探索对健康和行为结果的潜在影响。
Children are 5 times more likely to be overweight at the age of 12 years if they are overweight during the preschool period. The purpose of this study was to establish the feasibility, acceptability, and preliminary effects of a cognitive behavioral intervention (TEXT2COPE) synergized with tailored mobile technology (mHealth) on the healthy lifestyle behaviors of parents of overweight and obese preschoolers delivered in a primary care setting. Fifteen preschooler-parent dyads recruited through primary care clinics completed a manualized 7-week cognitive behavioral skills building intervention. Beck’s Cognitive Theory guided the TEXT2COPE intervention content and Fogg’s Behavior Model guided the implementation. The intervention employed a combination of face-to-face clinic visits and ecological momentary interventions using text messaging (short message service, SMS). To enhance the intervention’s relevance to the family’s needs, parents dictated the wording of the text messages and also were able to adapt the frequency and timing of delivery throughout program implementation. Self-reported findings indicate that the program is feasible and acceptable in this population. The intervention showed preliminary effects with significant improvements on parental knowledge about nutrition (P=.001) and physical activity (P=.012) for their children, parental beliefs (P=.001) toward healthy lifestyles, and parental behaviors (P=.040) toward engaging in healthy lifestyle choices for their children. Effect sizes were medium to large for all variables. The timing, frequency, and wording of the text messages were tailored to the individual families, with 69% of parents (9/13) increasing the frequency of the tailored SMS from being sent once weekly to as many as 5 times a week. Utilizing a cognitive behavioral skills intervention with SMS has great potential for supporting clinical care of overweight and obese preschool children and their families. Further exploration of the potential effects on health and behavioral outcomes is warranted.