Shannon B, Greene G, Stallings V, Achterberg C, Berman M K, Gregoire J, Marecic M, Shallcross L
Nutrition Department, Pennsylvania State University, University Park 16802.
J Am Diet Assoc. 1991 Feb;91(2):208-12.
A parent-child autotutorial dietary education program for 4- to 10-year-old, hypercholesterolemic children and their families was developed and pilot tested. The 10-lesson program, designed for weekly use at home, uses a "talking-book" approach (audiotapes with accompanying picture booklet) for the child. Parents are provided with information on ways to make recommended dietary changes, along with hands-on activities to do with the children. To help match the instructional approach to the wide developmental range within the children's age span, materials are divided into three program levels that use different story characters and concept presentations. During program development, evaluation by two children (and their parents) for each of the program levels guided the design and refinement of the lessons. A pilot test among 22 hypercholesterolemic children (whose treatment was limited to diet modification) revealed that children within the 4- to 10-year age range liked the "talking-book" approach and identified positively with the story characters. Parents indicated that their materials were clear and helpful. Between the baseline and 3-month follow-up visits, the children exhibited a significant increase in knowledge of heart healthy foods, a decrease in total fat consumption that approached significance, and a significant decrease in plasma low-density-lipoprotein cholesterol values.
针对4至10岁的高胆固醇血症儿童及其家庭，开发并进行了试点测试一种亲子自主辅导饮食教育项目。这个为期10节的项目设计为每周在家使用，针对儿童采用“有声读物”方法（配有图画小册子的录音带）。为家长提供了有关如何进行推荐饮食改变的信息，以及与孩子一起开展的实践活动。为了使教学方法与儿童年龄跨度内广泛的发育范围相匹配，材料分为三个项目级别，使用不同的故事角色和概念呈现方式。在项目开发过程中，对每个项目级别由两名儿童（及其父母）进行的评估指导了课程的设计和完善。在22名高胆固醇血症儿童（其治疗仅限于饮食调整）中进行的试点测试表明，4至10岁年龄范围内的儿童喜欢“有声读物”方法，并对故事角色有积极认同。家长表示他们拿到的材料清晰且有帮助。在基线和3个月随访之间，儿童对有益心脏健康食物的知识有显著增加，总脂肪摄入量的减少接近显著水平，血浆低密度脂蛋白胆固醇值有显著下降。
