Jefferds Maria Elena D, Ogange Lorraine, Owuor Mercy, Cruz Kari, Person Bobbie, Obure Alfredo, Suchdev Parminder S, Ruth Laird J
International Micronutrient Malnutrition Prevention and Control Program, Division of Nutrition, Physical Activity and Obesity, Centers for Disease Control and Prevention, 4770 Buford Highway, MS-K25, Atlanta, GA 30341, USA.
Food Nutr Bull. 2010 Jun;31(2 Suppl):S179-85. doi: 10.1177/15648265100312S210.
There is a lack of peer-reviewed literature describing in detail the formative research to develop Sprinkles interventions.
To describe community members' reactions to and experiences using Sprinkles, with an emphasis on acceptability, utilization, and promotion.
Fourteen initial focus group discussions on Sprinkles and a 25-family home study were conducted. For the home study, each child 6 to 59 months of age in the household received 30 sachets (1 per day). The initial 14 focus group discussions included mothers, grandmothers, vendors, women who purchased from vendors, and adults in the general population. Home study families were recruited from participants in the initial 14 focus group discussions who had at least one child 6 to 59 months of age.
Sprinkles were highly acceptable to adults and most children; some children thought Sprinkles were sugar. Most home study families prepared and used Sprinkles correctly. All families reported positive effects, particularly increased appetite, and recommended Sprinkles; none experienced major problems. Potential barriers identified were lack of knowledge of and experience with Sprinkles, availability of Sprinkles, and cost. Promotional messages targeted to mothers, fathers, all child-care providers, and doctors focused on the positive health effects of Sprinkles.
Issues related to Sprinkles preparation, use, and barriers required attention before implementation. Locally appropriate visual and written instructions were developed for dissemination. Intervention training sessions and promotions were tailored to answer frequently asked questions, increase knowledge of Sprinkles, and provide tangible evidence of health benefits. Information needs and perceptions changed quickly after use of Sprinkles. Existing levels of Sprinkles awareness and knowledge should be considered when designing interventions.
缺乏经过同行评审的文献详细描述开发Sprinkles干预措施的形成性研究。
描述社区成员对Sprinkles的反应和使用体验，重点关注可接受性、利用率和推广情况。
进行了14次关于Sprinkles的初始焦点小组讨论和一项25户家庭的研究。在家庭研究中，每户中6至59个月大的每个孩子收到30包（每天1包）。最初的14次焦点小组讨论包括母亲、祖母、小贩、从小贩处购买商品的女性以及普通人群中的成年人。家庭研究家庭是从最初14次焦点小组讨论的参与者中招募的，这些参与者至少有一个6至59个月大的孩子。
Sprinkles受到成年人和大多数儿童的高度认可；一些孩子认为Sprinkles是糖。大多数家庭研究家庭正确地准备和使用了Sprinkles。所有家庭都报告了积极效果，特别是食欲增加，并推荐了Sprinkles；没有家庭遇到重大问题。确定的潜在障碍包括对Sprinkles缺乏了解和使用经验、Sprinkles的可获得性以及成本。针对母亲、父亲、所有儿童保育提供者和医生的宣传信息侧重于Sprinkles对健康的积极影响。
在实施之前，与Sprinkles的制备、使用和障碍相关的问题需要关注。制定了适合当地情况的视觉和书面说明以供传播。干预培训课程和推广活动经过调整，以回答常见问题、增加对Sprinkles的了解并提供健康益处的切实证据。使用Sprinkles后，信息需求和观念迅速改变。在设计干预措施时应考虑现有的Sprinkles认知和知识水平。
