Davison Kirsten K, Lawson Hal A, Coatsworth J Douglas
Harvard School of Public Health, Boston, MA, USA.
Health Promot Pract. 2012 Jul;13(4):454-61. doi: 10.1177/1524839910377966. Epub 2011 May 31.
Parents play a fundamental role in shaping children's development, including their dietary and physical activity behaviors. Yet family-centered interventions are rarely used in obesity prevention research. Less than half of childhood obesity prevention programs include parents, and those that do include parents or a family component seldom focus on sustainable change at the level of the family. The general absence of a family-centered approach may be explained by persistent challenges in engaging parents and families and the absence of an intervention framework explicitly designed to foster family-centered programs. The Family-centered Action Model of Intervention Layout and Implementation, or FAMILI, was developed to address these needs. FAMILI draws on theories of family development to frame research and intervention design, uses a mixed-methods approach to conduct ecologically valid research, and positions family members as active participants in the development, implementation, and evaluation of family-centered obesity prevention programs. FAMILI is intended to facilitate the development of culturally responsive and sustainable prevention programs with the potential to improve outcomes. Although childhood obesity was used to illustrate the application of FAMILI, this model can be used to address a range of child health problems.
父母在塑造孩子的成长过程中起着至关重要的作用，这包括孩子的饮食和身体活动行为。然而，以家庭为中心的干预措施在肥胖预防研究中很少被采用。不到一半的儿童肥胖预防项目涉及父母，而那些确实包含父母或家庭元素的项目很少关注家庭层面的可持续改变。缺乏以家庭为中心的方法可能是由于在吸引父母和家庭参与方面持续存在挑战，以及缺乏专门为促进以家庭为中心的项目而设计的干预框架。为满足这些需求，开发了“家庭中心干预布局与实施行动模型”（FAMILI）。FAMILI借鉴家庭发展理论来构建研究和干预设计，采用混合方法进行具有生态效度的研究，并将家庭成员定位为以家庭为中心的肥胖预防项目开发、实施和评估的积极参与者。FAMILI旨在促进具有文化适应性和可持续性的预防项目的发展，有可能改善结果。虽然以儿童肥胖为例说明了FAMILI的应用，但该模型可用于解决一系列儿童健康问题。
