Arizona State University College of Nursing and Health Innovation, Phoenix, AZ 85004, USA.
J Pediatr Health Care. 2012 Mar;26(2):126-38. doi: 10.1016/j.pedhc.2010.07.004. Epub 2010 Aug 21.
The escalating crisis of childhood overweight and obesity creates an urgent demand for evidence-based interventions that can be used by primary care providers. Therefore, the purpose of this study was to test the feasibility, acceptability, and preliminary efficacy of a theory-based Healthy Choices Intervention (HCI) Program with fifteen 9-12 year old overweight and obese children and their parents in a primary care setting.
A 1-group, 7-week pre-/posttest study design was used. Outcome measures included: body mass index (BMI) percentile, physical activity and nutrition knowledge, beliefs, choices and behaviors, anxiety, depression, self-concept, and social competence.
Children and parents found the HCI to be useful and informative. Positive effects of the HCI for the children included decreased BMI percentile, increased knowledge, beliefs, choices and behaviors, and self-control. Positive effects of the intervention for the parents included increased knowledge, beliefs, behaviors, and decreased anxiety.
This study provides evidence to support the feasibility, acceptability, and preliminary effects of the HCI with overweight and obese school-age children and their parents within a primary care setting.
儿童超重和肥胖问题不断加剧，这迫切需要基层医疗服务提供者能够采用基于循证的干预措施。因此，本研究旨在检验一种基于理论的健康选择干预（HCI）方案在基层医疗环境中对 15 名 9-12 岁超重和肥胖儿童及其家长的可行性、可接受性和初步效果。
采用 1 组 7 周的前后测试设计。评估指标包括：体重指数（BMI）百分位、身体活动和营养知识、信念、选择和行为、焦虑、抑郁、自我概念和社会能力。
儿童和家长均认为 HCI 有用且信息丰富。HCI 对儿童的积极影响包括 BMI 百分位降低、知识、信念、选择和行为增加以及自我控制增强。干预对家长的积极影响包括知识、信念、行为增加和焦虑减少。
本研究为 HCI 在基层医疗环境中对超重和肥胖学龄儿童及其家长的可行性、可接受性和初步效果提供了证据支持。
