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奶瓶断奶干预工具:基于妇女、婴儿和儿童营养补充计划(WIC)的教育活动挂图、家长手册及网站的“方法”与“原因”

Bottle-weaning intervention tools: the "how" and "why" of a WIC-based educational flipchart, parent brochure, and website.

作者信息

Hyden Christel, Kahn Richard, Bonuck Karen

机构信息

Albert Einstein College of Medicine of Yeshiva University, Bronx, NY, USA.

出版信息

Health Promot Pract. 2013 Jan;14(1):75-80. doi: 10.1177/1524839910396364. Epub 2012 Apr 5.

DOI:10.1177/1524839910396364
PMID:22491388
Abstract

OBJECTIVE

This article describes the development of educational materials for a Women, Infants, and Children (WIC)-based randomized controlled trial of an intervention encouraging timely bottle weaning.

METHOD

Following a systematic process to develop of patient education materials, messages were first tested in 4 focus groups with 26 caregivers of WIC toddlers aged 7 to 36 months of age at the 2 study sites. Following review and revision, the materials were retested in one-on-one nutritional counseling sessions with 10 clients at the WIC sites who met the study's eligibility criteria.

RESULTS

Materials development was an iterative process requiring several levels of input, review, and revision. Use of a systematic process guided by steps adapted from the health education literature was crucial in ensuring continuous feedback from stakeholders, experts, and priority populations and to develop an intervention instrument that met the needs and expectations of all groups.

CONCLUSIONS AND IMPLICATIONS

The content, theoretical orientation, and format of the materials were influenced at every turn by feedback from frontline WIC nutritionists, WIC policy staff at the state level, and WIC clients. Development of effective, easy to use materials requires constant input from key stakeholders.

摘要

目的

本文描述了为一项基于妇女、婴儿和儿童(WIC)项目的随机对照试验开发教育材料的过程,该试验旨在鼓励及时断乳。

方法

按照开发患者教育材料的系统流程,首先在两个研究地点对4个焦点小组中的26名照顾7至36个月大WIC幼儿的照料者进行了信息测试。经过审查和修订后,在WIC站点与10名符合研究资格标准的客户进行一对一营养咨询时对材料进行了重新测试。

结果

材料开发是一个反复的过程,需要多个层面的投入、审查和修订。采用以健康教育文献中的步骤为指导的系统流程对于确保从利益相关者、专家和重点人群获得持续反馈以及开发满足所有群体需求和期望的干预工具至关重要。

结论与启示

材料的内容、理论导向和形式在每一个环节都受到一线WIC营养师、州一级WIC政策工作人员以及WIC客户反馈的影响。开发有效且易于使用的材料需要关键利益相关者的持续投入。

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引用本文的文献

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Bottle and sippy cup use is associated with diet and energy intake in toddlers.奶瓶和吸管杯的使用与幼儿的饮食及能量摄入有关。
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Is overweight at 12 months associated with differences in eating behaviour or dietary intake among children selected for inappropriate bottle use?
12个月大时超重与因不当使用奶瓶而被挑选出的儿童的饮食行为或饮食摄入量差异有关吗?
Matern Child Nutr. 2014 Apr;10(2):234-44. doi: 10.1111/mcn.12042. Epub 2013 Apr 5.