1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
2 NIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle, Southampton University NHS Hospitals Trust, Southampton, UK.
Public Health Nutr. 2014 Mar;17(3):700-7. doi: 10.1017/S1368980012004089. Epub 2012 Sep 19.
(i) To assess change in confidence in having conversations that support parents with healthy eating and physical activity post-training. (ii) To assess change in staff competence in using 'open discovery' questions (those generally beginning with 'how' and 'what' that help individuals reflect and identify barriers and solutions) post-training. (iii) To examine the relationship between confidence and competence post-training.
A pre-post evaluation of 'Healthy Conversation Skills', a staff training intervention.
Sure Start Children's Centres in Southampton, England.
A total of 145 staff working in Sure Start Children's Centres completed the training, including play workers (43%) and community development or family support workers (35%).
We observed an increase in median confidence rating for having conversations about healthy eating and physical activity (both P < 0·001), and in using 'open discovery' questions (P < 0·001), after staff attended the 'Healthy Conversation Skills' training. We also found a positive relationship between the use of 'open discovery' questions and confidence in having conversations about healthy eating post-training (r = 0·21, P = 0·01), but a non-significant trend was observed for having conversations about physical activity (r = 0·15, P = 0·06).
The 'Healthy Conversation Skills' training proved effective at increasing the confidence of staff working at Sure Start Children's Centres to have more productive conversations with parents about healthy eating. Wider implementation of these skills may be a useful public health nutrition capacity building strategy to help community workers support families with young children to eat more healthy foods.
(i)评估培训后员工在支持家长进行健康饮食和体育活动对话方面的信心变化。(ii)评估培训后员工使用“开放式发现”问题（通常以“如何”和“什么”开头的问题，帮助个人反思并识别障碍和解决方案）的能力变化。(iii)检验培训后信心和能力之间的关系。
“健康对话技巧”员工培训干预的前后评估。
英国南安普顿的 Sure Start 儿童中心。
共有 145 名在 Sure Start 儿童中心工作的员工完成了培训，包括游戏工作者（43%）和社区发展或家庭支持工作者（35%）。
我们观察到，员工参加“健康对话技巧”培训后，对健康饮食和体育活动对话的信心评分中位数均有所提高（均 P < 0·001），并且使用“开放式发现”问题的能力也有所提高（均 P < 0·001）。我们还发现，在培训后，使用“开放式发现”问题与对健康饮食对话的信心之间存在正相关关系（r = 0·21，P = 0·01），但对体育活动对话的信心则呈非显著趋势（r = 0·15，P = 0·06）。
“健康对话技巧”培训证明能够有效提高 Sure Start 儿童中心员工与家长进行更富有成效的健康饮食对话的信心。更广泛地实施这些技能可能是一项有用的公共卫生营养能力建设策略，以帮助社区工作者支持有年幼子女的家庭食用更健康的食物。
