Nikolopoulos Hara, Farmer Anna, Berry Tanya R, McCargar Linda J, Mager Diana R
Department of Agricultural, Food & Nutritional Science, University of Alberta, Edmonton, Alberta, Canada.
Matern Child Nutr. 2015 Apr;11(2):271-82. doi: 10.1111/j.1740-8709.2012.00460.x. Epub 2012 Oct 1.
In 2008, the Alberta government released the Alberta Nutrition Guidelines for Children and Youth (ANGCY) as a resource for child care facilities to translate nutrition recommendations into practical food choices. Using a multiple case study method, early adoption of the guidelines was examined in two child care centres in Alberta, Canada. Key constructs from the Diffusion of Innovations framework were used to develop an interview protocol based on the perceived characteristics of the guidelines (relative advantage, compatibility, complexity, trialability and observability) by child care providers. Analysis of the ANGCY was conducted by a trained qualitative researcher and validated by an external qualitative researcher. This entailed reviewing guideline content, layout, organisation, presentation, format, comprehensiveness and dissemination to understand whether characteristics of the guidelines affect the adoption process. Data were collected through direct observation, key informant interviews and documentation of field notes. Qualitative data were analysed using content analysis. Overall, the guidelines were perceived positively by child care providers. Child care providers found the guidelines to have a high relative advantage, be compatible with current practice, have a low level of complexity, easy to try and easy to observe changes. It is valuable to understand how child care providers perceive characteristics of guidelines as this is the first step in identifying the needs of child care providers with respect to early adoption and identifying potential educational strategies important for dissemination.
2008年，艾伯塔省政府发布了《艾伯塔省儿童和青少年营养指南》（ANGCY），作为儿童保育机构将营养建议转化为实际食物选择的参考资源。采用多案例研究方法，对加拿大艾伯塔省的两家儿童保育中心早期采用该指南的情况进行了考察。运用创新扩散框架中的关键要素，根据儿童保育提供者对指南的感知特征（相对优势、兼容性、复杂性、可试行性和可观察性）制定了访谈方案。由一名训练有素的定性研究人员对《艾伯塔省儿童和青少年营养指南》进行分析，并由一名外部定性研究人员进行验证。这需要审查指南的内容、布局、组织、呈现方式、格式、全面性和传播情况，以了解指南的特征是否会影响采用过程。通过直接观察、关键信息人访谈和实地笔记记录来收集数据。使用内容分析法对定性数据进行分析。总体而言，儿童保育提供者对该指南评价积极。儿童保育提供者认为该指南具有很高的相对优势，与当前做法兼容，复杂性低，易于试行且易于观察变化。了解儿童保育提供者如何看待指南的特征很有价值，因为这是确定儿童保育提供者在早期采用方面的需求以及确定对传播重要的潜在教育策略的第一步。
