Denney-Wilson Elizabeth, Robinson Alison, Laws Rachel, Harris Mark Fort
Faculty of Health, University of Technology, UNSW, Victoria, Australia; UNSW Research Centre for Primary Health Care and Equity, UNSW, Victoria, Australia; COMPaRE-PHC, Deakin University, Victoria, Australia.
J Paediatr Child Health. 2014 Nov;50(11):890-4. doi: 10.1111/jpc.12671. Epub 2014 Jun 19.
Approximately 20% of Australian pre-school children are overweight. Primary care providers have a crucial role in identifying children at risk of unhealthy weight gain and to offer advice and suggestions to parents. The Healthy 4 Life pilot study aimed to develop and test the feasibility of a practice nurse (PN)-led brief intervention into a healthy kid's check in general practice.
A PN intervention was developed based on a needs assessment and existing literature. A workshop was conducted, and resources were provided to enable four PNs to deliver a brief obesity prevention intervention to parents. Nurses then incorporated the Healthy 4 Life components into the healthy kid's checks they conducted on the next 10 children. Medical records were reviewed and nurses interviewed to establish the feasibility of the intervention.
All of the nurses incorporated some Healthy 4 Life components into their healthy kid's checks. Body mass index was calculated and plotted for all children, and advice around healthy eating was offered in 60% of consultations; however, advice about limiting screen time provided in only 2% of consultations. Nurses reported that the intervention fitted well with their current practice, although time constraints were a concern for some nurses and some parents.
The provision of a brief training workshop and resources can equip nurses in general practice to offer an obesity prevention intervention to parents of young children. Further research is required to examine the impact of such an intervention on parent and child behaviours and the sustainability of such practices for PNs.
约20%的澳大利亚学龄前儿童超重。初级保健提供者在识别有不健康体重增加风险的儿童并向家长提供建议方面起着关键作用。“健康4生活”试点研究旨在开发并测试由执业护士主导的简短干预措施在全科医疗中纳入健康儿童检查的可行性。
基于需求评估和现有文献开发了一项执业护士干预措施。举办了一次研讨会，并提供了资源，使四名执业护士能够向家长提供简短的肥胖预防干预。护士们随后将“健康4生活”的内容纳入他们对接下来10名儿童进行的健康检查中。审查了病历并对护士进行了访谈，以确定该干预措施的可行性。
所有护士都将“健康4生活”的一些内容纳入了他们的健康儿童检查中。为所有儿童计算并绘制了体重指数，在60%的会诊中提供了关于健康饮食的建议；然而，仅在2%的会诊中提供了关于限制屏幕时间的建议。护士们报告说，该干预措施与他们目前的工作很契合，尽管时间限制对一些护士和一些家长来说是个问题。
提供一次简短的培训研讨会和资源可以使全科医疗中的护士有能力向幼儿家长提供肥胖预防干预。需要进一步研究来考察这种干预对家长和儿童行为的影响以及这种做法对执业护士的可持续性。
