Fleary Sasha, Heffer Robert W, McKyer E Lisako, Taylor Aaron
Department of Psychology, Texas A&M University, 4235 TAMU, College Station, TX 77845, USA.
Department of Health and Kinesiology, Texas A&M University, 4222 TAMU, College Station, TX 77843, USA.
ISRN Family Med. 2013 May 12;2013:619389. doi: 10.5402/2013/619389. eCollection 2013.
Health literacy affects caregivers' ability to engage in preventive health care behaviors for themselves and their children. Studies suggest that health literacy among low-income families needs improvement, and this possibly contributes to disparities in preventive health care rates. Additionally, parents and caregivers may not be able to provide or seek preventive health care for their children because of lack of knowledge and skills to do so effectively. This study designed and piloted an intervention that delivered to parents of young children (1) health literacy information in an experiential manner and (2) practical skills to engage their families in healthy lifestyle choices. Specifically, the intervention focused on diet/nutrition, physical activity, sleep hygiene, parenting, and mental wellness. Postintervention improvements were noted for factual knowledge for diet/nutrition, physical activity, and sleep, beliefs about diet/nutrition, and the relationship between mental health and stress. Additionally, postintervention improvements were noted for general knowledge and beliefs about sleep, knowledge about the relationship between sleep and health, knowledge about common childhood sleep problems, and parents' bedtime interactions with children. The efficacy of the intervention should be evaluated on a larger, more diverse sample in the future with considerations for multiple health behavior change in the evaluation.
健康素养影响照顾者为自己和孩子采取预防性医疗保健行为的能力。研究表明,低收入家庭的健康素养需要提高,这可能导致预防性医疗保健率的差异。此外,由于缺乏有效提供或寻求预防性医疗保健的知识和技能,父母和照顾者可能无法为其子女提供此类服务。本研究设计并试点了一项干预措施,向幼儿家长提供:(1)以体验式方式提供健康素养信息;(2)使家庭参与健康生活方式选择的实用技能。具体而言,该干预措施侧重于饮食/营养、体育活动、睡眠卫生、育儿和心理健康。干预后,在饮食/营养、体育活动和睡眠的事实知识、对饮食/营养的信念以及心理健康与压力之间的关系方面有改善。此外,干预后在关于睡眠的一般知识和信念、睡眠与健康之间关系的知识、常见儿童睡眠问题的知识以及父母与孩子的就寝时间互动方面也有改善。未来应在更大、更多样化的样本上评估该干预措施的效果,并在评估中考虑多种健康行为的改变。
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