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预防婴儿肥胖:“健康成长”可行性试验方案

Preventing obesity in infants: the Growing healthy feasibility trial protocol.

作者信息

Denney-Wilson Elizabeth, Laws Rachel, Russell Catherine Georgina, Ong Kok-Leong, Taki Sarah, Elliot Roz, Azadi Leva, Lymer Sharyn, Taylor Rachael, Lynch John, Crawford David, Ball Kylie, Askew Deborah, Litterbach Eloise Kate, J Campbell Karen

机构信息

University of Technology Sydney, Sydney, New South Wales, Australia.

Deakin University, Melbourne, Victoria, Australia.

出版信息

BMJ Open. 2015 Nov 30;5(11):e009258. doi: 10.1136/bmjopen-2015-009258.


DOI:10.1136/bmjopen-2015-009258
PMID:26621519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4679836/
Abstract

INTRODUCTION: Early childhood is an important period for establishing behaviours that will affect weight gain and health across the life course. Early feeding choices, including breast and/or formula, timing of introduction of solids, physical activity and electronic media use among infants and young children are considered likely determinants of childhood obesity. Parents play a primary role in shaping these behaviours through parental modelling, feeding styles, and the food and physical activity environments provided. Children from low socio-economic backgrounds have higher rates of obesity, making early intervention particularly important. However, such families are often more difficult to reach and may be less likely to participate in traditional programs that support healthy behaviours. Parents across all socio-demographic groups frequently access primary health care (PHC) services, including nurses in community health services and general medical practices, providing unparalleled opportunity for engagement to influence family behaviours. One emerging and promising area that might maximise engagement at a low cost is the provision of support for healthy parenting through electronic media such as the Internet or smart phones. The Growing healthy study explores the feasibility of delivering such support via primary health care services. METHODS: This paper describes the Growing healthy study, a non-randomised quasi experimental study examining the feasibility of an intervention delivered via a smartphone app (or website) for parents living in socioeconomically disadvantaged areas, for promoting infant feeding and parenting behaviours that promote healthy rather than excessive weight gain. Participants will be recruited via their primary health care practitioner and followed until their infant is 9 months old. Data will be collected via web-based questionnaires and the data collected inherently by the app itself. ETHICS AND DISSEMINATION: This study received approval from the University of Technology Sydney Ethics committee and will be disseminated via peer-reviewed publications and conference presentations.

摘要

引言:幼儿期是确立会影响一生体重增加和健康的行为的重要时期。早期喂养选择,包括母乳喂养和/或配方奶喂养、固体食物引入时间、婴幼儿的身体活动和电子媒体使用,被认为是儿童肥胖的可能决定因素。父母在塑造这些行为方面起着主要作用,方式包括父母示范、喂养方式以及所提供的食物和身体活动环境。社会经济背景较低的儿童肥胖率较高,这使得早期干预尤为重要。然而,这类家庭往往更难接触到,而且可能不太愿意参与支持健康行为的传统项目。所有社会人口群体的父母都经常使用初级卫生保健(PHC)服务,包括社区卫生服务机构的护士和全科医疗服务,这为参与影响家庭行为提供了无与伦比的机会。一个可能以低成本最大限度提高参与度的新兴且有前景的领域是通过互联网或智能手机等电子媒体为健康育儿提供支持。“健康成长”研究探讨了通过初级卫生保健服务提供这种支持的可行性。 方法:本文描述了“健康成长”研究,这是一项非随机准实验研究,旨在检验通过智能手机应用程序(或网站)为生活在社会经济弱势地区的父母提供干预措施的可行性,以促进有利于健康而非过度体重增加的婴儿喂养和育儿行为。参与者将通过其初级卫生保健从业者招募,并跟踪至其婴儿9个月大。数据将通过基于网络的问卷以及应用程序本身内在收集的数据来收集。 伦理与传播:本研究获得了悉尼科技大学伦理委员会的批准,并将通过同行评审出版物和会议报告进行传播。

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引用本文的文献

[1]
Parental and Demographic Predictors of Engagement in an mHealth Intervention: Observational Study From the Let's Grow Trial.

JMIR Mhealth Uhealth. 2025-7-15

[2]
A Digital Health Behavior Intervention to Prevent Childhood Obesity: The Greenlight Plus Randomized Clinical Trial.

JAMA. 2024-12-24

[3]
Awareness and use of the Eat Smart Play Smart resources in Out of School Hours Care services: A staff survey in New South Wales, Australia.

Health Promot J Austr. 2025-4

[4]
The impacts of an mHealth intervention targeting parents on health service usage and out-of-pocket costs in the first 9 months of life: The Growing healthy app.

Matern Child Nutr. 2024-10

[5]
Mothers' sociodemographic factors and use of health professionals for child feeding advice.

Matern Child Nutr. 2024-1

[6]
Planting Seeds for the Future: Scoping Review of Child Health Promotion Apps for Parents.

JMIR Mhealth Uhealth. 2023-7-20

[7]
The Baby Bites Text Messaging Project with randomized controlled trial: texting to improve infant feeding practices.

Mhealth. 2023-3-3

[8]
Enrollment and Retention of Participants in Remote Digital Health Studies: Scoping Review and Framework Proposal.

J Med Internet Res. 2022-9-9

[9]
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Pediatr Gastroenterol Hepatol Nutr. 2022-3

[10]
Trial collaborators' perceptions of the process of delivering Healthy Beginnings advice via telephone calls or text messages.

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本文引用的文献

[1]
Infant Feeding Websites and Apps: A Systematic Assessment of Quality and Content.

Interact J Med Res. 2015-9-29

[2]
Obesity prevention in early life: an opportunity to better support the role of Maternal and Child Health Nurses in Australia.

BMC Nurs. 2015-5-8

[3]
The impact of interventions to prevent obesity or improve obesity related behaviours in children (0-5 years) from socioeconomically disadvantaged and/or indigenous families: a systematic review.

BMC Public Health. 2014-8-1

[4]
Variation in outcomes of the Melbourne Infant, Feeding, Activity and Nutrition Trial (InFANT) Program according to maternal education and age.

Prev Med. 2013-11-4

[5]
Family and neighbourhood socioeconomic inequalities in childhood trajectories of BMI and overweight: longitudinal study of Australian children.

PLoS One. 2013-7-23

[6]
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J Obes. 2013

[7]
Child obesity prevention in primary health care: investigating practice nurse roles, attitudes and current practices.

J Paediatr Child Health. 2013-4

[8]
Socioeconomic status, infant feeding practices and early childhood obesity.

Pediatr Obes. 2014-4

[9]
Online resources for new mothers: opportunities and challenges for perinatal health professionals.

J Perinat Educ. 2012

[10]
The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review.

PLoS Med. 2013-1-15

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