Crockett S J, Mullis R, Perry C L, Luepker R V
Department of Food and Nutrition, North Dakota State University, Fargo 58105.
Prev Med. 1989 Jul;18(4):475-91. doi: 10.1016/0091-7435(89)90007-8.
Since parents play a pivotal role in helping their children to implement eating pattern changes, interest in parent education in youth-directed nutrition interventions is likely to increase along with heightened interest in primary prevention. Previous experience indicates, however, that it may be difficult to recruit and sustain parent involvement. This article describes an evaluation of the effect on parents of two youth-directed interventions with a parent component, a classroom curriculum called Hearty Heart and Friends and a mailed-home, parent-taught approach called Hearty Heart Home Team. Using incentives, a participation rate of 85.6% was achieved in Hearty Heart Home Team. This parent-taught intervention had significantly greater impact on parent than did the school-only curriculum in the following areas: knowledge about diet and heart disease; attitudes of efficacy, intention, outcome expectation and modeling; and parent-child communication and child involvement in food or nutrition-related issues in the home. In addition, the parent-taught approach influenced foods present in the home as evidenced by Home Team groups having significantly more encouraged foods and more positive choices in six scores on a shelf inventory measure conducted by in-home interviewers.
由于父母在帮助孩子改变饮食习惯方面起着关键作用，随着对初级预防的关注度不断提高，针对青少年的营养干预措施中对家长教育的兴趣可能会增加。然而，以往的经验表明，招募并维持家长的参与可能会有困难。本文描述了对两种包含家长参与部分的针对青少年的干预措施效果的评估，一种是名为“健康心脏与朋友”的课堂课程，另一种是名为“健康心脏家庭团队”的邮寄到家、由家长授课的方法。通过激励措施，“健康心脏家庭团队”的参与率达到了85.6%。在以下方面，这种由家长授课的干预措施对家长的影响明显大于仅在学校开展的课程：关于饮食与心脏病的知识；效能、意图、结果期望及示范的态度；以及亲子沟通和孩子在家中参与与食物或营养相关问题的情况。此外，由家长授课的方法对家中食物产生了影响，如通过入户访谈人员进行的货架清单测量的六个评分显示，“家庭团队”组中受到鼓励的食物明显更多，积极选择也更多。
