Cullen Karen Weber, Thompson Debbe, Chen Tzu-An
1 Baylor College of Medicine, Houston, TX, USA.
Health Educ Behav. 2017 Feb;44(1):32-40. doi: 10.1177/1090198116643917. Epub 2016 Jul 9.
This article presents the results of a randomized clinical trial evaluating the eight-session Family Eats web-based intervention promoting healthy home food environments for African American families. African American families ( n = 126) with 8- to 12-year-old children completed online baseline questionnaires and were randomized into intervention or control groups. Data collection occurred at baseline, immediately postintervention (Post 1), and 4 months later (Post 2), for parents and children, separately. There were two group by time intervention effects: Control group parents reported a significantly greater frequency of drinking 100% fruit juice at Post 1 compared with intervention group parents. Parent menu planning skills were significantly higher at Post 2 for the intervention group compared with the control group. Significant positive changes overtime were noted for both groups for home fruit/vegetable availability, food preparation practices, and healthy restaurant selection. Intervention group children reported a significant increase in home juice availability at Post 1 compared with the control group; home fruit availability improved for both groups. There was no difference in log on rates by group: 84% and 86% for those who completed Post 1 and Post 2 measurements, respectively. Sixty-four participants completed the evaluation survey: 17 control (50%) and 47 intervention (51%) participants. All participants reported liking the program components; all but one gave it an A or B grade. An Internet-delivered nutrition intervention for families was successful in achieving change in some mediating variables, with good log on rates. Future research with Family Eats should include larger sample sizes, with longer follow-up and a more objective measure of diet.
本文介绍了一项随机临床试验的结果,该试验评估了为期八节的“家庭饮食”网络干预措施,该措施旨在为非裔美国家庭促进健康的家庭食物环境。有8至12岁孩子的非裔美国家庭(n = 126)完成了在线基线调查问卷,并被随机分为干预组或对照组。分别针对父母和孩子在基线、干预后立即(第1期)以及4个月后(第2期)进行数据收集。存在两组随时间的干预效果:与干预组父母相比,对照组父母在第1期报告饮用100%果汁的频率显著更高。与对照组相比,干预组在第2期的家长菜单规划技能显著更高。两组在家庭水果/蔬菜供应、食物准备做法和健康餐厅选择方面均随时间有显著的积极变化。与对照组相比,干预组儿童在第1期报告家庭果汁供应量显著增加;两组的家庭水果供应量均有所改善。两组的登录率没有差异:完成第期和第期测量的参与者的登录率分别为84%和86%。64名参与者完成了评估调查:17名对照组(50%)和47名干预组(51%)参与者。所有参与者都表示喜欢该项目的组成部分;除一人外,所有人都给它打了A或B级。一项针对家庭的互联网营养干预措施成功地在一些中介变量上实现了改变,登录率良好。未来对“家庭饮食”的研究应包括更大的样本量、更长的随访时间以及更客观的饮食测量方法。