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父母携手共进:一项针对父母的职场项目的开发与可行性试验,该项目融入了一般育儿和健康行为信息。

Parents Working Together: development and feasibility trial of a workplace-based program for parents that incorporates general parenting and health behaviour messages.

作者信息

Wilson L, Lero Donna, Smofsky Allan, Gross Deborah, Haines Jess

机构信息

Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON, Canada.

Managing Director of Smofsky Strategic Planning, Oakville, ON, Canada.

出版信息

BMC Public Health. 2016 Nov 10;16(1):1154. doi: 10.1186/s12889-016-3817-z.

Abstract

BACKGROUND

Parenting programs integrating general parenting and health behaviour messaging may be an effective childhood obesity prevention strategy. The current study explored workplaces as an alternate setting to deliver parenting programs.

METHODS

This study involved two phases. The objective of the first phase was to explore interest in and preferred delivery mode of a workplace program that addresses general parenting and health behaviours. The objective of the second phase was to adapt and test the feasibility and acceptability of a pre-existing program that has been successfully run in community settings for parents in their workplace. To achieve the first objective, we conducted 9 individual or small group qualitative interviews with 11 workplace representatives involved in employee wellness/wellness programming from 8 different organizations across Southwestern Ontario. To achieve the second objective, we adapted a pre-existing program incorporating workplace representatives' suggestions to create Parents Working Together (PWT). We then tested the program using a pre/post uncontrolled feasibility trial with 9 employees of a large manufacturing company located in Guelph, Ontario.

RESULTS

Results from the qualitative phase showed that a workplace parenting program that addresses general parenting and health behaviour messages is of interest to workplaces. Results from the feasibility trial suggest that PWT is feasible and well received by participants; attendance rates were high with 89 % of the participants attending 5 or more sessions and 44 % attending all 7 sessions offered. All participants stated they would recommend the program to co-workers. Just over half of our parent participants were male (55.6 %), which is a unique finding as the majority of existing parenting programs engage primarily mothers. Impact evaluation results suggest that changes in children's and parents' weight-related behaviours, as well as parents' reports of family interfering with work were in the desired direction post-intervention; however, confidence intervals substantially overlapped zero. Contrary to expectations, parents also reported an increase in restrictive feeding practices.

CONCLUSION

Our results indicate that a workplace-based program that addresses general parenting skills and weight-related behaviours may be a feasible way to engage and educate parents, including fathers. A full-scale trial is needed to examine the effectiveness of this approach.

摘要

背景

将一般育儿和健康行为信息相结合的育儿项目可能是预防儿童肥胖的有效策略。当前研究探索了以工作场所作为提供育儿项目的替代场所。

方法

本研究包括两个阶段。第一阶段的目标是探究对一个涉及一般育儿和健康行为的工作场所项目的兴趣以及偏好的提供模式。第二阶段的目标是对一个已在社区环境中成功运行的项目进行调整,并测试其在工作场所针对父母的可行性和可接受性。为实现第一个目标,我们对安大略省西南部8个不同组织中参与员工健康/健康项目的11名工作场所代表进行了9次个人或小组定性访谈。为实现第二个目标,我们根据工作场所代表的建议对一个现有项目进行调整,创建了“共同育儿”(PWT)项目。然后,我们在安大略省圭尔夫市一家大型制造公司的9名员工中进行了一项无对照的前后可行性试验,对该项目进行测试。

结果

定性阶段的结果表明,一个涉及一般育儿和健康行为信息的工作场所育儿项目受到工作场所的关注。可行性试验的结果表明,PWT项目是可行的且受到参与者的好评;出勤率很高,89%的参与者参加了5次或更多次课程,44%的参与者参加了提供的所有7次课程。所有参与者表示他们会向同事推荐该项目。我们的家长参与者中略超过一半是男性(55.6%),这是一个独特的发现,因为现有的大多数育儿项目主要针对母亲。影响评估结果表明,干预后儿童和父母与体重相关的行为变化以及父母报告的家庭对工作的干扰朝着预期方向发展;然而,置信区间与零有很大重叠。与预期相反,父母还报告了限制喂养行为有所增加。

结论

我们的结果表明,一个基于工作场所的项目,若涉及一般育儿技能和与体重相关的行为,可能是吸引和教育包括父亲在内的父母的可行方式。需要进行全面试验来检验这种方法的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6057/5105296/239992c29df4/12889_2016_3817_Fig1_HTML.jpg

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