Rogers Catherine, Anderson Sarah E, Dollahite Jamie S, Hill Tisa F, Holloman Chris, Miller Carla K, Pratt Keeley J, Gunther Carolyn
Department of Human Sciences, Human Nutrition Program, The Ohio State University, 325 Campbell Hall, 1787 Neil Avenue, Columbus, OH, 43210, USA.
Division of Epidemiology, The Ohio State University, 336 Cunz Hall, 1841 Neil Avenue, Columbus, OH, 43210, USA.
BMC Public Health. 2017 Jan 9;17(1):50. doi: 10.1186/s12889-016-3908-x.
Given the ongoing childhood obesity public health crisis and potential protective effect of family meals, there is need for additional family meals research, specifically experimental studies with expanded health outcomes that focus on the at-risk populations in highest need of intervention. Future research, specifically intervention work, would also benefit from an expansion of the target age range to include younger children, who are laying the foundation of their eating patterns and capable of participating in family meal preparations. The purpose of this paper is to address this research gap by presenting the objectives and research methods of a 10-week multi-component family meals intervention study aimed at eliciting positive changes in child diet and weight status.
This will be a group quasi-experimental trial with staggered cohort design. Data will be collected via direct measure and questionnaires at baseline, intervention completion (or waiting period for controls), and 10-weeks post-intervention. Setting will be faith-based community center. Participants will be 60 underserved families with at least 1, 4-10 year old child will be recruited and enrolled in the intervention (n = 30) or waitlist control group (n = 30). The intervention (Simple Suppers) is a 10-week family meals program designed for underserved families from racial/ethnic diverse backgrounds. The 10, 90-min program lessons will be delivered weekly over the dinner hour. Session components include: a) interactive group discussion of strategies to overcome family meal barriers, plus weekly goal setting for caregivers; b) engagement in age-appropriate food preparation activities for children; and c) group family meal for caregivers and children. Main outcome measures are change in: child diet quality; child standardized body mass index; and frequency of family meals. Regression models will be used to compare response variables results of intervention to control group, controlling for confounders. Analyses will account for clustering by family and cohort. Significance will be set at p < 0.05.
This is the first experimentally designed family meals intervention that targets underserved families with elementary school age children and includes an examination of health outcomes beyond weight status. Results will provide researchers and practitioners with insight on evidence-based programming to aid in childhood obesity prevention.
NCT02923050 . Registered 03 October 2016. Retrospectively registered.
鉴于儿童肥胖这一持续存在的公共卫生危机以及家庭聚餐可能具有的保护作用，有必要开展更多关于家庭聚餐的研究，特别是进行具有更广泛健康结果的实验性研究，重点关注最需要干预的高危人群。未来的研究，尤其是干预工作，若能扩大目标年龄范围以纳入年幼孩子，也将受益，因为这些孩子正在奠定他们的饮食模式基础，并且有能力参与家庭聚餐的准备工作。本文的目的是通过介绍一项为期10周的多成分家庭聚餐干预研究的目标和研究方法，来填补这一研究空白，该研究旨在促使儿童饮食和体重状况发生积极变化。
这将是一项采用交错队列设计的组间准实验性试验。在基线、干预完成时（或对照组的等待期）以及干预后10周，通过直接测量和问卷调查收集数据。研究地点将是基于信仰的社区中心。将招募60个服务不足的家庭，每个家庭至少有一名4至10岁的儿童，这些儿童将被纳入干预组（n = 30）或等待名单对照组（n = 30）。干预措施（简易晚餐）是一项为期10周的家庭聚餐计划，专为来自不同种族/族裔背景的服务不足家庭设计。每周晚餐时间将进行10次，每次90分钟的课程。课程内容包括：a）关于克服家庭聚餐障碍策略的互动小组讨论，以及为照顾者设定每周目标；b）让孩子们参与适合其年龄的食物准备活动；c）照顾者和孩子一起进行集体家庭聚餐。主要结局指标包括：儿童饮食质量的变化；儿童标准化体重指数；以及家庭聚餐的频率。将使用回归模型比较干预组和对照组的反应变量结果，并控制混杂因素。分析将考虑家庭和队列的聚类情况。显著性设定为p < 0.05。
这是第一项针对有小学年龄孩子的服务不足家庭进行实验设计的家庭聚餐干预研究，并且包括对体重状况以外的健康结果进行考察。研究结果将为研究人员和从业者提供基于证据的项目规划方面的见解，以帮助预防儿童肥胖。
NCT02923050。于2016年10月3日注册。追溯注册。
