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基于家庭的肥胖预防:加拿大学龄前儿童家长的看法

Family-Based Obesity Prevention: Perceptions of Canadian Parents of Preschool-Age Children.

作者信息

O'Kane Carley, Wallace Angela, Wilson Laura, Annis Angela, Ma David W L, Haines Jess

机构信息

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

c Guelph Family Health Study, University of Guelph, Guelph, ON.

出版信息

Can J Diet Pract Res. 2018 Mar 1;79(1):13-17. doi: 10.3148/cjdpr-2017-027. Epub 2017 Oct 3.

DOI:10.3148/cjdpr-2017-027
PMID:28971685
Abstract

Our objectives were to explore the perspectives of a community-based sample of Canadian parents with 2-5-year-old children on: (i) strategies to support the development of healthful weight-related behaviours and (ii) assessment approaches to measure weight-related behaviours and outcomes among children and families. We conducted 4 focus groups with 28 parents (89% mothers and 68% identified as White). Transcripts were analyzed using conventional content analysis. Regarding parent's perceptions of strategies to support healthful behaviours, we found that parents largely valued: home-based interventions, expert opinion, practical health behaviour strategies delivered in a nonjudgmental manner, and opportunities for social support. Regarding perceptions of assessment procedures, parents had mixed views on children providing blood samples, but looked upon it more favourably if it would contribute to research on child health. Our results suggest that to increase parental engagement interventions focused on improving weight-related behaviours among families with young children should be delivered within the home and include easy-to-implement behaviour change strategies communicated by experts, such as dietitians working in the clinical or public health setting. Using social media to share information and provide a platform for social support may also be an effective way to engage parents of young children.

摘要

我们的目标是探讨一个以社区为基础、子女年龄在2至5岁的加拿大父母样本对于以下方面的看法:(i)支持养成与健康体重相关行为的策略,以及(ii)衡量儿童及家庭与体重相关行为及结果的评估方法。我们与28位家长进行了4次焦点小组访谈(89%为母亲,68%为白人)。使用常规内容分析法对访谈记录进行了分析。关于家长对支持健康行为策略的看法,我们发现家长在很大程度上重视:家庭干预、专家意见、以无评判方式提供的实用健康行为策略,以及社会支持机会。关于对评估程序的看法,家长对儿童提供血样的态度不一,但如果这有助于儿童健康研究,他们会更看好它。我们的结果表明,为提高家长的参与度,针对幼儿家庭旨在改善与体重相关行为的干预措施应在家庭内部实施,并应包括由专家(如在临床或公共卫生环境中工作的营养师)传达的易于实施行为改变策略。利用社交媒体分享信息并提供社会支持平台,也可能是吸引幼儿家长参与的有效方式。

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