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儿童营养干预措施的可接受性和可及性:来自调查和访谈研究的父亲观点。

Acceptability and accessibility of child nutrition interventions: fathers' perspectives from survey and interview studies.

机构信息

Centre for Children's Health Research, 62 Graham Street (Level 6), South Brisbane, QLD, 4101, Australia.

School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Brisbane, Australia.

出版信息

Int J Behav Nutr Phys Act. 2018 Jul 11;15(1):67. doi: 10.1186/s12966-018-0702-4.

Abstract

BACKGROUND

Against a background of changing family structures and socioeconomic demands in contemporary families, fathers are more actively engaged in meal preparation and feeding of their children, yet in research studies targeting improvement in nutrition and feeding practices fathers are under-represented. Among possible explanations for this bias are acceptability of research projects and accessibility to male research participants. The aims of this study were to identify (i) fathers' preferences for participation in child nutrition research and interventions and (ii) the potential to recruit fathers through their workplaces with the possibility of delivering interventions through those workplaces.

METHODS

This paper draws on two independent yet linked studies that explored fathers' roles in family feeding, and intervention studies aimed at supporting father's dietary knowledge and feeding practices. For Study 1 (conducted first) secondary data analysis was conducted on survey data (n = 463 fathers of preschool children) to determine preferences related to type of program, delivery mode, and location and timing. For Study 2 six focus groups and one individual interview were conducted with n = 28 fathers to determine acceptability of recruitment of fathers working in traditionally blue-collar occupations and service industries (as defined by the Australian Bureau of Statistics) and potential of intervention delivery through their workplaces.

RESULTS

Fathers were engaged in child feeding and indeed sought nutrition-related information. Fathers indicated a preference for family-focused and online delivery of interventions. Whilst potential to recruit through blue-collar workplaces was evident, participants were divided in their views about the acceptability of interventions conducted through the workplace. There was a sense of support for the logic of such interventions but the focus group participants in this study showed only modest enthusiasm for the idea.

CONCLUSIONS

With limited support for the workplace as an intervention setting, further systematic exploration of technology-based intervention design and engagement is warranted. Based on findings, interventions should target a) content that is focused on the family and how to make changes at the family level, rather than the father individually; and b) online delivery, such as Apps or online video chat sessions, for convenience and to facilitate sharing of information with family members.

摘要

背景

在当代家庭中,家庭结构和社会经济需求发生变化的背景下,父亲更积极地参与儿童膳食准备和喂养,但在针对改善营养和喂养实践的研究中,父亲的代表性不足。造成这种偏见的可能原因包括研究项目的可接受性和男性研究参与者的可及性。本研究的目的是确定:(i) 父亲对参与儿童营养研究和干预的偏好,以及 (ii) 通过工作场所招募父亲的可能性,以及通过这些工作场所提供干预措施的可能性。

方法

本文借鉴了两项独立但相关的研究,这些研究探讨了父亲在家庭喂养中的角色,以及旨在支持父亲饮食知识和喂养实践的干预研究。对于研究 1(首先进行),对调查数据(n=463 名学龄前儿童的父亲)进行了二次数据分析,以确定与方案类型、交付模式以及地点和时间相关的偏好。对于研究 2,对 n=28 名从事传统蓝领职业和服务业(由澳大利亚统计局定义)的父亲进行了六次焦点小组和一次个人访谈,以确定招募父亲的可接受性,以及通过他们的工作场所进行干预的可能性。

结果

父亲参与儿童喂养,并且确实寻求与营养相关的信息。父亲表示倾向于以家庭为中心和在线方式提供干预措施。虽然通过蓝领工作场所招聘的潜力是显而易见的,但参与者对通过工作场所进行干预的可接受性存在分歧。有一种支持这种干预逻辑的感觉,但本研究的焦点小组参与者对这一想法的热情不高。

结论

由于对工作场所作为干预场所的支持有限,因此需要进一步系统地探索基于技术的干预设计和参与。基于研究结果,干预措施应针对:(a) 以家庭为重点的内容,以及如何在家庭层面做出改变,而不是针对父亲个人;(b) 在线交付,例如应用程序或在线视频聊天会议,以方便和促进与家庭成员共享信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0caa/6042245/3a590b6b048c/12966_2018_702_Fig1_HTML.jpg

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