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"C.H.A.M.P. 家庭":以父母为目标的儿科超重和肥胖干预措施的描述和理论基础——一项单中心非随机可行性研究。

"C.H.A.M.P. Families": Description and Theoretical Foundations of a Paediatric Overweight and Obesity Intervention Targeting Parents-A Single-Centre Non-Randomised Feasibility Study.

机构信息

Faculty of Health Sciences, Western University, London, ON N6A 5B9, Canada.

Faculty of Health and Behavioural Sciences, Lakehead University, Thunder Bay, ON P7B 5E1, Canada.

出版信息

Int J Environ Res Public Health. 2018 Dec 14;15(12):2858. doi: 10.3390/ijerph15122858.

Abstract

Childhood obesity represents a significant global health challenge, and treatment interventions are needed. The purpose of this paper is to describe the components and theoretical model that was used in the development and implementation of a unique parent-focussed paediatric overweight/obesity intervention. C.H.A.M.P. Families was a single-centre, prospective intervention offered to parents of children aged between 6⁻14 years with a body mass index (BMI) ≥85th percentile for age and sex. The intervention included: (1) eight group-based (parent-only) education sessions over 13-weeks; (2) eight home-based activities; and (3) two group-based (family) follow-up support sessions. The first section of the manuscript contains a detailed description of each intervention component, as well as an overview of ongoing feasibility analyses. The theoretical portion details the use of evidence-based group dynamics principles and motivational interviewing techniques within the context of a broader social cognitive theory foundation. This paper provides researchers with practical examples of how theoretical constructs and evidence-based strategies can be applied in the development and implementation of parent-focussed paediatric obesity interventions. Given the need for transparent reporting of intervention designs and theoretical foundations, this paper also adds to the areas of implementation science and knowledge translation research.

摘要

儿童肥胖代表着一个重大的全球健康挑战,需要进行治疗干预。本文旨在描述在制定和实施一种独特的以父母为中心的儿科超重/肥胖干预措施中使用的组成部分和理论模型。C.H.A.M.P. Families 是一项单中心、前瞻性干预措施,针对年龄在 6⁻14 岁之间、BMI 高于年龄和性别的第 85 百分位的儿童的父母提供。干预措施包括:(1)13 周内进行八次基于小组(仅限父母)的教育课程;(2)八次家庭活动;(3)两次基于小组(家庭)的后续支持课程。本文稿的第一部分详细描述了每个干预组成部分,以及正在进行的可行性分析概述。理论部分详细介绍了在更广泛的社会认知理论基础上,如何在团体动力学原理和动机性访谈技术的背景下应用循证方法。本文为研究人员提供了如何在制定和实施以父母为中心的儿科肥胖干预措施中应用理论概念和循证策略的实际示例。鉴于需要透明报告干预设计和理论基础,本文也为实施科学和知识转化研究领域做出了贡献。

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