McPherson Amy C, Biddiss Elaine, Chen Lorry, Church Paige Terrien, de Groot Janke F, Keenan Sarah, King Gillian, Lui Toni, Maltais Desiree B, Mérette Chantal, Moffet Hélène, Moola Fiona, Schwellnus Heidi
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2019 Mar 4;9(3):e025119. doi: 10.1136/bmjopen-2018-025119.
Children with physical disabilities are rarely included in interventions to promote healthy lifestyles, despite being at higher risk for suboptimal dietary and physical activity behaviours. The Children and Teens in Charge of their Health study explores the feasibility and acceptability of conducting a randomised controlled trial (RCT) of a strengths-based, solution-focused coaching intervention for improving and sustaining physical activity and healthy dietary habits in children and young people with physical disabilities.
Thirty children aged 10-18 years with a diagnosis of spina bifida or cerebral palsy who are able to set healthy lifestyle goals will be recruited from two children's rehabilitation hospitals in Ontario, Canada. Participants will be enrolled in the study for twelve months. All participants will receive standard care and printed information about healthy lifestyles. Of the 30 participants, 15 will be randomised to receive a coaching intervention for the first 6 months. Health indicators and psychosocial outcomes will be assessed by blinded assessors four times: at the start of the trial, immediately postintervention (6 months after randomisation), and at 3 and 6 months postintervention (9 and 12 months after randomisation, respectively). Predefined success criteria will be used to assess the feasibility of trial processes such as recruitment, attrition, stratification and intervention fidelity. Acceptability and perceived impact of the intervention will be explored qualitatively.
The study has been approved by Holland Bloorview Kids Rehabilitation Hospital's Research Ethics Board (Ref: 17-752). A knowledge translation planning template will be used to ensure our findings have maximum reach.
NCT03523806.
身体残疾的儿童很少被纳入促进健康生活方式的干预措施中，尽管他们出现不良饮食和身体活动行为的风险更高。“儿童主导自身健康”研究探讨了对身体残疾的儿童和青少年开展一项基于优势、聚焦解决方案的指导干预随机对照试验（RCT），以改善并维持其身体活动和健康饮食习惯的可行性和可接受性。
将从加拿大安大略省的两家儿童康复医院招募30名年龄在10至18岁、被诊断患有脊柱裂或脑瘫且能够设定健康生活方式目标的儿童。参与者将参加为期12个月的研究。所有参与者都将接受标准护理以及有关健康生活方式的印刷信息。在这30名参与者中，15名将被随机分配在前6个月接受指导干预。健康指标和心理社会结果将由盲法评估人员进行四次评估：在试验开始时、干预后立即（随机分组后6个月）以及干预后3个月和6个月（分别为随机分组后9个月和12个月）。将使用预先定义的成功标准来评估招募、损耗、分层和干预保真度等试验过程的可行性。将定性探索干预措施的可接受性和感知影响。
该研究已获得荷兰布鲁尔维尤儿童康复医院研究伦理委员会的批准（编号：17 - 752）。将使用知识转化规划模板来确保我们的研究结果得到最大程度的传播。
NCT03523806。
