Bridge Gemma L, Willis Thomas A, Evans Charlotte E L, Roberts Kim P J, Rudolf Mary
Leeds Business School, Leeds Beckett University, Leeds, UK.
Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Child Care Health Dev. 2019 Nov;45(6):850-860. doi: 10.1111/cch.12694. Epub 2019 Jul 24.
Childhood obesity is a major public health concern. In the United Kingdom, a quarter of children are overweight or obese at age 5 years. Overweight and obese children are more likely to develop serious health issues such as diabetes later in life. Consequently, there is an urgent need for effective, early obesity prevention and intervention. This study investigated the impact of an 8-week child obesity intervention-HENRY (Health Exercise Nutrition for the Really Young)-designed to help parents with preschool children develop the skills and knowledge needed to improve family lifestyle and well-being. We were particularly interested in exploring the potential mechanisms by which HENRY may have a positive impact.
Focus groups (n = 7, total participants = 39) were completed with mothers attending the HENRY programme at one of seven locations across England. They took place within 2 weeks of programme completion. Follow-up telephone interviews were completed with a subsample of participants (n = 10) between 17 and 21 weeks later.
Parents consistently reported enhanced self-efficacy in terms of improved confidence in their ability to encourage healthier behaviours such as eating fruit and vegetables and increasing physical activity, and improvements to family health behaviours. Many changes were reportedly sustained at follow-up. Data provided insights into the potential mechanisms that created the conditions for the positive changes. Participants described the importance of mutual support, being listened to by facilitators, and encouragement to identify their own ideas. Their comments indicated the success of a solution-focused, strength-based, partnership approach to supporting family lifestyle change.
The results of this study contribute to the body of evidence suggesting that HENRY may have a positive impact on parenting and family lifestyle behaviour. Although data were collected in 2011, the findings contribute to an understanding of the components of effective obesity prevention in young children.
儿童肥胖是一个重大的公共卫生问题。在英国，四分之一的儿童在5岁时超重或肥胖。超重和肥胖的儿童在日后生活中更有可能患上严重的健康问题，如糖尿病。因此，迫切需要有效的早期肥胖预防和干预措施。本研究调查了一项为期8周的儿童肥胖干预措施——HENRY（针对幼儿的健康、运动与营养），该措施旨在帮助有学龄前儿童的家长培养改善家庭生活方式和幸福感所需的技能和知识。我们特别感兴趣的是探究HENRY可能产生积极影响的潜在机制。
在英格兰七个地点之一参加HENRY项目的母亲们完成了焦点小组访谈（n = 7，总参与者 = 39）。访谈在项目结束后的2周内进行。17至21周后，对部分参与者（n = 10）进行了后续电话访谈。
家长们一致报告称，在鼓励健康行为（如吃水果和蔬菜以及增加体育活动）的能力方面，自信心有所增强，自我效能感得到提高，家庭健康行为也有所改善。据报道，许多变化在随访中得以持续。数据为促成积极变化的潜在机制提供了见解。参与者描述了相互支持、得到促进者倾听以及鼓励提出自己想法的重要性。他们的评论表明，以解决方案为重点、基于优势的伙伴关系方法在支持家庭生活方式改变方面取得了成功。
本研究结果为HENRY可能对育儿和家庭生活方式行为产生积极影响的证据体系做出了贡献。尽管数据收集于2011年，但这些发现有助于理解有效预防幼儿肥胖的要素。
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