Ward Stephanie, Bélanger Mathieu, Leis Anne
Université de Moncton, École des Sciences des Aliments, de Nutrition et d'études Familiales, Pavillon Jacqueline-Bouchard, 51, Avenue Antonine-Maillet, Moncton, NB E1A 3E9, Canada.
Université de Sherbrooke, Centre de Formation Médicale du Nouveau-Brunswick, Pavillon J.-Raymond Frenette, 18, rue des Aboiteaux, Moncton, NB E1A 3E9, Canada.
Prev Med Rep. 2020 Nov 28;20:101264. doi: 10.1016/j.pmedr.2020.101264. eCollection 2020 Dec.
Online training may be a more effective and sustainable way to reach educators in early childcare centres (ECCs). This study compared the effectiveness of an online version of the Healthy Start-Départ Santé (HSDS) training to the traditional in-person version of the training as well as to the usual practice condition on ECC educators' healthy eating (HE) and physical activity (PA) practices and knowledge of PA and fundamental movement skills (FMS). Seventy-eight ECCs were randomly chosen across the provinces of New Brunswick and Saskatchewan, Canada and were allocated to either the online training, the in-person training or the usual practice groups between 2013 and 2018. Educators in each group completed a self-administered questionnaire before and nine months after the intervention, which included questions regarding their HE and PA practices in the ECC, as well as their knowledge of children's FMS and PA. Group differences were assessed with mixed-effect models. Compared to educators in the usual practice group, educators in the online training group reported a greater improvement in scores for HE and PA practices (p = 0.03 and 0.03, respectively), but change for educators in the in-person training group were not different (p = 0.8 and 0.56, respectively). The rate of improvement in FMS and PA knowledge did not differ across all three groups (p = 0.9). The HSDS online training is an effective method of improving educators' HE and PA practices in ECCs. ClinicalTrials.gov (NCT02375490).
在线培训可能是接触幼儿保育中心（ECC）教育工作者的一种更有效且可持续的方式。本研究比较了健康起步 - 健康出发（HSDS）在线培训版本与传统面对面培训版本以及常规实践条件对ECC教育工作者健康饮食（HE）和身体活动（PA）实践以及PA和基本运动技能（FMS）知识的影响。2013年至2018年期间，在加拿大新不伦瑞克省和萨斯喀彻温省随机选择了78个ECC，并将其分配到在线培训、面对面培训或常规实践组。每组教育工作者在干预前和干预九个月后完成一份自我管理问卷，其中包括有关他们在ECC中的HE和PA实践以及他们对儿童FMS和PA知识的问题。使用混合效应模型评估组间差异。与常规实践组的教育工作者相比，在线培训组的教育工作者在HE和PA实践得分上有更大的提高（p分别为0.03和0.03），但面对面培训组教育工作者的变化没有差异（p分别为0.8和0.56）。所有三组在FMS和PA知识方面的提高率没有差异（p = 0.9）。HSDS在线培训是提高ECC教育工作者HE和PA实践的有效方法。ClinicalTrials.gov（NCT02375490）。
