一项促进儿童保育中心食用豆类食品的营养干预措施：一项多方法研究方案。

A Nutrition Intervention to Promote the Consumption of Pulse-Based Foods in Childcare Centers: Protocol for a Multimethod Study.

作者信息

Haileslassie Hiwot Abebe, Ramikie Renee, Vatanparast Hassan, Ramdath D Dan, Froehlich Chow Amanda, Shand Phyllis, Engler-Stringer Rachel, Lieffers Jessica Rl, Hood-Niefer Shannon, Henry Carol

机构信息

College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.

Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PE, Canada.

出版信息

JMIR Res Protoc. 2020 Dec 24;9(12):e22775. doi: 10.2196/22775.

DOI:10.2196/22775

PMID:33361052

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7790610/

Abstract

BACKGROUND

Plant-based foods, including pulses (dry beans, lentils, chickpeas, and peas), have gained worldwide attention owing to their health and environmental benefits. Despite high production, the consumption of pulses is low in Canada. Behavior change interventions systematically designed to promote the consumption of pulse-based foods are scarce.

OBJECTIVE

We describe the utilization of intervention mapping (IM) in the development of a multicomponent nutrition intervention aimed at promoting consumption of pulse-based foods among preschool children in childcare centers in Saskatchewan, Canada.

METHODS

The Pulse Discovery Toolkit intervention was developed following the six steps of the IM protocol. Decisions at each step were either based upon literature review, expert consultation, pretesting, or a combination of these. Following the initial phase of the study, which focused on intervention development, phases II and III of the study were concerned with pilot testing and roll-out of the intervention, respectively. In total, one, two, and four childcare centers participated in phases I, II, and III, respectively. A multimethod approach was designed to evaluate the intervention during pilot testing and roll-out.

RESULTS

The application of IM steps 1 to 3 in phase I resulted in the creation of performance objectives at different levels, including at the individual level (preschool children), and the social and environmental levels (parents, early childhood educators, and cooks). These objectives were then used to create a matrix of objectives matching the constructs of the social cognitive theory while taking Piaget cognitive development into consideration. This step was followed by defining program components, implementation, adoption, and evaluation strategies, which were utilized in phases II and III. Data have been collected from 2015 to 2018 and analyzed. The results will be reported elsewhere.

CONCLUSIONS

The IM protocol provided a rigorous framework for the development of a multicomponent evidence-based intervention to promote pulse-based foods in childcare centers.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/22775.

摘要

背景

包括豆类（干豆、小扁豆、鹰嘴豆和豌豆）在内的植物性食物因其对健康和环境的益处而受到全球关注。尽管加拿大豆类产量很高，但消费量却很低。系统设计的旨在促进食用豆类食物的行为改变干预措施很少。

目的

我们描述了干预映射法（IM）在制定多成分营养干预措施中的应用，该干预措施旨在促进加拿大萨斯喀彻温省儿童保育中心学龄前儿童食用豆类食物。

方法

豆类发现工具包干预措施是按照IM方案的六个步骤制定的。每一步的决策都基于文献综述、专家咨询、预测试或这些方法的组合。在以干预措施开发为重点的研究初始阶段之后，研究的第二阶段和第三阶段分别涉及干预措施的试点测试和推广。总共有1个、2个和4个儿童保育中心分别参与了第一阶段、第二阶段和第三阶段。设计了一种多方法途径来在试点测试和推广期间评估干预措施。

结果

在第一阶段应用IM的第1至3步，导致在不同层面创建了绩效目标，包括个人层面（学龄前儿童）以及社会和环境层面（家长、幼儿教育工作者和厨师）。然后，这些目标被用于创建一个与社会认知理论结构相匹配的目标矩阵，同时考虑到皮亚杰的认知发展。接下来是定义项目组成部分、实施、采用和评估策略，这些策略在第二阶段和第三阶段得到了应用。数据已在2015年至2018年期间收集并进行了分析。结果将在其他地方报告。