Department of Allied Health Sciences, University of CT, Storrs, CT 06269-1101, USA.
CT Children's Medical Center, University of CT School of Medicine, Hartford, CT 06269-1101, USA.
Nutrients. 2021 Jan 14;13(1):223. doi: 10.3390/nu13010223.
Obesity prevention involves promoting healthy eating and physical activity across all children. Can we leverage technology to feasibly survey children's health behaviors and deliver theory-based and user-tailored messages for brief clinical encounters? We assessed the acceptability and utility of an online pediatric-adapted liking survey (PALS) and tailored messages among children receiving non-urgent care in a pediatric emergency department (PED). Two hundred and forty-five children (average age = 10 years, racially/ethnically diverse, 34% overweight/obese from measured indices, 25% of families reporting food insecurity) and their parents/caregivers participated. Each reported the child's activity and behaviors using the online PALS and received two to three messages tailored to the responses (aligned with elaboration likelihood and transtheoretical models) to motivate behavioral improvements or reinforce healthy behaviors. Most children and parents (>90%) agreed the PALS was easy to complete, encouraging thought about their own/child's behaviors. The child's PALS responses appeared reasonable (fair-to-good child-parent intraclass correlations). Most children and parents (≥75%) reported the tailored messages to be helpful and favorable for improving or maintaining the targeted behavior. Neither message type (motivating/reinforcing) nor favorability responses varied significantly by the child's weight or family's food security status. In summary, children and parents found the PALS with tailored messages acceptable and useful. The message types and responses could help focus brief clinical encounters.
肥胖预防需要在所有儿童中推广健康饮食和身体活动。我们能否利用技术来切实调查儿童的健康行为，并在简短的临床就诊中提供基于理论和针对用户的信息？我们评估了在线儿科适应性喜好调查（PALS）和针对儿科急诊部门（PED）接受非紧急护理的儿童的定制信息的可接受性和实用性。245 名儿童（平均年龄为 10 岁，种族/族裔多样化，34%超重/肥胖来自测量指标，25%的家庭报告存在粮食不安全问题）及其父母/照顾者参加了调查。每位儿童都使用在线 PALS 报告了儿童的活动和行为，并收到了两到三条根据反应量身定制的信息（与精细加工可能性模型和跨理论模型一致），以激励行为改善或强化健康行为。大多数儿童和家长（>90%）认为 PALS 易于完成，鼓励他们思考自己/孩子的行为。儿童 PALS 反应似乎合理（儿童-家长间一致性为公平到良好）。大多数儿童和家长（≥75%）表示，定制信息有助于改善或维持目标行为，且信息类型（激励/强化）和喜好程度的反应都没有因儿童的体重或家庭的粮食安全状况而显著变化。总之，儿童和家长认为 PALS 加上定制信息是可以接受和有用的。这些信息类型和反应可以帮助重点关注简短的临床就诊。
