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评估医疗专业人员用小儿肥胖管理工具包:一项准实验研究。

Evaluation of a Pediatric Obesity Management Toolkit for Health Care Professionals: A Quasi-Experimental Study.

机构信息

Division of Endocrinology, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada.

Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 5B2, Canada.

出版信息

Int J Environ Res Public Health. 2021 Jul 16;18(14):7568. doi: 10.3390/ijerph18147568.

Abstract

Health care professionals (HCPs) play a critical role in helping to address weight-related issues with pediatric patients, yet often feel ill-equipped to discuss/manage this complex and sensitive health issue. Using the five As ("Ask, Assess, Advise, Agree, and Assist") of Pediatric Obesity Management, we created a series of educational videos and evaluated the content, quality (acceptability, engagement), and impact of these videos on HCPs' self-efficacy, knowledge, and change in practice when addressing weight-related issues with pediatric patients and their families using questionnaires. HCPs ( = 65) participated in a baseline assessment and 4-6 month follow-up ( = 54). Knowledge and self-efficacy increased post-video for the majority of participants. At follow-up, most HCPs reported a change in their practice attributable to viewing the videos, and their self-efficacy ratings improved over time for the majority of questions asked. Most participants rated aspects of each of the videos highly. Preliminary findings suggest that an evidence-based educational toolkit of videos, based on the 5As framework, may lead to changes in self-reported behaviors among HCPs, and sustained improvements in their self-efficacy in addressing weight-related topics with children and their families. (Clinical Trial Number NCT04126291).

摘要

医疗保健专业人员(HCPs)在帮助解决儿科患者与体重相关问题方面发挥着关键作用,但他们常常感到自己没有能力讨论/管理这个复杂而敏感的健康问题。我们使用“儿科肥胖管理的五个 A(Ask、Assess、Advise、Agree 和 Assist)”方法,制作了一系列教育视频,并通过问卷调查评估了这些视频的内容、质量(可接受性、参与度)以及对 HCPs 在与儿科患者及其家属讨论体重相关问题时的自我效能、知识和实践改变的影响。共有 65 名 HCPs 参加了基线评估和 4-6 个月的随访(=54)。大多数参与者在观看视频后知识和自我效能感有所提高。在随访时,大多数 HCPs 报告说,由于观看了视频,他们的实践发生了变化,并且他们的自我效能感评分在大多数问题上随着时间的推移而提高。大多数参与者对每个视频的各个方面都给予了高度评价。初步结果表明,基于 5A 框架的循证教育工具包的视频可能会导致 HCPs 自我报告行为的改变,并持续提高他们在与儿童及其家庭讨论与体重相关问题时的自我效能感。(临床试验编号:NCT04126291)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51a2/8306158/3a67df9c66e0/ijerph-18-07568-g001.jpg

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