Timm Anne, Kragelund Nielsen Karoline, Joenck Larke, Husted Jensen Nanna, Jensen Dorte Moeller, Norgaard Ole, Terkildsen Maindal Helle
Health Promotion Research, Steno Diabetes Center Copenhagen, Gentofte, Denmark.
Department of Public Health, Aarhus University, Aarhus, Denmark.
Obes Rev. 2022 Jan;23(1):e13359. doi: 10.1111/obr.13359. Epub 2021 Nov 3.
In this systematic review and realist synthesis, we aimed to identify strategies to improve dietary and physical activity behaviors for parents with small children. A systematic literature search was conducted in MEDLINE, Embase, CINAHL, and PsycINFO in July 2021. Included studies had to: (i) target one or both parents with at least one child (0-3 years), (ii) aim to improve diet and physical activity, and (iii) report on diet and physical activity outcomes. Intervention context, delivery, and outcomes were extracted, and behavior change techniques were coded. A program theory was developed, and context-mechanism-outcome configurations were identified. In total, 17 interventions reported in 28 studies (19 effectiveness studies; nine protocols) were included. Nine interventions showed small improvements: in diet (n = 5), physical activity (n = 2), or both (n = 2) in mothers. The realist synthesis revealed three strategies to improve health behaviors: (1) using knowledge and role modelling to improve family dynamics, (2) providing various home-based activities to change home environment, and (3) offering flexible delivery, for example, phone or website-based to increase social support. Future interventions for parents with small children should consider involving the whole family, focusing on home-based and practical components, and offering various delivery modes. The protocol for the systematic review and realist synthesis was registered in Research Registry (registration ID: reviewregistry860) March 30th, 2020.
在这项系统评价和实效综合分析中，我们旨在确定改善有幼儿的父母饮食和身体活动行为的策略。2021年7月，我们在MEDLINE、Embase、CINAHL和PsycINFO中进行了系统的文献检索。纳入的研究必须：（i）针对至少有一个孩子（0至3岁）的一位或两位父母，（ii）旨在改善饮食和身体活动，以及（iii）报告饮食和身体活动结果。提取了干预背景、实施方式和结果，并对行为改变技术进行了编码。构建了一个项目理论，并确定了背景-机制-结果配置。总共纳入了28项研究（19项有效性研究；9项方案）中报告的17项干预措施。9项干预措施显示有小幅改善：母亲的饮食（n = 5）、身体活动（n = 2）或两者（n = 2）。实效综合分析揭示了三种改善健康行为的策略：（1）利用知识和榜样示范来改善家庭动态，（2）提供各种居家活动以改变家庭环境，以及（3）提供灵活的实施方式，例如通过电话或网站，以增加社会支持。未来针对有幼儿的父母的干预措施应考虑让整个家庭参与，关注居家和实际内容，并提供多种实施模式。该系统评价和实效综合分析的方案于2020年3月30日在研究注册库（注册ID：reviewregistry860）注册。
