Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia.
Priority Research Centre for Physical Activity and Nutrition, School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia.
Int J Environ Res Public Health. 2021 Dec 23;19(1):102. doi: 10.3390/ijerph19010102.
This study investigated the implementation model and research methods of a peer education program for new parents focused on infant feeding and nutrition. Two hundred and sixty-nine parents with an infant aged birth to two years old were invited to become co-researchers in a Participatory Action Research (PAR) study over three years. Data included focus group and online participant meeting transcripts, social media data, correspondence between the implementation team and peer educators, and field notes. All data were consolidated regularly and discussed by project participants and the research team. After each PAR cycle, structured content analysis was conducted, informing the next iteration of the implementation model and research methods. Participating parents were highly engaged in child feeding peer-to-peer education, but felt more effective and comfortable being considered as a child-feeding information resource sharer or 'champion' rather than a formal peer educator. Similarly, quantitative data collection was only effective when it was integrated seamlessly into the implementation model. PAR methodology suited the diversity and dynamic real-life study setting, facilitating substantial improvements to the peer nutrition intervention model and data collection methods. Our study demonstrated that a genuine collaboration between health professionals and participants to implement research in practice can achieve both intervention outcomes and research aims.
本研究调查了一项针对新父母的同伴教育计划的实施模式和研究方法，该计划侧重于婴儿喂养和营养。邀请了 269 名有 0 至 2 岁婴儿的父母作为参与式行动研究 (PAR) 研究的共同研究者，为期三年。数据包括焦点小组和在线参与者会议记录、社交媒体数据、实施团队与同伴教育者之间的通信以及实地笔记。所有数据定期进行整合，并由项目参与者和研究团队进行讨论。在每个 PAR 周期之后，进行结构化内容分析，为实施模型和研究方法的下一个迭代提供信息。参与的父母非常热衷于儿童喂养同伴教育，但他们更愿意被视为儿童喂养信息资源共享者或“拥护者”，而不是正式的同伴教育者，因此感到更有效和舒适。同样，只有当定量数据收集无缝地融入实施模型时，才会有效。PAR 方法适合多样性和动态的现实生活研究环境，极大地改进了同伴营养干预模型和数据收集方法。我们的研究表明，卫生专业人员和参与者之间真正的合作可以在实践中实施研究，从而实现干预结果和研究目标。
