Laroche Helena H, Park-Mroch Jennifer, O'Shea Amy, Rice Sarai, Cintron Yolanda, Engebretsen Bery
Center for Children's Healthy Lifestyles & Nutrition, Kansas City, MO, USA.
Children's Mercy Hospital and Clinics, Kansas City, MO, USA.
SAGE Open Med. 2022 Jun 11;10:20503121221102706. doi: 10.1177/20503121221102706. eCollection 2022.
This non-randomized pilot trial examined the feasibility and acceptability of an intervention for low-income families with one parent with obesity, glucose intolerance and/or diabetes.
The 12-month intervention combined health coaching using motivational interviewing to promote lifestyle behavior change and community resource mobilization to assist with basic needs plus diet quality and physical activity. Outcome measures included process measures, open-ended questions, and the Family Nutrition and Physical Activity scale.
Forty-five families completed an average of 2.1 health coach in-person visits, including 15 families lost to follow-up. Parents who stayed in the intervention reported the intervention was helpful. Some families and the health coach had difficulties contacting one another, and some of these families reported they would have liked more sessions with the coach. The Family Nutrition and Physical Activity scores improved significantly for all children (6 months: 2.9; p < .01; 12 months: 3.2; p < .05) and at 6 months for index children (6 months: 3.5; p < .01; 12 months: 2.9; p = .09). There was variation in the FNPA and other outcome changes between families.
This intervention was feasible in terms of recruitment and delivery of family sessions and community referrals and acceptable to participants, but maintaining contact with participants was difficult. Findings warrant improvements to help retention and logistical aspects of communication between families and coaches and testing in a randomized, controlled trial.
本非随机试点试验考察了针对有一位家长患有肥胖症、糖耐量异常和/或糖尿病的低收入家庭的一项干预措施的可行性和可接受性。
为期12个月的干预措施结合了使用动机性访谈来促进生活方式行为改变的健康指导以及动员社区资源以满足基本需求并改善饮食质量和身体活动。结果测量包括过程测量、开放式问题以及家庭营养与身体活动量表。
45个家庭平均完成了2.1次与健康指导师的面对面访视，其中15个家庭失访。参与干预的家长报告称该干预措施有所帮助。一些家庭与健康指导师相互联系存在困难，其中一些家庭表示希望能与指导师多进行几次交流。所有儿童的家庭营养与身体活动得分均有显著提高（6个月时：2.9；p < 0.01；12个月时：3.2；p < 0.05），指标儿童在6个月时也有提高（6个月时：3.5；p < 0.01；12个月时：2.9；p = 0.09）。不同家庭在家庭营养与身体活动及其他结果变化方面存在差异。
该干预措施在招募家庭、开展家庭课程及社区转介方面是可行的，且参与者可接受，但与参与者保持联系存在困难。研究结果表明有必要进行改进，以帮助提高留存率以及改善家庭与指导师之间沟通的后勤保障方面，并在随机对照试验中进行测试。
