Cheng Erika R, Moore Courtney, Parks Lisa, Taveras Elsie M, Wiehe Sarah E, Carroll Aaron E
Department of Pediatrics, Division of Children's Health Services Research, Indiana University School of Medicine, Indianapolis, IN, United States.
Indiana Clinical and Translational Sciences Institute (CTSI), Research Jam, Indianapolis, IN, United States.
Front Pediatr. 2022 Jun 28;10:915231. doi: 10.3389/fped.2022.915231. eCollection 2022.
Pediatricians are well positioned to discuss early life obesity risk, but optimal methods of communication should account for parent preferences. To help inform communication strategies focused on early life obesity prevention, we employed human-centered design methodologies to identify parental perceptions, concerns, beliefs, and communication preferences about early life obesity risk.
We conducted a series of virtual human-centered design research sessions with 31 parents of infants <24 months old. Parents were recruited with a human intelligence task posted on Amazon's Mechanical Turk, via social media postings on Facebook and Reddit, and from local community organizations. Human-centered design techniques included individual short-answer activities derived from personas and empathy maps as well as group discussion.
Parents welcomed a conversation about infant weight and obesity risk, but concerns about health were expressed in relation to the future. Tone, context, and collaboration emerged as important for obesity prevention discussions. Framing the conversation around healthy changes for the entire family to prevent adverse impacts of excess weight may be more effective than focusing on weight loss.
Our human-centered design approach provides a model for developing and refining messages and materials aimed at increasing parent/provider communication about early life obesity prevention. Motivating families to engage in obesity prevention may require pediatricians and other health professionals to frame the conversation within the context of other developmental milestones, involve the entire family, and provide practical strategies for behavioral change.
儿科医生在讨论早期肥胖风险方面具有优势，但最佳的沟通方式应考虑家长的偏好。为了为关注早期肥胖预防的沟通策略提供参考，我们采用以人为本的设计方法来确定家长对早期肥胖风险的认知、担忧、信念和沟通偏好。
我们与31名24个月以下婴儿的家长进行了一系列虚拟的以人为本的设计研究会议。通过在亚马逊的土耳其机器人上发布人工任务、在脸书和红迪网上发布社交媒体帖子以及从当地社区组织招募家长。以人为本的设计技术包括源自人物角色和共情地图的个人简短回答活动以及小组讨论。
家长们欢迎关于婴儿体重和肥胖风险的对话，但对健康的担忧与未来相关。语气、背景和协作在肥胖预防讨论中显得很重要。围绕整个家庭的健康改变来展开对话以预防超重的不利影响，可能比专注于减肥更有效。
我们以人为本的设计方法为开发和完善旨在增加家长/医疗服务提供者关于早期肥胖预防沟通的信息和材料提供了一个模型。激励家庭参与肥胖预防可能需要儿科医生和其他健康专业人员在其他发育里程碑的背景下展开对话，让整个家庭参与进来，并提供行为改变的实用策略。
