Deslippe Alysha L, Bains Andy, Loiselle Sarah-Eve, Kasvis Popi, Mak Ivy, Weiler Hope, Cohen Tamara R
The University of British Columbia, Faculty of Land and Food Systems, Vancouver, British Columbia, Canada.
BC Children's Hospital Research Institute, Healthy Starts, Vancouver, British Columbia, Canada.
Pediatr Obes. 2023 Jan;18(1):e12973. doi: 10.1111/ijpo.12973. Epub 2022 Sep 6.
This study demonstrates how SMART (Specific, Measurable, Attainable, Realistic and Timely) goals set by children in a lifestyle intervention contributed favorably to weight outcomes. Children (6-12 years) set goals with a registered dietitian over six months. Goals were classified according to their type (diet or activity), direction, (increase healthy or decrease unhealthy), and theoretical constructs. Theoretical constructs included the Theory of Planned Behavior's attitudes (i.e., changing beliefs about behaviour outcomes), subjective norm (i.e., incorporation of health recommendations) and perceived behavioural control (i.e., over goal barriers and facilitators). Constructs from a Socio-Ecological Model (family or individual) were also applied. Participants who maintained or decreased their body mass index for-age-and-sex z-scores (BAZ) after six months created significantly more goals related to the subjective norm compared to those whose BAZ increased (p = 0.003). Future interventions using SMART goals should incorporate health recommendations (i.e., the subjective norm) through actionable items among children to promote success.
本研究展示了在生活方式干预中儿童设定的SMART（具体、可衡量、可实现、现实和及时）目标如何对体重结果产生有利影响。6至12岁的儿童与注册营养师一起设定了为期六个月的目标。目标根据其类型（饮食或活动）、方向（增加健康或减少不健康）和理论结构进行分类。理论结构包括计划行为理论的态度（即改变对行为结果的信念）、主观规范（即纳入健康建议）和感知行为控制（即克服目标障碍和促进因素）。还应用了社会生态模型（家庭或个体）的结构。与体重年龄和性别z评分（BAZ）增加的参与者相比，在六个月后保持或降低BAZ的参与者制定的与主观规范相关的目标明显更多（p = 0.003）。未来使用SMART目标的干预措施应通过儿童可采取行动的项目纳入健康建议（即主观规范），以促进成功。
