Department of Pediatrics, University of Texas Southwestern Medical School, Dallas, TX; Children's Medical Center of Dallas, Dallas, TX.
University of Texas Health Science Center at Houston, School of Public Health, Dallas Campus, Dallas, TX.
J Pediatr Health Care. 2023 Jan-Feb;37(1):17-24. doi: 10.1016/j.pedhc.2022.09.003. Epub 2022 Sep 30.
A self-guided web site offered by pediatric primary care providers could help parents implement healthy behaviors.
The Dynamo Kids/¡Niños Dinámicos program was developed with input from parents and health care professionals, creating a bilingual site for parents to learn why and how to implement healthy behavior changes for their children. A single-arm pilot will enroll parents with children 6-12 years with body mass index (BMI) ≥ 85 percentile seen in safety-net practices. Electronic health record modifications alert providers to eligible children at well-child encounters. Consented parents complete online surveys before accessing the site. At 3 months, the providers see children in weight-focused encounters. Outcomes include change in Family Nutrition and Physical Activity parent survey score (primary) and change in child relative BMI (secondary). Additional data include time spent on site, provider surveys, and provider and parent interviews.
Pending implementation.
If program shows promise, a large, controlled study could further evaluate with a goal of broad dissemination.
儿科初级保健提供者提供的自助式网站可以帮助家长实施健康行为。
Dynamo Kids/¡Niños Dinámicos 计划是在家长和医疗保健专业人员的参与下开发的，创建了一个双语网站，供家长了解为什么以及如何为孩子实施健康行为改变。一项单臂试验将招募在安全网实践中就诊的 BMI（体重指数）≥第 85 百分位的 6-12 岁儿童的父母。电子健康记录修改会在常规儿童健康检查时提醒提供者注意符合条件的儿童。同意的父母在访问该网站之前完成在线调查。在 3 个月时，提供者会在以体重为重点的就诊中见到儿童。结果包括家庭营养和体育活动父母调查评分的变化（主要）和儿童相对 BMI 的变化（次要）。其他数据包括在网站上花费的时间、提供者调查以及提供者和家长访谈。
待实施。
如果该计划显示出前景，可以进行更大规模的对照研究，以实现广泛传播。
