School of Nutrition and Dietetics, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Nerus, Terengganu, Malaysia.
Faculty of Hospitality, Tourism, and Wellness, Universiti Malaysia Kelantan, Kota Bharu, Kelantan, Malaysia.
PLoS One. 2022 Oct 31;17(10):e0276843. doi: 10.1371/journal.pone.0276843. eCollection 2022.
Unhealthy weight, especially childhood obesity, is emerging as a growing epidemic and a challenge in developed and developing countries. Partnership with parents to promote healthy lifestyle changes may have a lifelong impact on weight-related outcomes in children. This study aims to determine the efficacy of an Interactive Malaysian Childhood Healthy Lifestyle (i-MaCHeL) intervention programme to change weight-related behaviour in preschool child-parent dyads.
The i-MaCHeL programme is a single-blind, theory-driven intervention, two-group cluster randomised controlled trial that evaluates the efficacy of a 3-month health promotion intervention in preschool child-parent dyads. In recognition of the value of multiple theoretical approaches, the strong theoretical basis consists of Social Cognitive Theory, Health Belief Model, and Trans-Theoretical Model principles underpinning the development of the intervention programme. In total, 460 child-parent dyads from 12 preschools in Terengganu, Malaysia, will be recruited. The children in the intervention group will expose to the i-MaCHeL classroom activities, while the parents will access the i-MaCHeL Web-based educational programme and numerous parent-child home-based online activities. The children in the control group will continue with any existing health-related activities, while the parents will receive the link to the general health newsletters. BMI z-score, dietary intake, physical activity, screen time duration, health-related quality of life, parental self-efficacy, parental role modelling, and parental policies will be assessed at baseline, 3 months' post-baseline, and at 6 months' follow-up (9 months' post-baseline). General linear model repeated measure analysis will be used to determine differences between groups at the 3- and 9-month surveys with adjustment for potential covariates. Statistical analyses will follow intention-to-treat principles.
We hypothesise that the combination of the classroom and interactive Web-based activities will have a strong potential to be effective strategies to sustain child-parent engagement and participation in the weight-related behaviour change programme.
ClinicalTrials.gov Identifier: NCT04711525.
不健康的体重，尤其是儿童肥胖，正在成为发达国家和发展中国家日益严重的流行问题和挑战。与父母合作，促进健康生活方式的改变，可能会对儿童的体重相关结果产生终身影响。本研究旨在确定互动式马来西亚儿童健康生活方式（i-MaCHeL）干预计划在改变学龄前儿童-家长对子体重相关行为方面的效果。
i-MaCHeL 计划是一项单盲、理论驱动的干预、两群组随机对照试验，评估了一项为期 3 个月的健康促进干预措施对学龄前儿童-家长对子的效果。鉴于多种理论方法的价值，该计划的强大理论基础包括社会认知理论、健康信念模型和跨理论模型原则，这些原则是该干预计划的基础。总共将从马来西亚登嘉楼州的 12 所幼儿园招募 460 对儿童-家长。干预组的儿童将接触到 i-MaCHeL 课堂活动，而家长将访问 i-MaCHeL 网络教育计划和许多亲子家庭在线活动。对照组的儿童将继续进行任何现有的与健康相关的活动，而家长将收到一般健康通讯的链接。在基线、基线后 3 个月和 6 个月随访（基线后 9 个月）时，将评估 BMI z 评分、饮食摄入、身体活动、屏幕时间持续时间、健康相关生活质量、父母自我效能感、父母榜样作用和父母政策。将使用广义线性模型重复测量分析来确定 3 个月和 9 个月调查中组间的差异，并对潜在协变量进行调整。统计分析将遵循意向治疗原则。
我们假设课堂和互动网络活动的结合将具有强大的潜力，成为维持儿童-家长参与体重相关行为改变计划的有效策略。
ClinicalTrials.gov 标识符：NCT04711525。
Zotero 插件