Department of Child Health Care, Shanghai Minhang Maternal and Child Health Care Hospital, Shanghai, China.
Department of Maternal, Child and Adolescent Health, School of Public Health, Key Lab of Health Technology Assessment, National Health Commission of the People's Republic of China, Fudan University, Shanghai, China.
Front Public Health. 2023 Jan 6;10:1039394. doi: 10.3389/fpubh.2022.1039394. eCollection 2022.
BACKGROUND: Parental health literacy is an important determinant of children's health, especially during the critical window of early development in the first 3 years. As the information communication technology develops, health education social media is widely used to deliver health information. However, few studies have explored the effect of intervention social media on parental health literacy. OBJECTIVE: This study aims to determine whether a WeChat official account-based health intervention can improve parental health literacy of primary caregivers of children aged 0 to 3 years in Minhang District, Shanghai, China. METHODS: The cluster randomized controlled trial includes all 13 community health centers (CHCs) in Minhang District, Shanghai. We take each CHCs as a cluster in the randomization. The CHCs are randomly allocated to the intervention or the control group through random sequence generation. Ninety primary caregivers of children aged 0 to 2 years will be recruited from each CHC, 1170 in total. Caregivers in the intervention group will be provided with a series of video clips and online reading material links on scientific parenting a WeChat account. Caregivers in the control group will receive printed educational materials with similar contents to the intervention group. All the participants will access routine child health care and be followed up for 9 months. Online assessment of health literacy will be conducted for both groups before and after the intervention. The primary outcome is the change in the total scores of parental health literacy using a validated instrument. The data of secondary outcomes, such as exclusive breastfeeding in the first 6 months, anthropometric measurements, and disease conditions, will be extracted from routine health care records. Generalized linear mixed model (GLMM) will be used for data analyses. DISCUSSION: Compared with traditional health education, health intervention WeChat official account could be a feasible and effective solution to improve parental health literacy. TRIAL REGISTRATION: This trial is registered with the Chinese Clinical Trial Registry (ChiCTR): (#ChiCTR2000031711) on April 07, 2020.
背景：父母健康素养是儿童健康的一个重要决定因素，尤其是在儿童发展的前三年这个关键时期。随着信息通信技术的发展，健康教育社交媒体被广泛用于传播健康信息。然而，很少有研究探讨干预社交媒体对父母健康素养的影响。
目的：本研究旨在确定基于微信公众号的健康干预是否能提高上海市闵行区 0-3 岁儿童主要照顾者的父母健康素养。
方法：本研究采用整群随机对照试验，研究对象为上海市闵行区 13 家社区卫生服务中心的所有儿童（0-2 岁）主要照顾者。将每个社区卫生服务中心作为一个随机单位。通过随机序列生成，将社区卫生服务中心随机分为干预组和对照组。每个社区卫生服务中心将招募 90 名 0-2 岁儿童的主要照顾者，共 1170 名。干预组的照顾者将通过微信公众号获得一系列关于科学育儿的视频剪辑和在线阅读材料链接。对照组的照顾者将获得与干预组类似内容的印刷教育材料。所有参与者都将接受常规儿童保健服务，并随访 9 个月。干预前后，两组参与者均需进行健康素养在线评估。使用经过验证的工具评估父母健康素养的总分变化，作为主要结局。还将从常规保健记录中提取次级结局的数据，如 6 个月内的纯母乳喂养、人体测量指标和疾病状况。将使用广义线性混合模型（GLMM）进行数据分析。
讨论：与传统健康教育相比，健康干预微信公众号可能是提高父母健康素养的一种可行且有效的方法。
试验注册：本试验于 2020 年 4 月 7 日在中国临床试验注册中心（ChiCTR）注册（ChiCTR2000031711）。
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