Faculty of Sports and Nutrition, Center of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
Department of Education and Lifelong Learning, Norwegian University of Science and Technology, Trondheim, Norway.
PLoS One. 2023 Feb 22;18(2):e0281999. doi: 10.1371/journal.pone.0281999. eCollection 2023.
Early Childhood Education and Care (ECEC) teachers at urban preschools are potential key figures to promote healthy behaviours in disadvantaged young children and to engage parents in lifestyle-related topics. An ECEC teacher-parent partnership regarding healthy behaviours may support parents and stimulate their children's development. However, it is not an easy task to establish such a collaboration and ECEC teachers need tools to communicate with parents about lifestyle-related topics. This paper describes the study protocol of a preschool-based intervention (CO-HEALTHY) to promote an ECEC teacher-parent partnership regarding healthy eating, physical (in)activity and sleeping behaviours in young children.
A cluster randomised controlled trial will be performed at preschools in Amsterdam, the Netherlands. Preschools will be randomly allocated to an intervention or control group. The intervention consists of a toolkit with 10 parent-child activities and associated training for ECEC teachers. The activities were composed using the Intervention Mapping protocol. At intervention preschools, ECEC teachers will carry out the activities during standard contact moments. Parents will receive associated intervention materials and will be encouraged to perform similar parent-child activities at home. At control preschools, the toolkit and training will not be implemented. The primary outcome will be the teacher- and parent-reported partnership regarding healthy eating, physical (in)activity and sleeping behaviours in young children. The perceived partnership will be assessed by a questionnaire at baseline and at 6 months. In addition, short interviews with ECEC teachers will be held. Secondary outcomes include the knowledge, attitude, food- and activity-related practices of ECEC teachers and parents. Furthermore, children's eating, physical (in)activity and sleeping behaviours, and weight development will be assessed. A process evaluation of the intervention will be made.
The intervention aims to provide a practical tool for ECEC teachers at urban preschools to promote an ECEC teacher-parent partnership regarding a healthy lifestyle in young children.
Netherlands Trial Register (NTR): NL8883. Date registered: September 8, 2020.
城市幼儿园的幼儿教育与保育（ECEC）教师是促进弱势幼儿健康行为和让家长参与生活方式相关话题的潜在关键人物。关于健康行为的 ECEC 教师-家长伙伴关系可能会支持家长并激发他们孩子的发展。然而，建立这种合作并非易事，ECEC 教师需要工具来与家长就生活方式相关话题进行沟通。本文描述了一项基于幼儿园的干预（CO-HEALTHY）的研究方案，旨在促进幼儿期健康饮食、身体（活动）和睡眠行为方面的 ECEC 教师-家长伙伴关系。
将在荷兰阿姆斯特丹的幼儿园进行一项集群随机对照试验。幼儿园将被随机分配到干预组或对照组。干预措施包括一个工具包，其中包含 10 项亲子活动以及针对 ECEC 教师的相关培训。这些活动是使用干预映射协议组成的。在干预幼儿园，ECEC 教师将在标准联系时间内开展这些活动。家长将收到相关的干预材料，并被鼓励在家中进行类似的亲子活动。在对照组幼儿园，不会实施工具包和培训。主要结果是教师和家长报告的幼儿期健康饮食、身体（活动）和睡眠行为方面的伙伴关系。通过基线和 6 个月时的问卷调查评估感知伙伴关系。此外，还将与 ECEC 教师进行简短访谈。次要结果包括 ECEC 教师和家长的知识、态度、饮食和活动相关实践。此外，还将评估儿童的饮食、身体（活动）和睡眠行为以及体重发育情况。将对干预措施进行过程评估。
该干预措施旨在为城市幼儿园的 ECEC 教师提供实用工具，以促进幼儿期健康生活方式方面的 ECEC 教师-家长伙伴关系。
荷兰试验注册处（NTR）：NL8883。注册日期：2020 年 9 月 8 日。
