运用RE-AIM框架评估以家长为重点的儿童肥胖干预措施的可行性。

Using the RE-AIM framework to evaluate the feasibility of a parent-focused intervention targeting childhood obesity.

作者信息

Briatico Daniel, Reilly Kristen C, Tucker Patricia, Irwin Jennifer D, Johnson Andrew M, Pearson Erin S, Bock Dirk E, Burke Shauna M

机构信息

Faculty of Health Sciences, Western University, London, Ontario, Canada.

Children's Health Research Institute, Lawson Health Research Institute, London, Canada.

出版信息

Pilot Feasibility Stud. 2023 Mar 13;9(1):38. doi: 10.1186/s40814-023-01248-8.

DOI:10.1186/s40814-023-01248-8

PMID:36915150

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10009980/

Abstract

BACKGROUND

Childhood obesity remains a serious public health concern. Community-based childhood obesity treatment interventions have the potential to improve health behaviors and outcomes among children, but require thorough evaluation to facilitate translation of research into practice. The purpose of the current study was to determine the feasibility of a community-based, parent-focused childhood obesity intervention ("C.H.A.M.P. Families") using the RE-AIM framework, an evaluation tool for health interventions.

METHODS

A single-group, non-randomized, repeated measures feasibility study was conducted. Participants (n = 16 parents/caregivers of 11 children with obesity) completed a 13-week parent-focused education intervention. The intervention consisted of three main components: (a) eight group-based (parent-only) education sessions; (b) eight home-based (family-centered) activities; and (c) two group-based follow-up support sessions for parents and children. The five dimensions of RE-AIM-reach, effectiveness, adoption, implementation, and maintenance-were assessed using various measures and data sources (e.g., child, parent/caregiver, costing, census) obtained throughout the study period. Outcome variables were measured at baseline, mid-intervention, post-intervention, and at a 6-month follow-up.

RESULTS

Overall, the C.H.A.M.P. Families intervention reached approximately 0.09% of eligible families in London, Ontario. Despite the small number, participants were generally representative of the population from which they were drawn, and program participation rates were high (reach). Findings also suggest that involvement in the program was associated with improved health-related quality of life among children (effectiveness/individual-level maintenance). In addition, the intervention had high fidelity to protocol, attendance rates, and cost-effectiveness (implementation). Lastly, important community partnerships were established and maintained (adoption/setting-level maintenance).

CONCLUSIONS

Based on a detailed and comprehensive RE-AIM evaluation, the C.H.A.M.P. Families intervention appears to be a promising parent-focused approach to the treatment of childhood obesity.

TRIAL REGISTRATION

ISRCTN Registry, Study ID ISRCTN 10752416 . Registered 24 April 2018.

摘要

背景

儿童肥胖仍然是一个严重的公共卫生问题。基于社区的儿童肥胖治疗干预措施有可能改善儿童的健康行为和健康状况，但需要进行全面评估，以促进研究成果转化为实际应用。本研究的目的是使用RE-AIM框架（一种健康干预评估工具）来确定基于社区、以家长为重点的儿童肥胖干预措施（“C.H.A.M.P.家庭”）的可行性。

方法

进行了一项单组、非随机、重复测量的可行性研究。参与者（16名家长/照顾者，其子女中有11名肥胖儿童）完成了一项为期13周、以家长为重点的教育干预。该干预包括三个主要部分：（a）八次基于小组的（仅限家长）教育课程；（b）八次基于家庭的（以家庭为中心）活动；（c）两次针对家长和儿童的基于小组的后续支持课程。使用在整个研究期间获得的各种测量方法和数据来源（例如，儿童数据、家长/照顾者数据、成本核算、人口普查数据）评估RE-AIM的五个维度——覆盖范围、有效性、采用情况、实施情况和维持情况。在基线、干预中期、干预后以及6个月随访时测量结果变量。

结果

总体而言，“C.H.A.M.P.家庭”干预措施覆盖了安大略省伦敦市约0.09%的符合条件的家庭。尽管数量较少，但参与者总体上代表了他们所来自的人群，项目参与率很高（覆盖范围）。研究结果还表明，参与该项目与儿童健康相关生活质量的改善相关（有效性/个体层面的维持情况）。此外，该干预措施在方案执行、出勤率和成本效益方面具有高保真度（实施情况）。最后，建立并维持了重要的社区伙伴关系（采用情况/机构层面的维持情况）。