在新南威尔士州幼儿教育和保育服务中，通过电子新闻通讯或动画视频传播与 COVID-19 指南相关的户外自由游戏信息的影响：一项随机对照试验。

The impact of an e-newsletter or animated video to disseminate outdoor free-play information in relation to COVID-19 guidelines in New South Wales early childhood education and care services: a randomised controlled trial.

机构信息

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia.

Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia.

出版信息

BMC Public Health. 2023 Jul 7;23(1):1306. doi: 10.1186/s12889-023-16177-7.

DOI:10.1186/s12889-023-16177-7

PMID:37420179

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10326923/

Abstract

BACKGROUND

State-based Guidelines were issued for Early Childhood Education and Care (ECEC) services (caring for children 0-6 years) recommending greater time outdoors and inclusion of indoor-outdoor programs to facilitate social distancing to reduce spread of COVID-19. The aim of this 3-arm randomised controlled trial (RCT) was to examine the impact of different dissemination strategies on increasing ECEC service intentions to adopt recommendations from the Guidelines.

METHODS

This was a post-intervention only RCT. A sample of eligible ECEC services in New South Wales (n = 1026) were randomly allocated to one of three groups; (i) e-newsletter resource; (ii) animated video resource; or (iii) control (standard email). The intervention was designed to address key determinants of guideline adoption including awareness and knowledge. Following delivery of the intervention in September 2021, services were invited to participate in an online or telephone survey from October-December 2021. The primary trial outcome was the proportion of services intending to adopt the Guidelines, defined as intention to; (i) offer an indoor-outdoor program for the full day; or (ii) offer more outdoor play time. Secondary outcomes included awareness, reach, knowledge and implementation of the Guidelines. Barriers to Guideline implementation, cost of the dissemination strategies and analytic data to measure fidelity of intervention delivery were also captured.

RESULTS

Of the 154 services that provided post-intervention data, 58 received the e-newsletter (37.7%), 50 received the animated video (32.5%), and 46 received the control (29.9%). Services who received the animated video had nearly five times the odds (OR: 4.91 [1.03, 23.34] p = 0.046) than those in the control group, to report having intentions to adopt the Guidelines. There were no statistically significant differences in awareness or knowledge of the Guidelines between either intervention or control services. Development costs were greatest for the animated video. The extent to which the dissemination strategy was viewed in full, were similar for both the e-newsletter and animated video.

CONCLUSION

This study found potential for the inclusion of interactive strategies to disseminate policy and guideline information within the ECEC setting, in the context of the need for rapid communication. Further research should explore the added benefits of embedding such strategies within a multi-strategy intervention.

TRIAL REGISTRATION

Retrospectively registered with the Australian New Zealand Clinical Trials Registry (ANZCTR) on the 23/02/2023 (ACTRN 12,623,000,198,628).

摘要

背景

州立指南已发布，针对幼儿教育和护理（照顾 0-6 岁儿童）服务，建议增加户外活动时间，并纳入室内外项目，以促进社交距离，减少 COVID-19 的传播。这项三臂随机对照试验（RCT）的目的是研究不同传播策略对增加幼儿教育服务采用指南建议的意愿的影响。

方法

这是一项仅在干预后进行的 RCT。新南威尔士州符合条件的幼儿教育服务机构（n=1026）被随机分配到三组之一；（i）电子新闻简报资源；（ii）动画视频资源；或（iii）对照组（标准电子邮件）。干预措施旨在解决指南采用的关键决定因素，包括意识和知识。2021 年 9 月实施干预措施后，邀请服务机构于 2021 年 10 月至 12 月期间参加在线或电话调查。主要试验结果是服务机构打算采用指南的比例，定义为意图；（i）提供全日室内外项目；或（ii）提供更多户外活动时间。次要结果包括对指南的认识、覆盖面、知识和实施情况。还记录了指南实施的障碍、传播策略的成本以及用于衡量干预措施交付保真度的分析数据。

结果

在提供干预后数据的 154 个服务机构中，58 个收到电子新闻简报（37.7%），50 个收到动画视频（32.5%），46 个收到对照组（29.9%）。与对照组相比，接受动画视频的服务机构采用指南的意愿几乎高出五倍（比值比：4.91 [1.03，23.34]，p=0.046）。干预组和对照组在对指南的认识或了解方面均无统计学差异。动画视频的开发成本最高。对于电子新闻简报和动画视频，两者对传播策略的完整观看程度相似。