Cheng Erika R, Moore Courtney, Parks Lisa, Taveras Elsie M, Wiehe Sarah E, Carroll Aaron E
Indiana University School of Medicine, Department of Pediatrics, Division of Children's Health Services Research, 410 W. 10 St., Suite 2000, Indianapolis, IN 46220, United States.
Indiana Clinical & Translational Sciences Institute (CTSI), Research Jam, 410 W. 10 St., Suite 1000, Indianapolis, IN 46220, United States.
Prev Med Rep. 2023 Jul 22;35:102333. doi: 10.1016/j.pmedr.2023.102333. eCollection 2023 Oct.
How we communicate about obesity is critical as treatment paradigms shift upstream. We previously identified parental perceptions, concerns, beliefs, and communication preferences about early life obesity risk. We engaged parents of children 0 to 24 months of age and pediatricians from Indianapolis, Indiana, USA in the co-design of messages and tools that can be used to facilitate parent/provider conversations about early life obesity prevention.
From April to June 2021, we conducted a series of co-design workshops with parents of children ages 0 to 24 months and pediatricians to identify their preferences for communicating obesity prevention in the setting of a pediatric well visit. Human-centered design techniques, including affinity diagraming and model building, were used to inform key elements of a communication model and communication strategy messages. These elements were combined and refined to create prototype tools that were subsequently refined using stakeholder feedback.
Parent participants included 11 mothers and 2 fathers: 8 white, 4 black, and 1 Asian; median age 33 years with 38% reporting annual household incomes less than $50,000. Pediatricians included 7 female and 6 male providers; 69% white. Through an iterative process of co-design, we created an exam room poster that addresses common misconceptions about infant feeding, sleep and exercise, and a behavior change plan to foster parent/provider collaboration focused on achieving children's healthy weight.
Our hands-on, collaborative approach may ultimately improve uptake, acceptability and usability of early life obesity interventions by ensuring that parents remain at the center of prevention efforts.
随着治疗模式向上游转变,我们如何交流肥胖问题至关重要。我们之前已经确定了父母对早期生活肥胖风险的认知、担忧、信念和交流偏好。我们让美国印第安纳州印第安纳波利斯市0至24个月大儿童的父母和儿科医生共同设计信息和工具,以促进父母/医疗服务提供者就早期生活肥胖预防进行对话。
2021年4月至6月,我们与0至24个月大儿童的父母和儿科医生举办了一系列共同设计研讨会,以确定他们在儿科健康检查中交流肥胖预防的偏好。采用以用户为中心的设计技术,包括亲和图绘制和模型构建,为交流模型和交流策略信息的关键要素提供信息。这些要素被组合和完善,以创建原型工具,随后根据利益相关者的反馈进行改进。
参与的父母包括11名母亲和2名父亲:8名白人、4名黑人、1名亚洲人;年龄中位数为33岁,38%的人报告家庭年收入低于5万美元。儿科医生包括七名女医生和六名男医生;69%为白人。通过反复的共同设计过程,我们制作了一张检查室海报,解决了有关婴儿喂养、睡眠和运动的常见误解,并制定了一项行为改变计划,以促进父母/医疗服务提供者的合作,重点是实现儿童的健康体重。
我们这种亲力亲为的协作方法,通过确保父母始终处于预防工作的中心位置,最终可能会提高早期生活肥胖干预措施的接受度、可接受性和可用性。