Alexandrou Christina, Rutberg Stina, Johansson Linnea, Lindqvist Anna-Karin, Müssener Ulrika, Löf Marie
Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Linköping, Sweden.
Department of Biosciences and Nutrition, Karolinska Institutet, NEO, Group MLÖ, Huddinge, Sweden.
Digit Health. 2023 Sep 24;9:20552076231203630. doi: 10.1177/20552076231203630. eCollection 2023 Jan-Dec.
Preventive and scalable interventions, accessible to all, to counteract childhood obesity are urgently needed. We have recently developed a novel, digital parental intervention (MINISTOP 2.0 app) available in Swedish, Somali, Arabic and English. We have previously reported its positive effects on children's health behaviors and on parental self-efficacy. However, before introducing the app at scale in primary child healthcare, implementation aspects also need to be explored.
This study aims to explore and describe user experiences as well as acceptability and feasibility of the MINISTOP 2.0 app-based intervention in a diverse group of parents (end-users) and Swedish child healthcare nurses (implementers).
Individual interviews were conducted with Swedish- ( = 9), Somali- ( = 9), Arabic- ( = 5) and English-speaking ( = 1) parents as well as Swedish primary child healthcare nurses ( = 15). Data was analyzed using content analysis with an inductive latent approach.
Parents described how the app facilitated behavior change through increased awareness regarding current diet and physical activity behaviors. Furthermore, the evidence-based app content further facilitated trust and behavior change. Both parents and nurses acknowledged the app's preventive potential and the potential for reaching parents with diverse backgrounds or in need of extra support.
The MINISTOP 2.0 app was perceived as a useful tool for health promotion both by parents and healthcare professionals, especially since it was adapted to several languages. These findings coupled with the previously shown beneficial effects on health behaviors support the large-scale implementation of the app in primary child healthcare.
迫切需要采取面向所有人的预防性且可扩展的干预措施来应对儿童肥胖问题。我们最近开发了一款新颖的数字家长干预工具（MINISTOP 2.0应用程序），有瑞典语、索马里语、阿拉伯语和英语版本。我们之前报告了它对儿童健康行为和家长自我效能的积极影响。然而，在将该应用程序大规模引入儿童初级保健之前，还需要探索其实施方面的情况。
本研究旨在探索和描述基于MINISTOP 2.0应用程序的干预措施在不同群体的家长（最终用户）和瑞典儿童保健护士（实施者）中的用户体验、可接受性和可行性。
对瑞典语家长（n = 9）、索马里语家长（n = 9）、阿拉伯语家长（n = 5）、英语家长（n = 1）以及瑞典儿童初级保健护士（n = 15）进行了个人访谈。使用归纳性潜在方法的内容分析法对数据进行了分析。
家长们描述了该应用程序如何通过提高对当前饮食和身体活动行为的认识来促进行为改变。此外，基于证据的应用程序内容进一步促进了信任和行为改变。家长和护士都认可该应用程序的预防潜力以及覆盖不同背景或需要额外支持的家长的潜力。
MINISTOP 2.0应用程序被家长和医疗保健专业人员视为促进健康的有用工具，特别是因为它适用于多种语言。这些发现，再加上之前显示的对健康行为的有益影响，支持在儿童初级保健中大规模实施该应用程序。
