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父母短信和社交媒体干预儿童蔬菜摄入和身体活动行为的可行性、可接受性和潜在效果:一项试点随机对照试验。

The feasibility, acceptability and potential efficacy of a parental text message and social media program on children's vegetable consumption and movement behaviours: A pilot randomised controlled trial.

机构信息

Health Promotion Service, Illawarra Shoalhaven Local Health District, New South Wales Health, Wollongong, New South Wales, Australia.

School of Health and Society, University of Wollongong, Wollongong, New South Wales, Australia.

出版信息

Health Promot J Austr. 2024 Oct;35(4):1087-1097. doi: 10.1002/hpja.839. Epub 2024 Jan 10.

Abstract

ISSUE ADDRESSED

Australian children fall short of meeting the dietary, physical activity and sedentary behaviour guidelines. This study aimed to test the feasibility, acceptability and potential efficacy of a parental text message and social media program on, primarily, their school-aged children's vegetable consumption and movement behaviours, and, secondarily, their own.

METHODS

Between August and November 2022, we conducted a two-armed randomised controlled trial with 242 parents/caregivers of primary school-aged children in New South Wales. The 'Adventure & Veg' intervention ran for 8 weeks, promoting vegetable eating behaviours, local outdoor physical activity opportunities and ideas for reducing screen time. Feasibility and acceptability were assessed via recruitment and retention data, intervention metrics and self-reported participant data. Vegetable intake and movement behaviour data were collected via online-surveys and effect sizes were examined.

RESULTS

Most participants reported that they enjoyed receiving the text messages (88%) and the delivery frequency was acceptable (94%). Limitations to Facebook as a delivery platform were reported. The majority of participants used the text messages to influence the vegetable eating (65%) and movement (77%) behaviours of their child. Significant effects were observed among intervention child participants compared with control for mean daily vegetable consumption (0.45 serves, CI: .19; .71, p = .001, d = .5); weekly vegetable variety (1.85, CI: .25; 3.45, p < .001, d = .6); and weekly physical activity variety (.64 CI: .09; 1.19, p = .022, d = .3). Parents in the intervention group increased their daily vegetable intake by .44 serves (CI: .11; .78, p = .01, d = .4).

CONCLUSIONS

A parental text message and social media program has potential to support children's vegetable intake and movement behaviours. Further research is required to explore different online delivery methods to promote local outdoor activity options. SO WHAT?: The Adventure & Veg program holds promise as a stand-alone health promotion intervention or as a useful adjunct to current family or school-based healthy lifestyle programs.

摘要

问题陈述

澳大利亚儿童未能达到饮食、身体活动和久坐行为准则的要求。本研究旨在测试父母短信和社交媒体计划对其学龄儿童蔬菜摄入量和运动行为的可行性、可接受性和潜在效果,其次是对其自身的影响。

方法

在 2022 年 8 月至 11 月期间,我们在新南威尔士州进行了一项有 242 名学龄儿童的父母/照顾者参与的双臂随机对照试验。“冒险与蔬菜”干预持续 8 周,促进蔬菜食用行为、当地户外体育活动机会和减少屏幕时间的想法。通过招募和保留数据、干预指标和自我报告的参与者数据评估可行性和可接受性。通过在线调查收集蔬菜摄入量和运动行为数据,并检查效果大小。

结果

大多数参与者报告说他们喜欢收到短信(88%),并且短信的发送频率是可以接受的(94%)。报告称 Facebook 作为一个信息传递平台存在限制。大多数参与者利用短信来影响孩子的蔬菜食用(65%)和运动(77%)行为。与对照组相比,干预组的儿童参与者在平均每日蔬菜摄入量(0.45 份,CI:0.19;0.71,p=0.001,d=0.5)、每周蔬菜种类(1.85,CI:0.25;3.45,p<0.001,d=0.6)和每周体育活动种类(0.64,CI:0.09;1.19,p=0.022,d=0.3)方面有显著影响。干预组的父母每日蔬菜摄入量增加了 0.44 份(CI:0.11;0.78,p=0.01,d=0.4)。

结论

父母短信和社交媒体计划有潜力支持儿童的蔬菜摄入量和运动行为。需要进一步研究探索不同的在线传递方法,以促进当地户外活动选择。那么问题来了:“冒险与蔬菜”计划有望成为独立的健康促进干预措施,或作为当前家庭或学校为基础的健康生活方式计划的有用补充。

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