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针对家长的肥胖信息对家长体重话题谈论意愿的影响:一项随机对照实验。

The Effect of Parent-Targeted Obesity Messaging on Parental Weight Talk Intention: A Randomized Controlled Experiment.

作者信息

Pudney Ellen V, Puhl Rebecca M, Schwartz Marlene B, Halgunseth Linda C

机构信息

Department of Pediatrics, Old Dominion University.

Department of Human Development & Family Sciences, University of Connecticut.

出版信息

Health Commun. 2025 May;40(6):1041-1052. doi: 10.1080/10410236.2024.2386212. Epub 2024 Aug 22.

Abstract

It is unknown if parent-targeted health messages about childhood obesity affect parental weight communication with children (e.g., encouraging a child to diet). This randomized, controlled, online experiment assessed the effects of exposure to different message frames on parental intentions to 1) engage in weight communication with their child and, 2) follow the health advice in the message. A diverse sample of U.S. parents ( = 452) were randomly assigned to one of three conditions: 1) a mock news article emphasizing childhood obesity (weight-framed message) with health behavior advice for parents; 2) an article with identical health behavior advice for parents, but framed within the context of improving children's school performance (school-framed message); and 3) a no-treatment control group. Following message exposure, parents completed online surveys assessing their intention to engage in weight communication and the recommended health behaviors. Hierarchical linear regression was used to assess the relationship between experimental condition and the outcome variables. Parents in the weight-frame condition were significantly more likely to report intention to engage in weight communication with their child than parents in the control group, while there was no difference between the school-frame condition and the control group. Parents in both message conditions were equally likely to report intention to adopt the health advice, but parental weight-based self-stigma moderated the relationships. Parent-targeted health advice that features childhood obesity may encourage parents to engage in weight communication with their children. Our findings can inform the development of health messages targeting parents about children's weight-related health.

摘要

针对父母的关于儿童肥胖的健康信息是否会影响父母与孩子之间关于体重的交流(例如,鼓励孩子节食)尚不清楚。这项随机对照在线实验评估了接触不同信息框架对父母以下意图的影响:1)与孩子进行体重交流;2)遵循信息中的健康建议。从美国父母中抽取了一个多样化的样本(n = 452),将他们随机分配到三种情况之一:1)一篇模拟新闻文章,强调儿童肥胖(体重框架信息),并为父母提供健康行为建议;2)一篇为父母提供相同健康行为建议的文章,但将其置于提高孩子学业成绩的背景下(学校框架信息);3)一个不接受治疗的对照组。在接触信息后,父母完成了在线调查,评估他们与孩子进行体重交流的意图以及推荐的健康行为。使用分层线性回归来评估实验条件与结果变量之间的关系。与对照组的父母相比,处于体重框架条件下的父母报告与孩子进行体重交流意图的可能性显著更高,而学校框架条件与对照组之间没有差异。两种信息条件下的父母报告采纳健康建议意图的可能性相同,但基于父母体重的自我污名化调节了这种关系。以儿童肥胖为特点的针对父母的健康建议可能会鼓励父母与孩子进行体重交流。我们的研究结果可为针对父母的有关孩子体重相关健康问题的健康信息的制定提供参考。

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