Buckler E Jean, Hassani Kasra, McConnell-Nzunga Jennifer, Fakih Sana, Scarr Jennifer, Mâsse Louise C, Naylor Patti-Jean
School of Exercise Science, Physical and Health Education, Faculty of Education, University of Victoria, Victoria, BCV8W 2Y2, Canada.
Child Health BC, Provincial Health Services Authority, Vancouver, BCV6J 4YC, Canada.
Public Health Nutr. 2024 Sep 16;27(1):e164. doi: 10.1017/S1368980024001290.
The purpose of this study was to examine the dissemination of the healthy eating component of Appetite to Play at scale using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.
The Appetite to Play capacity-building intervention is a set of evidence-informed implementation strategies aimed at enhancing the adoption of recommended practices for promoting healthy eating and active play in early years settings. The evaluation was pragmatic, employing both quantitative (surveys) and qualitative (interviews) data collection.
The Appetite to Play intervention was delivered through in-person community-based workshops, virtual workshops, asynchronous e-learning and online resources.
We received completed surveys from 1670 in-person workshop participants (96 % female), and twenty-three (all female) survey respondents also participated in a telephone interview. Approximately two-thirds of all participant groups were certified early childhood educators.
Results indicated that Appetite to Play had high reach (25 867 individual website visits, 195 workshops delivered), effectiveness (significant increases in care provider's knowledge, confidence ( < 0·05) and high post-intervention intention to implement), adoption (11 % of educators in BC trained) and implementation (good alignment with implementation strategies and current practices), with a significant maintenance plan to support the intervention's future success.
An evidence-based capacity-building intervention with an emphasis on training and provision of practical online resources can improve early years providers' knowledge, confidence and intention to implement recommended practices that promote healthy eating. Further research is needed to determine the impact on child-level outcomes and how parents can be supported in contributing to positive food environments.
本研究旨在使用“覆盖、效果、采纳、实施、维持”（RE-AIM）框架，大规模考察“玩出好胃口”项目中健康饮食部分的传播情况。
“玩出好胃口”能力建设干预措施是一套基于证据的实施策略，旨在促进在早期教育环境中采用推荐的促进健康饮食和积极玩耍的做法。该评估注重实效，采用了定量（调查）和定性（访谈）两种数据收集方法。
“玩出好胃口”干预措施是通过面对面的社区工作坊、虚拟工作坊、异步电子学习和在线资源来实施的。
我们收到了1670名参加面对面工作坊的参与者（96%为女性）填写的完整调查问卷，其中23名（均为女性）受访者还参加了电话访谈。所有参与群体中约三分之二是持证幼儿教育工作者。
结果表明，“玩出好胃口”项目覆盖范围广（网站独立访问量达25867次，举办了195场工作坊）、效果显著（护理人员的知识、信心显著提高（P<0.05），干预后实施意愿强烈）、采纳率高（不列颠哥伦比亚省11%的教育工作者接受了培训）、实施情况良好（与实施策略和现行做法高度契合），并有一项重要的维持计划以支持该干预措施未来取得成功。
一项注重培训和提供实用在线资源的循证能力建设干预措施，可以提高早期教育提供者的知识、信心以及实施促进健康饮食推荐做法的意愿。需要进一步开展研究，以确定其对儿童层面结果的影响，以及如何支持家长营造积极的饮食环境。
