通过基层医疗实施婴幼儿营养干预：工作人员观点。
Implementing an early-life nutrition intervention through primary healthcare: staff perspectives.
机构信息
Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.
出版信息
BMC Health Serv Res. 2024 Sep 20;24(1):1106. doi: 10.1186/s12913-024-11582-z.
BACKGROUND
Nutrition interventions targeting early childhood can be cost-effective and may provide lifelong, intergenerational benefits. From October 2022 to April 2023 the Nutrition Now (NN) e-learning resource was implemented within Early Childhood Education and Care centres and the Maternal and Child Healthcare Centre (MCHC) in a southern Norwegian municipality. As part of the NN project, the present study aims to explore the MCHC staff's experiences with implementing the NN resource, to gain insights into measures important to scale up digital early-life nutrition interventions.
METHODS
Three group interviews were conducted among public health nurses and midwives alongside one individual interview with the department leader of a MCHC in May 2023. An inductive thematic analysis, as described by Braun and Clarke, was conducted to generate the key themes and subthemes regarding the implementation process of NN within the MCHC.
RESULTS
Three main themes were generated: [1] Important resource but not always utilized; [2] Parents are interested but had issues with access; and [3] Staff and stakeholder buy-in and commitment needed from the start. Overall, the staff viewed the NN resource as a potential tool for promoting diet-related topics and believed it could support the guidance they were already providing parents. However, few staff members fully familiarized themselves with the resource. While staff perceived parents as positive when informed about NN, they believed issues such as access challenges, competing platforms, and time constraints reduced parental engagement. Lastly, staff suggested improvements for NN's implementation, including enhanced training, better planning, assigning champions, and lowering the threshold for access.
CONCLUSION
The findings of this study suggest that the real-world implementation of digital evidence-based health behaviour interventions is feasible but would be enhanced by employing strategies focusing on engagement and utilization.
TRIAL REGISTRATION
The main study is registered in the ISRCTN registry with ID ISRCTN10694967, https://doi.org/10.1186/ISRCTN10694967 . (Registration date: 19-06-2022).
背景
针对儿童早期的营养干预措施具有成本效益，并且可能提供终生、代际的益处。从 2022 年 10 月至 2023 年 4 月，营养现在（NN）电子学习资源在挪威南部一个市的幼儿教育和护理中心以及母婴保健中心（MCHC）内实施。作为 NN 项目的一部分，本研究旨在探讨 MCHC 工作人员实施 NN 资源的经验，以深入了解扩大数字儿童早期营养干预措施的重要措施。
方法
2023 年 5 月，对公共卫生护士和助产士进行了三次小组访谈，并对 MCHC 的部门负责人进行了一次单独访谈。采用 Braun 和 Clarke 描述的归纳主题分析，生成有关 NN 在 MCHC 内实施过程的主要主题和子主题。
结果
生成了三个主要主题：[1]重要资源，但并非始终得到利用；[2]父母感兴趣，但存在访问问题；[3]员工和利益相关者从一开始就需要认同和承诺。总的来说，工作人员认为 NN 资源是促进与饮食相关话题的潜在工具，并认为它可以支持他们已经为父母提供的指导。然而，很少有工作人员完全熟悉该资源。虽然工作人员认为在通知 NN 时父母是积极的，但他们认为访问挑战、竞争平台和时间限制等问题降低了父母的参与度。最后，工作人员建议改进 NN 的实施，包括加强培训、更好的规划、指定拥护者和降低访问门槛。
结论
本研究的结果表明，数字循证健康行为干预措施的实际实施是可行的，但通过采用注重参与和利用的策略，效果会更好。
试验注册
主要研究在 ISRCTN 注册，ID 为 ISRCTN10694967，https://doi.org/10.1186/ISRCTN10694967。（注册日期：2022 年 6 月 19 日）。
Zotero 插件