Tran Georgie, Kelly Bridget, Ryan Sarah T, Hammersley Megan, Kerr Erin, Norman Jennifer, Leedham Mel, Vuong Cecilia, Wardle Karen, Syed Kainaat, Okely Anthony
School of Health and Society, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia.
Health Promotion Service, Sydney Local Health District, Camperdown, New South Wales, Australia.
Health Promot J Austr. 2025 Jan;36(1):e947. doi: 10.1002/hpja.947.
Nutrition and physical activity practices in Australian family day care are suboptimal. A web-based tool was co-developed with family day care service providers and educators, health promotion staff and the New South Wales Ministry of Health to promote healthier nutrition and physical activity practices through an existing quality improvement process.
Formative evaluation was conducted in January-February 2023. An online survey included 13 questions relating to content, language, structure, ease of usage and participant satisfaction. Questions used Likert scales to rate participants' experience from poor to excellent. Tool usage data were extracted from the website to reflect user activity. Service providers (n = 3) and educators (n = 9) tested the tool for 4 weeks.
Survey questions were grouped into measures of perceived convenience, difficulty and helpfulness. All participants chose a rating of 'good' or 'excellent' across all questions, with a higher proportion of participants rating the questions as 'excellent'. All participants used the tool at least once. Perceived value of research was the main theme that emerged from the open text feedback.
Results suggest that the tool was feasible, easy to use and relevant to practice. SO WHAT?: This is the first known tool designed for family day care to promote healthier nutrition and physical activity practices through an existing quality improvement process to implement change. An efficacy trial will follow to evaluate effectiveness. The tool is predicted to serve as a platform for identifying gaps between policy and practice and for facilitating practice improvements.
澳大利亚家庭日托中心的营养和体育活动实践情况并不理想。与家庭日托服务提供商、教育工作者、健康促进工作人员以及新南威尔士州卫生部共同开发了一个基于网络的工具，以通过现有的质量改进流程来促进更健康的营养和体育活动实践。
在2023年1月至2月进行了形成性评估。一项在线调查包含13个与内容、语言、结构、易用性和参与者满意度相关的问题。问题采用李克特量表来对参与者的体验从差到优进行评分。从网站提取工具使用数据以反映用户活动情况。服务提供商（n = 3）和教育工作者（n = 9）对该工具进行了为期4周的测试。
调查问题被归类为感知便利性、难度和帮助性的衡量指标。所有参与者在所有问题上都选择了“良好”或“优秀”的评分，其中将问题评为“优秀”的参与者比例更高。所有参与者至少使用过该工具一次。研究的感知价值是开放式文本反馈中出现的主要主题。
结果表明该工具可行、易于使用且与实践相关。那又如何呢？：这是首个已知的专为家庭日托中心设计的工具，旨在通过现有的质量改进流程来促进更健康的营养和体育活动实践以实现变革。后续将进行一项疗效试验以评估有效性。预计该工具将成为一个平台，用于识别政策与实践之间的差距并促进实践改进。
