经济边缘化的照顾者-学龄前儿童二元组中基于正念的生活方式干预：可行性、可接受性和满意度

A Mindfulness-Based Lifestyle Intervention Among Economically Marginalized Caregiver-Preschooler Dyads: Feasibility, Acceptability, and Satisfaction.

作者信息

Ling Jiying, Ashley Autumn, Zahry Nagwan, Kao Tsui-Sui A, Wahman Charis L, Resnicow Kenneth, Robbins Lorraine B, Kerver Jean M, Zhang Nanhua

机构信息

College of Nursing, Michigan State University, East Lansing, USA.

Department of Communication, University of Tennessee, Chattanooga, USA.

出版信息

School Ment Health. 2025;17(2):715-732. doi: 10.1007/s12310-025-09767-w. Epub 2025 May 26.

DOI:10.1007/s12310-025-09767-w

PMID:40656841

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12241280/

Abstract

UNLABELLED

Mindfulness-based interventions are increasingly recognized for their positive impact on children's physical, mental, emotional, and behavioral health. However, no mindfulness-based lifestyle interventions have focused on improving both the physical and mental well-being of economically marginalized preschoolers. Therefore, this one-group study aimed to examine feasibility, acceptability, and satisfaction of a 5-week mindfulness-based lifestyle intervention among preschoolers, caregivers, and childcare teachers. Caregiver-preschooler dyads were recruited from one urban and one rural Head Start childcare center. Outcome data were collected at baseline only, while evaluation data were obtained following the intervention. The intervention included three components: a school-based mindful eating and movement learning for preschoolers; a home-based caregiver training on mindful eating, movement, and parenting; and a school learning and home practice connection in mindfulness. Nineteen preschoolers, 18 caregivers, and three teachers participated. The enrollment rate was 40.4%. Attrition was 0% among preschoolers and 5.6% ( = 1) among caregivers (one caregiver passed away). Baseline data collection completion rate was 100%, with 88.9% ( = 16) caregivers and 84.2% ( = 16) preschoolers having valid ActiGraph data. Hair sample parental consent rate was 57.9% ( = 11), while sample collection rate was 90.9% ( = 10). Intervention implementation fidelity was excellent. Average intervention participation rates were 83.2% ( = 16), 72.2% ( = 13), and 55.6% ( = 10) for the preschooler component, caregiver meeting, and social media-based caregiver component, respectively. Acceptability and satisfaction with the intervention were high among caregivers and teachers. The results support the feasibility, acceptability of, and satisfaction with the 5-week intervention among preschoolers and caregivers from economically marginalized families and childcare teachers.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12310-025-09767-w.

摘要

未标注

基于正念的干预措施因其对儿童身心健康、情绪和行为健康的积极影响而越来越受到认可。然而，尚未有基于正念的生活方式干预措施专注于改善经济边缘化学龄前儿童的身心健康。因此，这项单组研究旨在检验一项为期5周的基于正念的生活方式干预措施在学龄前儿童、照顾者和儿童保育教师中的可行性、可接受性和满意度。照顾者 - 学龄前儿童二元组从一个城市和一个农村的启智儿童保育中心招募。结果数据仅在基线时收集，而评估数据在干预后获得。干预包括三个部分：针对学龄前儿童的基于学校的正念饮食和运动学习；针对照顾者的关于正念饮食、运动和育儿的家庭培训；以及正念方面的学校学习与家庭实践联系。19名学龄前儿童、18名照顾者和3名教师参与了研究。参与率为40.4%。学龄前儿童的流失率为0%，照顾者的流失率为5.6%（=1）（一名照顾者去世）。基线数据收集完成率为100%，88.9%（=16）的照顾者和84.2%（=16）的学龄前儿童拥有有效的ActiGraph数据。头发样本的家长同意率为57.9%（=11），而样本采集率为90.9%（=10）。干预实施的保真度极佳。学龄前儿童部分、照顾者会议和基于社交媒体的照顾者部分的平均干预参与率分别为83.2%（=16）、72.2%（=13）和55.6%（=10）。照顾者和教师对干预的可接受性和满意度很高。结果支持了这项为期5周的干预措施在经济边缘化家庭的学龄前儿童、照顾者和儿童保育教师中的可行性、可接受性和满意度。