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制定“直接社区参与式策略”的形成性研究:一项多层次干预措施,旨在减少华盛顿特区黑人青少年的含糖饮料摄入量并促进其饮水。

Formative Research to Develop DC-SIPS: A Multilevel Intervention to Reduce Sugary Drink Intake and Promote Water Intake Among Black Youth in Washington, DC.

作者信息

Vallone Natalie, Bodrick Nia I, Kaidbey Jasmine H, Grilo Mariana F, Arora Shaleen, Dawer Adam, Kumar Natasha, Bluth Jaiden, Lueders Natalie, Sacheck Jennifer M, Dietz William H, McDonnell Karen A, Evans William D, Sylvetsky Allison C

机构信息

Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, The George Washington University, Washington, DC.

Children's National Hospital, Washington, DC.

出版信息

J Nutr Educ Behav. 2025 Jul 29. doi: 10.1016/j.jneb.2025.06.014.

Abstract

OBJECTIVE

Develop a multilevel intervention to reduce sugary drink intake and increase water intake among African American children in Washington, DC.

DESIGN

Qualitative interviews and surveys with pediatricians, children, and their parents. Three key phases of intervention development guided the research: (1) pediatrician (n = 6) feedback on the "Decreasing Children's Sugar Intake through Pediatricians and Social Marketing" intervention concept, (2) initial feedback from children (n = 10) and parents (n = 7) on intervention concept, branding and messaging content, and (3) additional feedback from children (n = 7) and parents (n = 6) on the revised branding and messaging content.

SETTING

Pediatric primary care clinic in an underresourced area of Washington, DC.

PARTICIPANTS

Pediatricians, children aged 11-14 years seen at the clinic, and their parents.

MAIN OUTCOME MEASURES

Feedback on the intervention concept and prototype content.

ANALYSIS

Thematic analysis for qualitative data and descriptive statistics for survey responses.

RESULTS

All 3 key informant groups expressed enthusiasm for the intervention concept. Key suggestions included incorporating incentive-based challenges and suggestions for alternative beverages. Feedback on branding and messaging was primarily related to enhancing aesthetics and improving the relatability of the content.

CONCLUSIONS AND IMPLICATIONS

Formative research informed the development of a "Decreasing Children's Sugar Intake through Pediatricians and Social Marketing" intervention plan, which will be pilot-tested for feasibility and acceptability.

摘要

目的

制定一项多层次干预措施,以减少华盛顿特区非裔美国儿童的含糖饮料摄入量并增加其饮水量。

设计

对儿科医生、儿童及其父母进行定性访谈和调查。干预措施制定的三个关键阶段指导了该研究:(1)儿科医生(n = 6)对“通过儿科医生和社会营销减少儿童糖摄入量”干预概念的反馈;(2)儿童(n = 10)和父母(n = 7)对干预概念、品牌和信息内容的初步反馈;(3)儿童(n = 7)和父母(n = 6)对修订后的品牌和信息内容的额外反馈。

地点

华盛顿特区资源匮乏地区的儿科初级保健诊所。

参与者

儿科医生、在该诊所就诊的11至14岁儿童及其父母。

主要观察指标

对干预概念和原型内容的反馈。

分析

对定性数据进行主题分析,对调查回复进行描述性统计。

结果

所有三个关键信息提供者群体都对干预概念表示出热情。关键建议包括纳入基于激励的挑战以及对替代饮料的建议。对品牌和信息的反馈主要涉及提升美学效果和提高内容的相关性。

结论与启示

形成性研究为“通过儿科医生和社会营销减少儿童糖摄入量”干预计划的制定提供了信息,该计划将进行可行性和可接受性的试点测试。

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