Our Year of Healthy Living: A social marketing intervention for child care & home

我们的健康生活年：儿童保育的社会营销干预

• 批准号: 8612108
• 负责人: Dianne Stanton Ward
• 金额: $ 64.62万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-01-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8612108
• 关键词: 4 year old; Address; Adopted; Adoption; Adult; Affect; Age; Behavior; Behavior Therapy; Body mass index; Cardiovascular Diseases; Caregivers; Child; Child Care; Cholesterol; Chronic; Chronic Disease; Cues; Development; Diet; Dietary Fiber; Dietary intake; Disease Marker; Eating; Educational Materials; Enrollment; Ensure; Environment; Evaluation; Fatty acid glycerol esters; Food; Gatekeeping; Habits; Health; Health Food; Health Promotion; Health behavior; Individual; Intervention; Life; Link; Living Wills; Measures; Metabolic Diseases; Musculoskeletal; Newsletter; Obesity; Parents; Performance; Physical activity; Play; Policies; Preschool Child; Provider; Psyche structure; Psychological adjustment; Quality of life; Randomized; Randomized Controlled Trials; Sampling; Series; Shapes; Social Marketing; Solid; Staging; Testing; Time; Visual; Weight Gain; Work; adverse outcome; arm; base; behavior change; critical period; design; early childhood; follow-up; fruits and vegetables; good diet; improved; indexing; innovation; insulin sensitivity; lipoprotein triglyceride; meetings; nutrition; obesity risk; patient home care; prevent; primary outcome; public health relevance; role model; secondary outcome; sedentary; self esteem; success

Early childhood is a critical period for establishing healthy diet and physical activity behaviors that may influence chidlren's short- and long-term risk for obesity and other chronic diseases. Unfortunately, during this important stage of development, many preschool children have already adopted unhealthy diet and physical activity behaviors. Home and child care are two important spheres of influence that shape young children's diet and physical activity behaviors. Interventions engaging both spheres in a coordinated effort would ensure that children receive consistent health messages. There have been very few interventions that have targeted the child care seeting, many of which made no attempt to engage parents. Those that did include a parent component generally used low-intensity strategies (e.g., newsletters, homework assignments). Innovative approaches that engage both the child care center and parents in a substantial and meaningful way are needed. Social marketing has been identified as a promising approach for health promotion efforts targeting children. Social marketing principals recognize the need to engage all individuals whose behaviors must be affected to bring about change, and to offer messages that emphasize benefits, and overcome barriers associated with behavior change. The application of social marketing principles in child care-based interventions is very limited. The proposed study is a two-arm, randomized controlled trial (86 centers and 860 children) to evaluate the effect of a 12-month intervention - Our Year of Healthy Living - on the diet and physical activity behaviors of preschool children (3-4 years) and their adult caregivers (parents and child care providers). The intervention will use a series of social marketing campaigns initiated in the child care center that incorporate visual cues, educational materials, activities, contests, and e-messages to deliver targeted messages. This study's primary outcomes are children's minutes of non-sedentary activity (measured via accelerometers) and diet quality (assessed with Healthy Eating Index scores). Secondary outcomes will assess: children's body mass index, food and physical activity practices in the child care center and at home, and health behaviors of child care providers and parents.

幼儿期是建立健康饮食和体育锻炼行为的关键时期 影响Chidlren肥胖和其他慢性疾病的短期和长期风险。不幸的是，在此期间 重要的发展阶段，许多学龄前儿童已经采用了不健康的饮食和身体 活动行为。家庭和儿童保育是塑造幼儿饮食的两个重要影响领域 和体育锻炼行为。干预措施使这两个领域都在协调的努力中确保 孩子们会收到一致的健康消息。针对的干预措施很少 托儿服务，其中许多没有试图与父母交往。那些确实包括父母 组件通常使用低强度策略（例如，新闻通讯，家庭作业）。创新的 以实质而有意义的方式吸引托儿中心和父母的方法是 需要。社会营销已被确定为针对健康促进努力的有前途的方法 孩子们。社会营销负责人认识到有必要与所有行为必须成为的个人接触 受到影响的变革，并提供强调利益的信息，并克服障碍 与行为改变相关。社会营销原则在基于儿童保育中的应用 干预措施非常有限。拟议的研究是一项两臂，随机对照试验（86个中心和860个 儿童）评估12个月干预的影响 - 我们的健康生活一年 - 对饮食和 学龄前儿童（3-4岁）及其成人护理人员（父母和育儿者）的体育锻炼行为 提供者）。干预将使用在托儿中心发起的一系列社会营销活动 结合了视觉提示，教育材料，活动，竞赛和电子邮件，以实现目标 消息。这项研究的主要结果是儿童的非居民活动时间（通过 加速度计）和饮食质量（通过健康饮食指数评分评估）。次要结果将 评估：儿童体重指数，托儿中心和家里的食物和体育锻炼实践 以及育儿提供者和父母的健康行为。