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: 9198789
• 负责人: Dianne Stanton Ward
• 金额: $ 67.94万
• 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 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9198789
• 关键词: 4 year old; Accelerometer; 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; Educational Materials; Enrollment; Ensure; Environment; Evaluation; Fatty acid glycerol esters; Food; Gatekeeping; Guidelines; Habits; Health; Health Food; Health Promotion; Health behavior; Healthy Eating; Home environment; Individual; Intervention; 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; Testing; Time; Visual; Weight Gain; Work; adverse outcome; arm; base; behavior change; critical period; design; early childhood; follow-up; fruits and vegetables; good diet; healthy lifestyle; improved; indexing; innovation; insulin sensitivity; lipoprotein triglyceride; nutrition; obesity risk; patient home care; prevent; primary outcome; public health relevance; role model; secondary outcome; sedentary lifestyle; self esteem; success; sugar

DESCRIPTION (provided by applicant): Early childhood is a critical period for establishing healthy diet and physical activity behaviors that may influence children'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 setting, 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.

描述（由申请人提供）：幼儿期是建立健康饮食和体育锻炼行为的关键时期，可能会影响儿童的短期和长期肥胖和其他慢性疾病的风险。不幸的是，在这个重要的发展阶段，许多学龄前儿童已经采用了不健康的饮食和体育锻炼行为。家庭和儿童保育是塑造幼儿饮食和体育锻炼行为的两个重要领域。干预措施与两个领域的协调努力相关，将确保儿童获得一致的健康信息。很少有针对育儿环境的干预措施，其中许多没有试图与父母交往。那些确实包括父部分的人通常使用低强度策略（例如，新闻通讯，家庭作业）。需要以实质性和有意义的方式吸引托儿中心和父母的创新方法。社会营销已被确定为针对儿童的健康促进工作的有前途的方法。社会营销负责人认识到有必要吸引所有必须受到行为带来变革的个人，并提供强调收益的信息，并克服与行为改变相关的障碍。社会营销原理在基于儿童的干预措施中的应用非常有限。拟议的研究是一项两臂，随机对照试验（86个中心和860名儿童），以评估A的影响 12个月的干预 - 我们健康的生活一年 - 学龄前儿童的饮食和体育锻炼行为（3-4岁）及其成人护理人员（父母和育儿提供者）。干预将使用在托儿中心发起的一系列社会营销活动 这结合了视觉提示，教育材料，活动，竞赛和电子信息，以传达有针对性的消息。这项研究的主要结果是儿童的非院长活动（通过加速度计测量）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。