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

基本信息

批准号：
8989566
负责人：
Dianne Stanton Ward
金额：
$ 73.81万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
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/8989566
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 Habits Health Health Food Health Promotion Health behavior Healthy Eating 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 role model secondary outcome sedentary self esteem success

项目摘要

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身体活动行为的关键时期，可能会影响儿童患肥胖症和其他慢性病的短期和长期风险。不幸的是，在这个重要的发展阶段，许多学龄前儿童已经采取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和身体活动行为的两个重要影响领域。两个领域协调一致的干预措施将确保儿童收到一致的健康信息。针对儿童保育环境的干预措施非常少，其中许多干预措施并未尝试让家长参与。那些包含父组件的内容通常使用低强度策略（例如，时事通讯、家庭作业）。需要以实质性和有意义的方式让儿童保育中心和家长参与的创新方法。社会营销已被认为是针对儿童的健康促进工作的一种有前途的方法。社会营销原则认识到需要让所有行为必须受到影响的个人参与进来以带来改变，并提供强调好处的信息，并克服与行为改变相关的障碍。社会营销原则在儿童保育干预措施中的应用非常有限。拟议的研究是一项双组随机对照试验（86 个中心和 860 名儿童），旨在评估为期 12 个月的干预 - 我们的健康生活年 - 针对学龄前儿童（3-4 岁）及其成年照顾者（父母和儿童保育人员）的饮食和身体活动行为。该干预措施将利用在儿童保育中心发起的一系列社会营销活动结合视觉提示、教育材料、活动、竞赛和电子邮件来传递有针对性的信息。这项研究的主要结果是儿童非久坐活动的分钟数（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：儿童的体重指数、儿童保育中心和家里的食物和身体活动习惯，以及儿童保育提供者和父母的健康行为。