@Article{信息:doi 10.2196 / / jmir。3639，作者=“young, Sze Lin和Williams, Christopher Michael和Finch, Meghan和Wyse, Rebecca和Jones, Jannah和Freund, Megan和Wiggers, John Henry和Nathan, Nicole和Dodds, Pennie和Wolfenden, Luke”，标题=“儿童保育服务中心的偏好和意图使用基于网络的程序来实施健康饮食和体育活动政策和实践:横断面研究”，期刊=“J Med Internet Res”，年=“2015”，月=“4”，日=“30”，卷=“17”，数=“5”，页=“e108”，关键词=“肥胖;长日托中心;儿童保育中心;背景:超重和肥胖是影响全球大量儿童的重大公共卫生问题。支持托儿中心提供促进健康饮食和体育活动的政策和做法是预防肥胖的一项建议战略，因为这些服务为处于关键发育时期的相当大一部分儿童提供了机会。基于网络的电子干预是支持托儿服务提供者实施此类政策和做法的一种新方式。目的:本研究旨在评估:(1)托儿中心目前对技术的使用情况，(2)与使用电子网络干预的意向相关的因素，以及(3)管理者认为对支持员工实施健康饮食和体育活动促进政策和实践有用的网络功能。方法:采用计算机辅助电话访谈(CATI)对长日托中心和幼儿园的服务管理人员进行访谈。 The CATI assessed the following: (1) childcare center characteristics, (2) childcare centers' use of electronic devices, (3) intention to use a hypothetical electronic Web-based program---assessed using the Technology Acceptance Model (TAM) with ratings between 1 (strongly disagree) and 7 (strongly agree), and (4) features rated as useful to include in a Web-based program. Results: Overall, 214 service centers out of 277 (77.3{\%}) consented to participate. All service centers except 2 reported using computers (212/214, 99.1{\%}), whereas 40.2{\%} (86/214) used portable tablets. A total of 71.9{\%} (151/210) of childcare service managers reported a score of 6 or more for intention to use a hypothetical electronic Web-based program. In a multivariable logistic regression analysis, intention to use the program was significantly associated with perceived ease of use (P=.002, odds ratio [OR] 3.9, 95{\%} CI 1.6-9.2) and perceived usefulness (P<.001, OR 28,95{\%} CI 8.0-95.2). Features reported by service managers as useful or very useful for a Web-based program included decision-support tools to support staff with menu planning (117/129, 90.7{\%}), links to relevant resources (212/212, 100{\%}), updated information on guidelines (208/212, 98.1{\%}), and feedback regarding childcare center performance in relation to other childcare centers (212/212, 100{\%}). Conclusions: Childcare service managers reported high intention to use a Web-based program and identified several useful features to support staff to implement healthy eating and physical activity policies and practices. Further descriptive and intervention research examining the development and use of such a program to support childcare centers with the implementation of healthy eating and physical activity-promoting policies and practices is warranted. ", issn="1438-8871", doi="10.2196/jmir.3639", url="//www.mybigtv.com/2015/5/e108/", url="https://doi.org/10.2196/jmir.3639", url="http://www.ncbi.nlm.nih.gov/pubmed/25931430" }