TY - JOUR AU - Barnes, Courtney AU - young, Sze Lin AU - Nathan, Nicole AU - Wolfenden, Luke AU - Wedesweiler, Taya AU - Kerr, Jayde AU - Ward, Dianne S AU - Grady, Alice PY - 2021 DA - 2011/12/15 TI -基于网络的实施干预在儿童早期教育和护理中改善儿童膳食摄入的可行性:试验随机对照试验JO - J Med Internet Res SP - e25902 VL - 23 IS - 12 KW -托儿所KW -网络KW -营养KW -健康饮食KW -随机对照试验KW -干预KW -实施AB -背景:在国际上，建议在早期儿童教育和护理(ECEC)环境中实施循证健康饮食政策和实践，鼓励儿童健康饮食。尽管有基于证据的健康饮食实践，但研究表明，目前的执行率是不够的。基于网络的方法为支持欧共体工作人员实施营养政策和做法提供了一种可能有效且成本较低的方法。目的:本随机对照试验的总体目标是评估基于网络的项目与健康促进干事(HPO)支持对ECEC中心实施健康饮食政策和实践的影响的可行性。具体来说，我们试图描述研究评估过程的完成率(参与者同意率和数据收集率);检查ECEC中心的吸收、可接受性、干预和实施策略的适当性;了解交付和接收实施支持策略的潜在成本;并描述基于网络的干预对干预组中心实施有针对性的健康饮食实践的潜在影响。方法:在澳大利亚新南威尔士州亨特新英格兰地区的22个ECEC中心进行了一项为期6个月的试点实施试验，采用集群随机对照试验设计。 Potentially eligible centers were distributed a recruitment package and telephoned by the research team to assess eligibility and obtain consent. Centers randomly allocated to the intervention group received access to a web-based program, together with HPO support (eg, educational outreach visit and local technical assistance) to implement 5 healthy eating practices. The web-based program incorporated audit with feedback, development of formal implementation blueprints, and educational materials to facilitate improvement in implementation. The centers allocated to the control group received the usual care. Results: Of the 57 centers approached for the study, 22 (47%) provided consent to participate. Data collection components were completed by 100% (22/22) of the centers. High uptake for implementation strategies provided by HPOs (10/11, 91% to 11/11, 100%) and the web-based program (11/11, 100%) was observed. At follow-up, intervention centers had logged on to the program at an average of 5.18 (SD 2.52) times. The web-based program and implementation support strategies were highly acceptable (10/11, 91% to 11/11, 100%). Implementation of 4 healthy eating practices improved in the intervention group, ranging from 19% (2/11) to 64% (7/11). Conclusions: This study provides promising pilot data to warrant the conduct of a fully powered implementation trial to assess the impact of the program on ECEC healthy eating practice implementation. Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12619001158156; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378099 International Registered Report Identifier (IRRID): RR2-10.1186/s40814-020-00707-w SN - 1438-8871 UR - //www.mybigtv.com/2021/12/e25902 UR - https://doi.org/10.2196/25902 UR - http://www.ncbi.nlm.nih.gov/pubmed/34914617 DO - 10.2196/25902 ID - info:doi/10.2196/25902 ER -