Promoting Confident Body, Confident Child in community child health: A mixed-methods implementation study

Autor: Laura M. Hart, Shelley Roberts, Narelle O’Connor, Francoise E. Butel, Lyza Norton, Susan E. Moloney, Vicki Attenborough
Rok vydání: 2020
Předmět:
Zdroj: Health promotion journal of Australia : official journal of Australian Association of Health Promotion ProfessionalsREFERENCES. 33(1)
ISSN: 1036-1073
Popis: OBJECTIVE: To evaluate population-level implementation of Confident Body, Confident Child (CBCC); an evidence-based program providing parenting strategies to promote healthy eating, physical activity and body satisfaction in children aged 2-6 years; with community child health nurses (CHNs). METHODS: This study utilised an implementation-effectiveness hybrid design, with dual focus on assessing: (a) CBCC implementation into Child Health Centres at a regional health service in Queensland, Australia (process evaluation); and (b) CBCC's effect on CHNs' knowledge and attitudes (outcomes evaluation). Process (CBCC reach, dose, fidelity) and outcome data (CHN knowledge of child body image; and attitudes towards higher body weights) were collected during implementation, and pre- and post-intervention delivery to CHNs, respectively. RESULTS: Twenty-six CHNs (all female; mean age 52.7 ± 9.5 years) participated in the study by attending a 1-day CBCC training workshop and completing demographic and outcome surveys. Process evaluation found that CBCC was implemented as planned and reached 56% of CHNs across the health service. Outcome evaluation showed small but non-significant improvements in CHN knowledge (P = .077) and attitudes towards overweight (using Anti-Fat Attitudes scale; significant improvements on willpower sub-scale only (P
Databáze: OpenAIRE