دورية أكاديمية
أعرض في EDS

Improving Parental Health Literacy in Primary Caregivers of 0- to 3-Year-Old Children Through a WeChat Official Account: Cluster Randomized Controlled Trial.

التفاصيل البيبلوغرافية
العنوان: Improving Parental Health Literacy in Primary Caregivers of 0- to 3-Year-Old Children Through a WeChat Official Account: Cluster Randomized Controlled Trial.
المؤلفون: Li Y; Department of Child Health Care, Shanghai Minhang Maternal and Child Health Care Hospital, Shanghai, China., Xiao Q; Department of Maternal, Child and Adolescent Health, School of Public Health, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China., Chen M; Department of Child Health Care, Shanghai Minhang Maternal and Child Health Care Hospital, Shanghai, China., Jiang C; Department of Child Health Care, Shanghai Minhang Maternal and Child Health Care Hospital, Shanghai, China., Kang S; Department of Child Health Care, Shanghai Minhang Maternal and Child Health Care Hospital, Shanghai, China., Zhang Y; Department of Child Health Care, Shanghai Minhang Maternal and Child Health Care Hospital, Shanghai, China., Huang J; Department of Child Health Care, Shanghai Minhang Maternal and Child Health Care Hospital, Shanghai, China., Yang Y; Shanghai Center for Women and Children's Health, Shanghai, China., Li M; School of Public Health, The University of Sydney, Sydney, Australia.; China Studies Centre, The University of Sydney, Sydney, Australia., Jiang H; Department of Maternal, Child and Adolescent Health, School of Public Health, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China.
المصدر: JMIR public health and surveillance [JMIR Public Health Surveill] 2024 Jul 04; Vol. 10, pp. e54623. Date of Electronic Publication: 2024 Jul 04.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101669345 Publication Model: Electronic Cited Medium: Internet ISSN: 2369-2960 (Electronic) Linking ISSN: 23692960 NLM ISO Abbreviation: JMIR Public Health Surveill Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Toronto : JMIR Publications, [2015]-
مواضيع طبية MeSH: Health Literacy*/statistics & numerical data , Health Literacy*/methods , Parents*/psychology , Parents*/education , Caregivers*/psychology , Caregivers*/statistics & numerical data , Caregivers*/education, Humans ; Female ; Child, Preschool ; Male ; Infant ; China ; Adult ; Infant, Newborn ; Surveys and Questionnaires ; Cluster Analysis
مستخلص: Background: Parental health literacy is important to children's health and development, especially in the first 3 years. However, few studies have explored effective intervention strategies to improve parental literacy.
Objective: This study aimed to determine the effects of a WeChat official account (WOA)-based intervention on parental health literacy of primary caregivers of children aged 0-3 years.
Methods: This cluster randomized controlled trial enrolled 1332 caregiver-child dyads from all 13 community health centers (CHCs) in Minhang District, Shanghai, China, between April 2020 and April 2021. Participants in intervention CHCs received purposefully designed videos via a WOA, which automatically recorded the times of watching for each participant, supplemented with reading materials from other trusted web-based sources. The contents of the videos were constructed in accordance with the comprehensive parental health literacy model of WHO (World Health Organization)/Europe (WHO/Europe). Participants in control CHCs received printed materials similar to the intervention group. All the participants were followed up for 9 months. Both groups could access routine child health services as usual during follow-up. The primary outcome was parental health literacy measured by a validated instrument, the Chinese Parental Health Literacy Questionnaire (CPHLQ) of children aged 0-3 years. Secondary outcomes included parenting behaviors and children's health outcomes. We used the generalized linear mixed model (GLMM) for data analyses and performed different subgroup analyses. The β coefficient, risk ratio (RR), and their 95% CI were used to assess the intervention's effect.
Results: After the 9-month intervention, 69.4% (518/746) of caregivers had watched at least 1 video. Participants in the intervention group had higher CPHLQ total scores (β=2.51, 95% CI 0.12-4.91) and higher psychological scores (β=1.63, 95% CI 0.16-3.10) than those in the control group. The intervention group also reported a higher rate of exclusive breastfeeding (EBF) at 6 months (38.9% vs 23.44%; RR 1.90, 95% CI 1.07-3.38) and a higher awareness rate of vitamin D supplementation for infants younger than 6 months (76.7% vs 70.5%; RR 1.39, 95% CI 1.06-1.82). No significant effects were detected for the physical score on the CPHLQ, breastfeeding rate, routine checkup rate, and children's health outcomes. Furthermore, despite slight subgroup differences in the intervention's effects on the total CPHLQ score and EBF rate, no interaction effect was observed between these subgroup factors and intervention factors.
Conclusions: Using a WHO literacy model-based health intervention through a WOA has the potential of improving parental health literacy and EBF rates at 6 months. However, innovative strategies and evidence-based content are required to engage more participants and achieve better intervention outcomes.
(© Yun Li, Qiuli Xiao, Min Chen, Chunhua Jiang, Shurong Kang, Ying Zhang, Jun Huang, Yulin Yang, Mu Li, Hong Jiang. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org).)
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فهرسة مساهمة: Keywords: China; Chinese; RCT; WeChat; app; applications; apps; babies; baby; cluster randomized controlled trial; controlled trial; controlled trials; health literacy; infancy; infant; infants; mHealth; mobile health; neonatal; neonate; neonates; newborn; newborns; paediatric; paediatrics; parent; parental; parenting; parents; pediatric; pediatrics; randomized; toddler; toddlers
تواريخ الأحداث: Date Created: 20240711 Date Completed: 20240711 Latest Revision: 20240714
رمز التحديث: 20240714
مُعرف محوري في PubMed: PMC11238142
DOI: 10.2196/54623
PMID: 38989817
قاعدة البيانات: MEDLINE
الوصف
تدمد:2369-2960
DOI:10.2196/54623