취약 가정 아동 비만 예방을 위한 다중 구성 요소 조기 개입 평가 (Bambú)

대조군은 중재를 받지 않습니다. 대조군에 배정된 가족들은 평소 받던 치료를 계속 받게 됩니다.

연구 기간 동안 다른 교육 및 지원 서비스에 대한 접근에 관해 가족이나 일차 의료 센터에 제한을 두지 않지만, 이 정보는 잠재적 교란 변수로 모니터링될 것입니다.

중재군에 배정된 일차 의료 센터들은 연구 종료 전까지 중재 내용을 대조군에 속한 다른 센터들과 공유하지 않도록 요청받을 것입니다.

This arm will include all primary care centers assigned to the intervention group.

All participants (parents) within these centers will receive the Bambú intervention.

They will participate in a 9-session group-based face-to-face intervention. Sessions will last 2 hours. The first 5 sessions will be delivered weekly and the following 4 sessions will be delivered monthly. They will be delivered at primary care centers in Catalonia, Andalusia, the Balearic Islands and Castile and León. They will be led by two professionals, either healthcare professionals working at the primary care center (who will be previously trained) or by members of the research team.

The following main topics will be covered in the program: (1) nutrition; (2) physical activity and interactive play; (3) emotion regulation; (4) positive parenting; (5) child sleep; and (6) community support networks.

Approximately 38 groups will be conducted, and each of them will include around 7 families.

밤부 프로그램은 만 6개월에서 3.11세 사이의 자녀를 둔 부모를 대상으로 하는 대면 9회기 그룹 기반 중재 프로그램으로, 적어도 한 명의 부모가 과체중 또는 비만인 경우에 해당합니다. 각 회기는 2시간 동안 진행됩니다. 처음 5회기는 주간으로 제공되며, 나머지 4회기는 월간으로 제공됩니다. 회기는 두 명의 훈련된 공동 진행자가 이끌며(훈련에는 두 번의 온라인 세션과 모든 중재 자료가 포함된 가상 플랫폼 접근이 포함됩니다).

이 프로그램은 여섯 가지 주요 주제를 다룹니다: (1) 영양: 급여 방법 및 식이 권장사항; (2) 신체 활동 및 상호작용 놀이; (3) 감정 조절 기술 및 기법; (4) 긍정적 양육; (5) 아동 수면; (6) 지역사회 지원 네트워크.

중재는 구조화되어 있으며 비디오 시각화와 상호작용 활동을 포함합니다.

이 프로그램은 과체중 또는 비만 취약 가정의 요구와 선호도를 대상으로 하기 위해 가족과 의료 전문가들과 함께 사전에 공동 설계되었습니다.

The Feeding Practices and Structure Questionnaire is a self-administered questionnaire that measures parental feeding practices, specifically maternal responsiveness to children's hunger/satiety signals facilitated by routine and structure in feeding.

Age- and feeding-stage-appropriate versions of the questionnaire will be administered: (a) the specific FPSQ-28 version for children aged ≥2 years; and (b) the FPSQ version for children aged <2 years, either the FPSQ milk-feeding version (for caregivers predominantly feeding their child with milk) or the FPSQ (semi-)solids version (for caregivers predominantly feeding their child with solid food.

Each subscale is scored separately (range 1-5). No overall total score is calculated. Higher scores indicate greater endorsement of the feeding practice represented by the subscale.

The Movement Behavior Questionnaire is a self-administered questionnaire that measures physical activity, screen time and sleep in infants, toddlers and preschoolers.

The two age-specific versions of the questionnaire will be used: the MBQ-Baby (MBQ-B) for infants who have not yet reached the walking milestone, and the MBQ-Child (MBQ-C) for children who are able to walk. The closed-ended versions of the MBQ will be used.

The questionnaire does not produce a total score. It assesses individual movement behaviours (e.g., tummy time, physical activity, screen time, restrained time, sleep duration). Interpretation depends on the behaviour measured and its alignment with age-specific movement guidelines.

Parents' eating patterns will be measured with the self-administered Dutch Eating Behavior Questionnaire.

The questionnaire comprises three subscales (Restrained Eating, Emotional Eating, and External Eating), each scored separately by averaging item responses (range 1-5). No overall total score is calculated. Higher scores indicate greater endorsement of the eating behaviour measured by each subscale; the interpretation of whether this represents a more or less desirable outcome depends on the subscale.

Selected items (applicable to the whole children's age range included in the study) from the Brief Infant Sleep Questionnaire (BISQ) will be used to measure child sleep.

The complete BISQ will not be administered because the original questionnaire is not appropriate for the full age range of the study population. Sleep parameters derived from selected BISQ items will be analyzed individually. No total sleep score will be calculated; therefore, there is no overall minimum or maximum score. The direction of interpretation depends on the specific sleep parameter assessed (e.g., longer sleep duration is generally considered favorable, whereas more frequent night awakenings or longer nocturnal wakefulness may indicate poorer sleep).

Parents' acceptability and satisfaction with the program will be assessed with a Final Participant Satisfaction Questionnaire. Data will be collected after the last session of the intervention.

Higher scores indicate greater acceptability and satisfaction with the intervention.