Health Behavior, Healthy
Conditions
Brief summary
The study evaluates the effectiveness of the WellWe-intervention in promotion of parental self-efficacy for healthy behaviors and mindfulness in parenting from the perspective of families. Aim is also to evaluate the effectiveness of the WellWe-intervention in facilitation of family-centered approach of the health visit in Child health clinic perceived by the families and Public health nurses (PHN). Half of the participants will receive WellWe-intervention and half of the participants will receive usual care.
Detailed description
Families with pre-school aged children attend to regular health visits in Child health clinics on a yearly basis. During the health visits PHNs assess and promote the health and wellbeing of the whole family through health discussions. In this study we aim to evaluate whether the addition of gamified method into the health discussion promotes healthy behaviors and mindfulness of the families and increases the family-centered approach of health visit compared to the traditional method. WellWe-intervention includes the use of gamified WellWe app at home and during the health discussion in the Child health clinic. Usual care includes paper-based questionnaires filled by the parents and health discussion using these questionnaires in the Child health clinic.
Interventions
DEVICEWellWe-Intervention group
Participants (families) allocated to the intervention group get to use WellWe-app before entering to health visit to assess the current situation of their wellbeing and utilizing these results during the health visit. The access to WellWe-app is permitted throughout the data collection period. Participants (PHNs) randomized to the intervention group get standardized two hour WellWe-training, WellWe-handbook and full access to the WellWe-app during the data collection period.
Sponsors
University of Turku
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Masking description
Family participants are masked and control group is not aware of the intervention condition. PHN participants are not masked.
Intervention model description
Two-arm cluster randomized controlled trial and conducted in four municipalities located in the Southwest Finland. The unit of randomization is one cluster, with one municipality with its Child health clinics representing one cluster. Two municipalities with all together eight Child health clinics are randomly allocated into the intervention arm and two municipalities with all together seven Child health clinics are randomly allocated into the control arm.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* families: Finnish speaking families with 4-year old child and attend into health visit in Child health clinic during data collection period. * PHNs: a permanent employee in Child health clinic or deputy employee working in Child health clinic during the data collection period.
Exclusion criteria
* families: Child is developmentally disabled to participate to the use of WellWe-app with parents. * PHNs: Deputy employees working in Child health clinic only a short period of time or temporarily.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Parental Self-Efficacy for Healthy Dietary and Physical Activity Behaviors in Preschoolers Scale (PDAP) | at baseline, an average of 2 weeks and an average of 4 months | In this study we use version of the PDAP consisting of 21 items covering contextual circumstances that may either facilitate or impede parental self-efficacy (PSE) for promoting healthy dietary and physical activity behaviors in preschool children. Responses are made on an 11-point Likert scale, with anchors at 0 (not at all confident), 5 (moderately confident), and 10 (completely confident). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Mindfulness In Parenting Questionnaire (MIPQ) | at baseline and an average of 4 months | In this study we use the version of the MIPQ including 28 items. For each item, parents respond using a four-point Likert-type rating scale: infrequently (1), sometimes (2), often (3), or almost always (4). |
| Questionnaire on the family-centered approach of the health visit | an average of 2 weeks | Questionnaire developed for the purpose of the study for families consists of 6 dichotomous questions (yes/no) and one open-ended question. Questionnaire for the PHNs consists of 3 dichotomous questions (yes/no) and 3 items with four-point Likert-type rating scale and one open-ended question. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Questionnaire on the background information on the family | at baseline | Questionnaire developed for the study purposes includes questions of the respondent's gender, age, education, occupation, family circumstances. |
Countries
Finland
Contacts
Primary ContactAnni Pakarinen, MHSc
Outcome results
None listed