Self Efficacy
Conditions
Keywords
Health promotion, Primary child healthcare
Brief summary
Primary child healthcare in Sweden is an important arena for health promotion interventions as nurses regularly meet parents and children from birth to five years of age. To date there is a lack of evidence-based material for child healthcare nurses to use in health promotion talks within primary child healthcare. Therefore, the aims of this study are to: (i) evaluate the effectiveness of Saga Stories in health talks on parental self-efficacy to promote healthy diet, physical activity, and screen time behaviours in 5-year-old children and (ii) evaluate the implementation of Saga Stories in health talks with regards to acceptability, appropriateness, feasibility, fidelity, adoption, sustainability, satisfaction, and usage.
Interventions
BEHAVIORALSaga Stories
Saga Stories in health talks consists of material for child healthcare nurses to use to facilitate the health talk with both the child and parent(s) and is complemented with take-home material. Every nurse will receive a large flip-chart with colourful pictures and text to facilitate their health talk at the 5-year check-up. The flip-chart will include information and questions regarding food, physical activity and sedentary behaviour, sleep, dental health, as well as bathroom habits. At the conclusion of the check-up the children will receive the book 'Saga Stories: Your amazing body and brain´ as well as games for the child to take home to promote healthy lifestyle behaviours (fruit and vegetable bingo and a physical activity fortune teller).
Sponsors
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
5 Years to 5 Years
Healthy volunteers
Yes
Inclusion criteria
* The parent the accompanies the child to the 5-year check-up at primary child healthcare needs to be able to understand Swedish sufficiently well in order to provide informed consent and partake in the Saga Stories health talk.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy | At the end of the intervention which is two months after baseline | Parental self-efficacy for promoting healthy dietary and physical activity behaviours in their children´ questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Screen time as assessed by a questionnaire | At the end of the intervention which is two months after baseline | Number of minutes per day spent in front of a screen |
| Acceptability | 3 months after implementation | Acceptability of the Saga Stories intervention by the child healthcare nurses (assessed by the questionnaire by Weiner et al.) It includes four questions assessed on a five point likert scale ranging from completely disagree to completely agree. |
| Appropriateness | 3 months after implementation | Appropriateness of the Saga Stories intervention by the child healthcare nurses (assessed by the questionnaire by Weiner et al.) It includes four questions rated on a five point likert scale ranging from completely disagree to completely agree. |
| Feasibility of implementing Saga Stories | 3 months after implementation | Feasibility of the Saga Stories intervention by the child healthcare nurses (assessed with by questionnaire by Weiner et al.) It includes four questions rated on a five point likert scale ranging from completely disagree to completely agree. |
| Intake of key dietary indicators as assessed by a questionnaire | At the end of the intervention which is two months after baseline | Intake of fruits, vegetables, and sugar sweetened drinks (grams/day) |
| Change in the adoption of the Saga Stories intervention | 2, 4, 6, 8, 10, and 12 months after implementation | Assessment based on checklist developed for this study (0, not implemented and 1, implemented) |
| Sustainability | One year after implementation | Semi-structured interviews with primary child healthcare nurses |
| Parental satisfaction and usage of Saga Stories | Post-intervention (i.e., 2 months after baseline assessment) | Questionnaire |
| Change in the fidelity of the Saga Stories intervention | 2, 4, 6, 8, 10, and 12 months after implementation | Assessment based on checklist developed for this study (0, not implemented and 1, implemented) |
Countries
Sweden
Outcome results
None listed