婴儿和幼儿养 (IYCF) 实践的改进是否能够经受时间的考验?
Solis Winters1, Sebastian Martinez2, Julia Johannsen3
1School of Public Health, University of California Berkeley, Berkeley, CA, USA.
Journal of health, population, and nutrition
|April 5, 2024
概括
一个创新的基于游戏的教育计划改善了玻利维亚的婴儿和幼儿养 (IYCF) 知识. 虽然短期的IYCF实践有所改善,但长期的行为变化没有持续.
科学领域:
- 公共卫生 公共卫生
- 发展心理学 发展心理学
- 行为科学 行为科学
背景情况:
- 营养不良严重影响儿童发展,健康和低收入和中等收入国家的经济增长.
- 改善婴儿和幼儿养 (IYCF) 实践,特别是在前两年,对于减轻营养不良至关重要.
- 提高IYCF知识和实践的有效策略是全球卫生优先事项.
研究的目的:
- 评估交互式游戏和表演艺术教育策略对护理人员IYCF知识和实践的长期影响.
- 评估玻利维亚埃尔阿尔托州一项创新性干预措施的有效性.
- 为了确定随着时间的推移,IYCF知识和实践的改善的可持续性.
主要方法:
- 随机对照试验涉及到2015个家庭在埃尔阿尔托,玻利维亚.
- 干预组接受了基于互动游戏和表演艺术的教育.
- 在基线后的30个月和42个月收集的数据;使用多变量线性回归分析治疗意图效应.
主要成果:
- 护理人员IYCF知识的显著短期增长 (0.13 SDs),随着时间的推移,效应越来越大.
- 在遵守IYCF实践 (0.23 SDs) 方面出现了显著的短期改善,但影响在42个月后消失了.
- 具有更高基线知识,更多孩子和年龄较大的护理人员受益最多.
结论:
- 娱乐教育干预措施对改善和维护IYCF知识充满希望.
- 维持IYCF实践的长期变化仍然是一个挑战.
- 需要进一步的研究来确定长期行为改变的有效策略,特别是在拉丁美洲土著人口中.
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