Protocol for digital intervention for effective health promotion of small children-A cluster randomized trial

J Adv Nurs. 2018 Jul;74(7):1685-1699. doi: 10.1111/jan.13561. Epub 2018 Apr 6.

Abstract

Aim: This article introduces the protocol of a study aiming to evaluate the effectiveness of digital WellWe intervention in supporting the participation of families with small children in the promotion of their health.

Background: Early childhood is a meaningful period for building a strong base for good health. Parents play a key role in affecting the health behaviour and psychosocial development of their children. A family-centred approach makes it possible to support families' individual health literacy needs and empower them to take actions towards promoting healthier behaviour. However, there are a lack of family-centred digital health interventions intended for parents and their small children.

Design: The study is designed as a two-arm cluster, randomized, controlled trial with a 4-month follow-up.

Methods: The data are being collected from 200 families with a 4-year-old child. Cluster randomization is being performed at the municipality level. Municipalities (N = 4) located in Southwest Finland, comprising child health clinics (N = 15) with their family clients, were randomly allocated to either an intervention (WellWe intervention) or a control group (usual care). The outcome measures include parental self-efficacy for healthy behaviours, mindfulness in parenting and the family-centred approach of the extensive health examination. Data collection is being performed at baseline, after the intervention and at a 4-month follow-up.

Discussion: The results from this study will make it possible to determine whether this new method can be recommended for implementation in child health clinic settings to support the participation of families with small children in promoting their health.

Keywords: child; child health clinic; digital health; family health; family-centred approach; health examination; intervention; nursing; public health nurse.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Child Health Services / organization & administration*
  • Child, Preschool
  • Clinical Protocols
  • Cluster Analysis
  • Family Health
  • Finland
  • Health Promotion / methods*
  • Humans
  • Parenting
  • Parents / psychology
  • Physical Examination
  • Self Efficacy
  • Telemedicine / organization & administration*