儿童饮食运动行为干预中手机APP使用的依从性及影响因素

李文灏; 冯向先; 林艺; 高爱钰; 张芳; 周双; 许利群; 吴娜; 刘峥; 王海俊

doi:10.16835/j.cnki.1000-9817.2021.09.014

儿童饮食运动行为干预中手机APP使用的依从性及影响因素

doi: 10.16835/j.cnki.1000-9817.2021.09.014

李文灏¹,
冯向先²,
林艺³,
高爱钰⁴,
张芳⁵,
周双¹,
许利群⁶,
吴娜⁶,
刘峥¹,
王海俊^1, ,

1.
北京大学公共卫生学院妇幼卫生系，北京 100191
2.
长治医学院公共卫生与预防医学系
3.
乌鲁木齐市中小学卫生保健所
4.
北京市东城区中小学卫生保健所
5.
北京市门头沟区中小学卫生保健所
6.
中国移动通信有限公司研究院

基金项目:

国家重点研发计划项目资助 2016YFC1300204

国家自然科学基金项目 81903343

详细信息

作者简介:
李文灏(1995-)，女，山东济南人，在读硕士，主要研究方向为儿童生长发育/肥胖流行病学

通讯作者:
王海俊，E-mail：whjun1@bjmu.edu.cn

中图分类号: G 802 R 179
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- 被引次数: 0
出版历程
- 收稿日期: 2021-01-17
- 修回日期: 2021-05-20
- 网络出版日期: 2021-09-24
- 刊出日期: 2021-09-24

Compliance and associated factors of smartphone application usage in child dietary and exercise intervention

1.
Department of Maternal & Child Health, School of Public Health, Perking University, Beijing(100191), China

摘要

摘要: 目的研究儿童饮食运动行为干预中手机应用程序(APP)使用的依从性及其影响因素，为未来提高干预依从性提供科学依据。方法基于在北京、山西长治和新疆乌鲁木齐3座城市开展的一项儿童饮食运动行为干预项目，通过整群随机对照试验，调查干预组694名儿童和家长在干预过程中手机APP使用情况，通过APP点击次数评估APP使用依从性，通过Logistic回归模型分析可能影响APP使用依从性的因素。结果手机APP在知识传播、行为监测、家庭作业上传和评估反馈4个部分使用次数M(P₂₅, P₇₅)分别为10(5, 21)、20(14, 26)、7(4, 10)、26(15, 53)次。多因素Logistic回归分析发现，长治地区(OR=1.67，95%CI=1.12~2.48)和主要照顾者为母亲(OR=1.55，95%CI=1.09~2.22)的研究对象对APP使用的依从性较好，而母亲有工作者(OR=0.47，95%CI=0.31~0.74)对APP使用的依从性较差(P值均 < 0.05)。结论儿童饮食运动行为干预中手机APP使用依从性较好，地区、主要照顾者是否为母亲、母亲是否工作可能影响依从性的因素。
- 饮食习惯 /
- 运动活动 /
- 回归分析 /
- 健康促进 /
- 儿童
Abstract: Objective To study the compliance and associated factors of smartphone application (APP) usage in childhood dietary and exercise intervention. Methods Based on one childhood intervention of diet and exercise in Beijing, Changzhi of Shanxi Province and Urumqi of Xinjiang Province, 694 children (and their primary caregivers) in the intervention group were investigated regarding usage of APP during the intervention. Compliance of APP usage was evaluated by the click times of APP, and Logistic regression models were used to analyze influencing factors of the compliance. Results The median (inter-quartile range) click times of APP in the four modules (information dissemination, behavior monitoring, homework uploading and feedback) were 10 (5, 21), 20 (14, 26), 7(4, 10), 26 (15, 53), respectively. Multivariable logistic regression analysis found that compliance of APP usage was higher among subjects in Changzhi region (OR=1.67, 95%CI=1.12-2.48), whose primary caregiver was mother (OR=1.55, 95%CI=1.09-2.22), or whose mother did not work (OR=0.47, 95%CI=0.31-0.74). Conclusion Compliance of APP usage was generally high in the childhood intervention of diet and exercise. Some factors are associated with compliance of APP usage. Findings of the study provide a scientific basis for better implementation of APP-based childhood interventions of diet and exercise in the future.
- Food habits /
- Motor activity /
- Regression analysis /
- Health promotion /
- Child

HTML全文

表 1 不同组别儿童手机APP使用依从性的单因素分析

Table 1. Univariate analysis on compliance of mobile APP usage

组别	选项	人数	依从性较好		OR值(OR值95%CI)	P值
组别	选项	人数	报告人数	报告率/%	OR值(OR值95%CI)	P值
性别	男	346	170	49.13	0.94(0.70~1.27)	0.70
	女	348	176	50.57	1.00
地区	北京	257	119	46.30	1.06(0.74~1.50)	0.76
	长治	199	120	60.30	1.86(1.27~2.73)	< 0.01
	乌鲁木齐	238	107	44.96	1.00
干预前是否超重肥胖	是	268	130	48.51	0.92(0.68~1.24)	0.57
	否	426	216	50.70	1.00
是否为独生子女	是	414	195	47.10	0.76(0.56~1.03)	0.08
	否	274	148	54.01	1.00
父亲文化程度	大专及以上	369	175	47.43	0.78(0.58~1.06)	0.11
	大专以下	306	164	53.59	1.00
母亲文化程度	大专及以上	405	192	47.41	0.75(0.55~1.03)	0.07
	大专以下	270	147	54.44	1.00
主要照顾者是否为母亲	是	512	272	53.13	1.65(1.17~2.33)	< 0.01
	否	182	74	40.66	1.00
母亲是否有工作	是	563	265	47.07	0.46(0.30~0.71)	< 0.01
	否	106	70	66.04	1.00

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