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• W4383621836 abstract "Background Most parent-centered nutrition education interventions for childhood health promotion target older children and require regular face-to-face contact which limits low-income parents who may have time and resource constraints. Objectives This pilot study explored the feasibility, acceptability, and adherence of a theory-based eHealth intervention, called Healthy Online Parental Education (HOPE), in low-income parents of children aged between one and three years. Study Design, Settings, Participants This was a process outcome assessment of the HOPE study through a two-arm, 8-week pilot randomized controlled trial. Social Cognitive Theory informed the development of lesson plans and activities to enhance parental knowledge, self-efficacy, and behavioral capabilities in cooking and feeding healthy meals for their children. Multicomponent strategies were integrated into the intervention approach, including online educational videos, cooking activities, journals, and reminder text messages. Measurable Outcome/Analysis A 5-point Likert scale asked parents to rate the acceptability of each intervention component. Individual interviews were conducted to understand parents’ perceptions of the intervention. The adherence rate was measured based on watch time (average view duration) and view counts from YouTube's Creator Analytics. R version 4.1.1. and MAXQDA software was used for data analysis. Results Participants (n = 37) were 86.49% mothers, 45.95% Hispanic, 56.76% obese, and 72.98% low-income. Overall, 93.50% of participants reported that the HOPE intervention provided them with valuable learning experiences. Most parents (87.10%) found the length of educational videos optimal. Many parents mentioned that they were able to study educational videos while their children went to sleep and re-watched some of the videos to internalize knowledge. Almost all (96.80%) found online cooking activities strongly helpful in improving child dietary intake. The average percentage viewed was 80.60%, and 13 educational videos yielded total 518 view counts. Conclusion Participants reported high levels of adherence and acceptability to online learning. Early childhood health promotion using theory-based eHealth interventions has the potential for widespread application. Further investigation with a larger sample size and follow-up measurements is warranted. Funding None Most parent-centered nutrition education interventions for childhood health promotion target older children and require regular face-to-face contact which limits low-income parents who may have time and resource constraints. This pilot study explored the feasibility, acceptability, and adherence of a theory-based eHealth intervention, called Healthy Online Parental Education (HOPE), in low-income parents of children aged between one and three years. This was a process outcome assessment of the HOPE study through a two-arm, 8-week pilot randomized controlled trial. Social Cognitive Theory informed the development of lesson plans and activities to enhance parental knowledge, self-efficacy, and behavioral capabilities in cooking and feeding healthy meals for their children. Multicomponent strategies were integrated into the intervention approach, including online educational videos, cooking activities, journals, and reminder text messages. A 5-point Likert scale asked parents to rate the acceptability of each intervention component. Individual interviews were conducted to understand parents’ perceptions of the intervention. The adherence rate was measured based on watch time (average view duration) and view counts from YouTube's Creator Analytics. R version 4.1.1. and MAXQDA software was used for data analysis. Participants (n = 37) were 86.49% mothers, 45.95% Hispanic, 56.76% obese, and 72.98% low-income. Overall, 93.50% of participants reported that the HOPE intervention provided them with valuable learning experiences. Most parents (87.10%) found the length of educational videos optimal. Many parents mentioned that they were able to study educational videos while their children went to sleep and re-watched some of the videos to internalize knowledge. Almost all (96.80%) found online cooking activities strongly helpful in improving child dietary intake. The average percentage viewed was 80.60%, and 13 educational videos yielded total 518 view counts. Participants reported high levels of adherence and acceptability to online learning. Early childhood health promotion using theory-based eHealth interventions has the potential for widespread application. Further investigation with a larger sample size and follow-up measurements is warranted." @default.
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• W4383621836 date "2023-07-01" @default.
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• W4383621836 title "Process Evaluation of a Theory-Informed eHealth Intervention Through Healthy Online Parental Education (HOPE) Study" @default.
• W4383621836 doi "https://doi.org/10.1016/j.jneb.2023.05.187" @default.
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