The Resource Information Program for Parents on Lifestyle and Education (RIPPLE): A Parent-based eHealth Tool to Prevent Childhood Obesity

The objective of this study was to determine the feasibility and preliminary impact of an eHealth screening, brief intervention and referral to treatment (SBIRT) tool delivered in primary care to help parents prevent childhood obesity. The SBIRT was entitled RIPPLE - the Resource Information Program for Parents on Lifestyle and Education. Parents of children were recruited from a primary care clinic and invited to participate in the SBIRT on a study-designated tablet. The SBIRT was brief (~15 minutes) and parents completed it while they awaited their child's upcoming pediatrician appointment. The SBIRT (i) screened for children's weight status using children's measured height and weight, (ii) randomly assigned parents to one-of-four brief interventions (two on nutrition, two on physical activity) or an eHealth control group, and (iii) provided parents with a menu of resources (i.e., online handouts, information on community services) to help prevent obesity in children.本研究旨在明确在初级保健场景中部署电子健康（eHealth）筛查、简短干预及转介治疗（SBIRT）工具，以辅助家长预防儿童肥胖的可行性与初步效果。该SBIRT工具被命名为RIPPLE——即面向家长的生活方式与教育资源信息计划（Resource Information Program for Parents on Lifestyle and Education）。研究人员从某初级保健诊所招募儿童家长，并邀请其使用研究指定的平板电脑参与该SBIRT流程。该SBIRT流程时长约15分钟，家长可在等候孩子的儿科预约就诊期间完成全部内容。该SBIRT包含三项核心模块：(i) 基于儿童实测身高与体重筛查其体重状况；(ii) 将家长随机分配至四种简短干预方案（2项聚焦营养干预、2项聚焦体力活动干预）或电子健康对照组；(iii) 为家长提供资源清单，涵盖在线讲义、社区服务信息等，以助力儿童肥胖预防工作。