Background: Few Australian childcare centers provide foods consistent with sector dietary guidelines. Digital health technologies are a promising medium to improve the implementation of evidence-based guidelines in the setting. Despite being widely accessible, the population-level impact of such technologies has been limited due to the lack of adoption by end users. Objective: This study aimed to assess in a national sample of Australian childcare centers (1) intentions to adopt digital health interventions to support the implementation of dietary guidelines, (2) reported barriers and enablers to the adoption of digital health interventions in the setting, and (3) barriers and enablers associated with high intentions to adopt digital health interventions. Methods: A cross-sectional telephone or online survey was undertaken with 407 childcare centers randomly sampled from a publicly available national register in 2018. Center intentions to adopt new digital health interventions to support dietary guideline implementation in the sector were assessed, in addition to perceived individual, organizational, and contextual factors that may influence adoption based on seven subdomains within the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) of health and care technologies framework. A multiple-variable linear model was used to identify factors associated with high intentions to adopt digital health interventions. Results: Findings indicate that 58.9% (229/389) of childcare centers have high intentions to adopt a digital health intervention to support guideline implementation. The changes needed in team interactions subdomain scored lowest, which is indicative of a potential barrier (mean 3.52, SD 1.30), with organization’s capacity to innovate scoring highest, which is indicative of a potential enabler (mean 5.25, SD 1.00). The two NASSS subdomains of ease of the adoption decision (P<.001) and identifying work and individuals involved in implementation (P=.001) were significantly associated with high intentions to adopt digital health interventions. Conclusions: A substantial proportion of Australian childcare centers have high intentions to adopt new digital health interventions to support dietary guideline implementation. Given evidence of the effectiveness of digital health interventions, these findings suggest that such an intervention may make an important contribution to improving public health nutrition in early childhood.

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中文翻译：

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在早期儿童教育和护理中采用数字健康干预措施来支持饮食指南实施的障碍和推动因素：跨领域研究

背景：很少有澳大利亚儿童保育中心提供符合部门饮食准则的食品。数字医疗技术是改善环境中循证指南实施的一种有前途的媒介。尽管可以广泛使用，但由于最终用户缺乏采用这种技术，因此其在人口层面的影响受到限制。目标：这项研究旨在评估澳大利亚儿童保育中心的国家样本（1）采取数字健康干预措施以支持饮食指南实施的意图，（2）报告了在环境中采用数字健康干预措施的障碍和促成因素， （3）与采用数字健康干预措施的高意愿相关的障碍和促成因素。方法：于2018年对407个儿童保育中心进行了横断面电话或在线调查，这些保育中心是从可公开获得的国家登记册中随机抽样的。除了感知到的个人之外，还评估了该中心采用新的数字健康干预措施以支持该部门饮食指南实施的意图，组织和上下文因素可能会影响健康和护理技术框架在不采用，放弃，扩大规模，扩散和可持续性（NASSS）的七个子域内的采用。使用多变量线性模型来识别与采用数字健康干预措施的高意愿相关的因素。结果：研究结果表明，有58.9％（229/389）的托儿中心具有采用数字健康干预措施来支持准则实施的强烈意愿。团队交互子域所需的更改得分最低，这表明存在潜在障碍（平均3.52，标准差1.30），而组织的创新能力最高，这表明存在潜在的推动力（平均5.25，标准差1.00）。易于采用决策的两个NASSS子域（P <.001）和确定实施中涉及的工作和个人（P = .001）与采用数字健康干预措施的高意愿显着相关。结论：相当一部分澳大利亚儿童保育中心都希望采用新的数字健康干预措施来支持饮食指南的实施。有了数字健康干预措施有效性的证据，

这仅仅是抽象的。阅读JMIR网站上的全文。JMIR是互联网时代电子健康和医疗保健领域领先的开放获取期刊。