Abstract: Objective To explore the effects of the O2O model and the individualized intervention on early growth and development of children . Method Eligible children′s families were recruited from December 2016,and parents input the growth and development information into "cute baby software".Physicians assessed online data monthly,and gave the individualized assessment online or the offline guidance.The growth and development data were collected at the end of intervention for six months. Results Through six months of monitoring,evaluation and predictive guidance intervention,the gross motor (χ²=31.19),fine motor (χ²=22.94),cognition (χ²=15.19),language (χ²=14.28) and growth trend of children significantly improved (all P＜0.01). Conclusions The online monitoring of early childhood development can promote children′s health,break through the limitation of the time and the place,improve the efficiency and create the possibilities for the coverage of children healthcare throughout the region.

Key words: early childhood development, growth and development monitoring, individualized intervention, internet

摘要： 目的 采用互联网O2O模式对儿童早期生长发育进行线上监测并结合线下个体化干预,研究该模式对儿童早期生长发育的影响。方法 2016年12月起儿保医生招募符合条件的儿童,由家长每月将生长发育信息输入“萌宝宝软件”中,儿保医生每月线上评估结合线下指导;在实施6个月时,收集儿童生长发育指标进行纵向对照研究。 结果 通过6个月的监测、评估与干预,发现儿童在大运动(χ²=31.19)、精细运动(χ²=22.94)、认知(χ²=15.19)、语言(χ²=14.28)及生长趋势方面,对比项目之初都得到了明显的促进或改善(P均<0.01)。 结论 利用互联网对儿童早期生长发育进行线上监测,既可以更好地促进儿童健康成长,又可以突破时间、地点的限制,提高了儿童保健工作效率,为全区域儿童覆盖随访创造了条件和可能性。

关键词: 儿童早期发育, 生长发育监测, 个体化干预, 互联网