Laroche Helena H, Davis Matthew M, Forman Jane, Palmisano Gloria, Heisler Michele
Division of General Medicine, Department of Internal Medicine, University of Iowa, VA Medical Center mailstop 152, Iowa City, IA 52246, USA.
Public Health Nutr. 2008 Apr;11(4):427-36. doi: 10.1017/S1368980007000791. Epub 2007 Aug 9.
Among adults with diabetes attempting to change their own diets, we explored how these adults approached providing food for their children and how their children reacted to dietary changes in the household.
The research design used semi-structured parallel individual interviews of adults and a child (aged 10-17 years) in their home. Interviews were audio-taped, transcribed, coded and analysed for themes.
Subjects included families in which one inner-city African American or Latino adult with diabetes had completed a diabetes intervention promoting healthy dietary behaviours.
We completed 29 interviews (14 adult-child pairs and one child). Adults approached making dietary changes for themselves and also providing food for their family in different ways, ranging from expecting everyone to eat the same thing to preparing two separate meals. Many children resisted dietary changes while fewer acquiesced. Among children who went along with changes, some reported resisting initially then adjusting, while others did not resist because the food still tasted good or they could obtain preferred foods outside the house. The intersection of adults' meal strategies and children's reactions to the changes can be used to categorise families into different patterns. These patterns highlight the tension between an adult who must make dietary changes to control diabetes and a child who is not necessarily motivated to change.
From this framework we suggest hypotheses about how these patterns might influence dietary behaviour in adults and children. Understanding these patterns could guide interventions to assist parents in successfully including children in their dietary changes.
在试图改变自身饮食的成年糖尿病患者中，我们探究了这些成年人如何为子女提供食物，以及他们的子女对家庭饮食变化的反应。
研究设计采用在家庭中对成年人及一名儿童（10 - 17岁）进行半结构化平行个体访谈。访谈进行录音、转录、编码并分析主题。
对象包括这样的家庭，其中一名患有糖尿病的市中心非裔美国或拉丁裔成年人完成了一项促进健康饮食行为的糖尿病干预。
我们完成了29次访谈（14对成人 - 儿童组合及一名儿童）。成年人在为自己进行饮食改变以及为家人提供食物方面采取了不同方式，从期望每个人吃同样的东西到准备两份不同的餐食。许多儿童抵制饮食变化，只有少数表示默许。在接受变化的儿童中，一些人报告最初抵制然后调整，而另一些人不抵制是因为食物仍然美味或者他们可以在家庭之外获取喜欢的食物。成年人的用餐策略与儿童对变化的反应之间的交叉点可用于将家庭分类为不同模式。这些模式凸显了必须进行饮食改变以控制糖尿病的成年人与不一定有改变动机的儿童之间的紧张关系。
基于此框架，我们提出关于这些模式可能如何影响成年人和儿童饮食行为的假设。理解这些模式可为干预措施提供指导，以帮助父母成功地让孩子参与到他们的饮食变化中。
