Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
J Dev Behav Pediatr. 2012 Sep;33(7):529-34. doi: 10.1097/DBP.0b013e3182618e1f.
To ascertain whether a parent education program based on Satter's division of responsibility in feeding children (DOR) is effective in enhancing parent/child feeding interactions for children with an overweight/obese parent. The primary hypothesis was that the intervention would decrease parental pressure to eat.
Sixty-two families with a child between 2 and 4 years with at least 1 overweight/obese parent were randomly allocated using a cluster design to either the DOR intervention or a control group. The control group focused on increasing family consumption of healthy foods and activity levels and enhancing child sleep duration. The primary outcome was parent pressure on their child to eat.
The DOR intervention was superior to the control group in reducing the pressure to eat. Two moderators of pressure to eat were found: disinhibition of eating and hunger. The parents in the DOR group, irrespective of disinhibition levels, lowered the pressure to eat, whereas those in the control group with low disinhibition increased the pressure to eat. There were similar findings for hunger. Gender moderated restrictive feeding with DOR parents lowering restriction more than parents of the control group in girls only.
The DOR intervention was more effective in reducing the parent pressure to eat and food restriction (in girls only) than the control group.
确定基于 Satter 儿童喂养责任划分（DOR）的家长教育计划是否能有效增强超重/肥胖家长与孩子的喂养互动。主要假设是干预将减少父母对孩子进食的压力。
采用整群设计，将 62 个有 2 至 4 岁超重/肥胖儿童的家庭随机分为 DOR 干预组或对照组。对照组侧重于增加家庭健康食品的摄入量和活动水平，以及延长儿童的睡眠时间。主要结局是父母对孩子进食的压力。
DOR 干预组在降低进食压力方面优于对照组。发现了两个进食压力的调节因素：饮食抑制和饥饿。DOR 组的父母，无论饮食抑制水平如何，都降低了进食压力，而对照组中饮食抑制水平低的父母则增加了进食压力。对于饥饿也有类似的发现。性别调节了 DOR 父母的限制喂养，与对照组的父母相比，DOR 组的父母对女孩的限制喂养减少得更多。
与对照组相比，DOR 干预在降低父母的进食压力和食物限制（仅在女孩中）方面更有效。
