Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, SPH-I, Room 3718, Ann Arbor, MI, 48109-2029, USA.
Curr Nutr Rep. 2018 Dec;7(4):303-309. doi: 10.1007/s13668-018-0255-9.
Interventions that aim to alter child eating behaviors often focus on parents as a proximal influence. Yet, parents can be difficult to engage. Therefore, intervention recommendations are often not implemented as designed. The goal of this review is to highlight factors at multiple contextual levels that are important to consider when developing interventions to address child eating, due to their implications for overcoming parent engagement challenges.
Intervention studies suggest that parents are often the key to successfully changing child eating behaviors, and many interventions focus on feeding. Factors such as child eating phenotypes, parent stress, family system dynamics, and sociodemographic constraints have also been identified as shaping food parenting. Challenges at multiple contextual levels can affect the likelihood of parent engagement. Addressing factors at the child-, parent-, family-, and broader social-contextual levels of influence is essential in order to promote best practices for parent-focused feeding interventions.
目的综述:旨在改变儿童饮食习惯的干预措施通常以父母作为主要影响因素。然而,父母可能很难参与其中。因此,干预建议通常无法按设计实施。本综述的目的是强调多个背景层面的因素,这些因素对于制定干预措施以解决儿童饮食问题非常重要,因为它们对于克服父母参与的挑战具有重要意义。
最近发现:干预研究表明,父母通常是成功改变儿童饮食习惯的关键,许多干预措施都集中在喂养上。儿童饮食表型、父母压力、家庭系统动态和社会人口学限制等因素也被确定为影响食物养育的因素。多个背景层面的挑战会影响父母参与的可能性。在儿童、父母、家庭和更广泛的社会背景层面上解决影响因素,对于促进以父母为中心的喂养干预的最佳实践至关重要。