University of Kansas, Lawrence, KS, USA.
Center for Children's Healthy Lifestyles & Nutrition, Kansas City, MO, USA.
J Health Psychol. 2022 Mar;27(4):1014-1020. doi: 10.1177/1359105320982034. Epub 2020 Dec 18.
This study examined differences in observed mealtime behaviors between children preparing to transition to oral feeding and children with various other chronic illnesses using a standardized measure of mealtime beaviors. The parent-child mealtime relationship can become strained due to problematic mealtime behaviors that limit food intake, as well as inadvertent reinforcement of disruptive behavior by caregivers. Frequency/rate of behaviors were compared between children with tube feeding (CwTF) and from previous studies of children with chronic illnesses using the Dyadic Interactive Nomenclature for Eating (DINE). Parents of CwTF used more coaxing, physical prompts, and reinforcement during meals, while parents of children with chronic illnesses used more direct commands and engaged in more parent talk. Findings support differences in parent-child mealtime interactions and eating behaviors across pediatric illness subgroups.
本研究使用标准化的进餐行为量表，考察了即将过渡到经口喂养的儿童与患有各种其他慢性疾病的儿童之间在观察到的进餐行为方面的差异。由于限制食物摄入的进餐行为问题以及照顾者无意中对破坏性行为的强化，亲子进餐关系可能会变得紧张。使用饮食互动命名法（DINE）对接受管饲喂养的儿童（CwTF）与之前慢性疾病儿童研究中的儿童进行行为的频率/速率比较。CwTF 的父母在进餐时使用更多的哄劝、身体提示和强化，而患有慢性疾病儿童的父母则使用更多的直接指令并更多地与孩子交流。研究结果支持在儿科疾病亚组中，亲子进餐互动和进食行为存在差异。
