喂养中 Satter 责任分工依从性的有效且可靠测量方法。

Valid and Reliable Measure of Adherence to Satter Division of Responsibility in Feeding.

机构信息

Wegmans School of Health and Nutrition, Rochester Institute of Technology, Rochester, NY.

Diet Assessment Center, Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA.

出版信息

J Nutr Educ Behav. 2021 Mar;53(3):211-222. doi: 10.1016/j.jneb.2020.11.007. Epub 2021 Jan 8.

DOI:10.1016/j.jneb.2020.11.007

PMID:33423902

Abstract

OBJECTIVE

To examine the validity and psychometrics of sDOR.2-6y, a 12-item measure of adherence to the Satter Division of Responsibility in Feeding (sDOR).

DESIGN

Cross-sectional survey.

SETTING

Online respondents in central Pennsylvania.

PARTICIPANTS

117 parents (94% female, 77% White, 62% in ≥1 income-based assistance program) of preschoolers aged 2-6 years (28% moderate/high nutrition risk).

MAIN OUTCOME MEASURES

The sDOR.2-6y and Nutrition Screening Tool for Every Preschooler (NutriSTEP), a measure of child nutrition risk and other validated measures of eating behavior and parent feeding practices.

ANALYSIS

Relationships were evaluated with Pearson r, t tests, ANOVA, or chi-square. Factor structure was investigated using principal components analysis with varimax rotation. Binary logistic regression and general linear model controlling for low-income status compared with sDOR.2-6y and NutriSTEP scores. Linear regression predicted NutriSTEP and Satter Eating Competence Inventory 2.0 scores from sDOR.2-6y.

RESULTS

The sDOR.2-6y ranged from 16-32 (mean, 25.9 ± 3.3; n = 114). Parents of youth at nutrition risk had lower sDOR.2-6y scores (P = 0.004). Each 1 point sDOR.2-6y increase decreased nutrition risk odds by 21% (95% confidence interval, 0.675-0.918; P = 0.002). The sDOR.2-6y scores were higher with less restriction and pressure to eat (both P < 0.001) and were associated with feeding style. Specificity was 87% with sDOR.2-6y cutoff ≥24; sensitivity was 66% with cutoff ≥26.

CONCLUSIONS AND IMPLICATIONS

The sDOR.2-6y accurately and reliably indicated adherence of low-income mothers to sDOR. Larger, diverse samples for future studies are recommended.

摘要

目的

检验 Satter 喂养责任分工（sDOR）中 12 项依从性的测量工具 sDOR.2-6y 的有效性和心理计量学。

设计

横断面调查。

地点

宾夕法尼亚州中部的在线受访者。

参与者

117 名 2-6 岁学龄前儿童的父母（94%为女性，77%为白人，62%参加了≥1 项基于收入的援助计划），其中 28%有中度/高度营养风险。

主要结果衡量指标

sDOR.2-6y 和每个学龄前儿童的营养筛查工具（NutriSTEP），用于衡量儿童营养风险以及其他经过验证的饮食行为和父母喂养实践的衡量指标。

分析

使用 Pearson r、t 检验、方差分析或卡方检验评估相关性。使用主成分分析和方差极大旋转进行因子结构分析。使用二元逻辑回归和一般线性模型控制低收入状态，比较 sDOR.2-6y 和 NutriSTEP 评分。线性回归预测 sDOR.2-6y 与 NutriSTEP 和 Satter 进食能力量表 2.0 的分数。

结果

sDOR.2-6y 范围为 16-32（平均值，25.9 ± 3.3；n=114）。营养风险青少年的父母 sDOR.2-6y 得分较低（P=0.004）。sDOR.2-6y 每增加 1 分，营养风险的几率降低 21%（95%置信区间，0.675-0.918；P=0.002）。限制和强迫进食越少，sDOR.2-6y 得分越高（均 P<0.001），并且与喂养方式有关。sDOR.2-6y 截断值≥24 时，特异性为 87%；截断值≥26 时，敏感性为 66%。