Centre des Sciences du Goût et de l'Alimentation, CNRS, INRAE, Institut Agro, Université de Bourgogne Franche-Comté, Dijon, France.
Santé publique France, French National Public Health Agency, Saint-Maurice, France.
Front Public Health. 2022 Feb 24;10:782620. doi: 10.3389/fpubh.2022.782620. eCollection 2022.
Unhealthy eating behaviors are risk factors for non-communicable diseases. Parents largely influence the development of eating behaviors during childhood through their feeding practices. Parental feeding practices in line with recommendations are more likely to turn into healthier outcomes in children. From a public health perspective, it should be first ascertained whether providing parents with recommendations about child feeding is a useful approach for increase parental knowledge. Recently, the French health authorities developed a brochure covering updated child feeding recommendations. The present study aims to evaluate the short-term effects of reading this brochure on parental knowledge about child feeding, distinguishing knowledge accuracy and certainty.
A brochure containing updated child feeding recommendations for 0-3 years old was developed by the French public health agency. A representative sample of French parents ( = 400) was targeted to complete an online questionnaire (T0) comprising 30 statements regarding child feeding. For each statement, parents indicated whether it was true/false and how certain they were of their answer (4-point scale). After receiving and reading the brochure, the same parents completed the same questionnaire 3 weeks later (T1). Accuracy (number of correct answers) and certainty (number of mastered answers: correct answers given with the maximal degree of certainty) were compared at T1 vs. T0 using paired -tests. Knowledge evolution based on parental age, parity and education level was tested with linear models.
A total of 452 parents responded at T0 and T1 and were considered for analysis. Between T0 and T1, the number of correct answers [median 22-25, = 17.2, ≤ 0.001] and mastered answers [median 11-17, = 18.8, ≤ 0.001] significantly increased. The median of the difference between T1 and T0 was larger for mastered than for correct answers. The observed evolution in knowledge was independent of parental age, parity or education level.
A brochure containing child feeding recommendations has the potential to increase the accuracy and, to an even greater degree, the certainty of parental knowledge. This increase was observed even for younger or less educated parents.
不健康的饮食习惯是非传染性疾病的危险因素。父母通过喂养行为在很大程度上影响儿童饮食习惯的发展。符合建议的父母喂养行为更有可能使儿童养成更健康的习惯。从公共卫生的角度来看，首先应该确定向父母提供有关儿童喂养的建议是否是增加父母知识的有用方法。最近，法国卫生当局制定了一份涵盖最新儿童喂养建议的小册子。本研究旨在评估阅读这本小册子对父母儿童喂养知识的短期影响，区分知识的准确性和确定性。
法国公共卫生机构制定了一本包含 0-3 岁儿童喂养更新建议的小册子。目标是对一个具有代表性的法国父母样本（n=400）进行在线问卷调查（T0），该问卷包含 30 个关于儿童喂养的陈述。对于每个陈述，父母表明它是否正确/错误，以及他们对答案的确定程度（4 分制）。在收到并阅读小册子后，同一批父母在 3 周后（T1）完成了相同的问卷。使用配对 t 检验比较 T1 与 T0 时的准确性（正确答案的数量）和确定性（掌握的答案数量：用最大确定性给出的正确答案数量）。基于父母年龄、生育次数和教育水平的知识演变用线性模型进行测试。
共有 452 名父母在 T0 和 T1 时做出了回应，并被纳入分析。在 T0 和 T1 之间，正确答案的数量[中位数 22-25， = 17.2， ≤ 0.001]和掌握答案的数量[中位数 11-17， = 18.8， ≤ 0.001]显著增加。T1 与 T0 之间差异的中位数在掌握答案时大于正确答案。知识演变与父母年龄、生育次数或教育水平无关。
包含儿童喂养建议的小册子有可能提高父母知识的准确性，而且在更大程度上提高了确定性。这种增加甚至在较年轻或受教育程度较低的父母中也观察到了。
