Fang Elisa, Nita Abigail L, Duh-Leong Carol, Gross Rachel S, Schoenthaler Antoinette, Pina Paulo, Ortiz Robin
NYU Grossman School of Medicine, New York, NY, USA (EF).
Department of Pediatrics, NYU Grossman School of Medicine, New York, NY, USA (ALN, CDL, RG, PP, RO).
Am J Lifestyle Med. 2024 Sep 20:15598276241285807. doi: 10.1177/15598276241285807.
Child lifestyle behaviors are influenced by their caregivers. Targeting the caregiver-child relationship can establish healthy habits, especially healthful eating patterns, in both the caregiver and child. The purpose of this study was to identify the context for addressing strategies used to establish nutritious eating for the caregiver and child taken together as a unit (e.g., the caregiver-child dyad), through the perspectives of nutrition-promoting professionals. We performed purposive sampling of professionals who address healthful nutrition. Semi-structured qualitative interviews were conducted to elicit perspectives on caregiver-child eating dynamics and techniques to produce dietary behavior change. Data were coded through the constant comparative method, and subthemes and themes were identified by grouping similar codes and excerpts. We identified four themes relevant to dyadic dietary behavior change: (1) factors to consider when approaching nutrition such as family dynamics, (2) dyad-specific strategies for dietary behavior change, (3) patient-centered approaches professionals implement in interactions with the dyad, and (4) time as a barrier to dietary behavior change. In conclusion, study is novel in eliciting the perspectives of professionals across multiple settings to provide a context for dyadic dietary behavior change. Future studies can focus on developing training for lifestyle medicine professionals to approach dyad-specific behavior modification.
儿童的生活方式行为受到其照顾者的影响。以照顾者与儿童的关系为目标，可以在照顾者和儿童双方建立健康的习惯，尤其是健康的饮食模式。本研究的目的是从促进营养的专业人员的角度，确定针对照顾者和儿童作为一个整体（例如照顾者-儿童二元组）建立营养饮食的策略的背景。我们对关注健康营养的专业人员进行了目的抽样。进行了半结构化的定性访谈，以获取关于照顾者-儿童饮食动态以及产生饮食行为改变的技巧的观点。通过持续比较法对数据进行编码，并通过对相似代码和摘录进行分组来确定子主题和主题。我们确定了与二元饮食行为改变相关的四个主题：（1）在处理营养问题时要考虑的因素，如家庭动态；（2）饮食行为改变的二元组特定策略；（3）专业人员在与二元组互动中实施的以患者为中心的方法；（4）时间作为饮食行为改变的障碍。总之，本研究在引出多个环境中专业人员的观点以提供二元饮食行为改变的背景方面具有新颖性。未来的研究可以专注于为生活方式医学专业人员开发针对二元组特定行为改变的培训。
