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进餐时屏幕暴露对儿童喂养行为影响的定性研究:来自泰米尔纳德邦金奈儿科医生和言语病理学家的观点

Qualitative study on the influence of mealtime screen exposure on children's feeding practices: perspectives from paediatricians and speech-language pathologists in Chennai, Tamil Nadu.

作者信息

Fathima Nathira, Venkatraman Krupa, Hariharan Thangatur Sukumar

机构信息

Department of Speech Language Pathology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.

Department of Speech Language Pathology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, India

出版信息

BMJ Open. 2024 Dec 10;14(12):e087904. doi: 10.1136/bmjopen-2024-087904.

Abstract

OBJECTIVE

This qualitative research study investigates perspectives on the influence of mealtime screen exposure (MTSE) on feeding practices in children through semi-structured interviews with paediatricians and speech-language pathologists (SLPs).

DESIGN

This study used a constructivist paradigm and a qualitative research approach, employing thematic analysis, to understand the research objectives from the lens of practitioners. The researchers used transcripts from semistructured interviews to generate themes.

SETTING

This was a multisite, in situ research study conducted in healthcare facilities such as hospitals, private clinics and educational institutions in Chennai, Tamil Nadu, India, between March and April 2023.

PARTICIPANTS

24 participants, 12 SLPs and 12 paediatricians, were interviewed. The researchers selected these participants purposively based on their expertise and experience in dealing with children's feeding practice-related disorders.

RESULTS

The study identified six themes: limited awareness of MTSE's effects, cultural expectations on mothers, screen dependency, sensory deprivation, fragile caregiver-child bonding and picky eating tendencies. Key findings reflect a lack of caregiver awareness, sociocultural pressures and the negative developmental impacts of MTSE on children's feeding practices.

CONCLUSIONS

This study highlights the need for increased awareness among primary caregivers and healthcare professionals regarding the risks of prolonged MTSE. Both paediatricians and SLPs unanimously agree that MTSE can adversely affect feeding practices.

摘要

目的

本定性研究通过对儿科医生和言语语言病理学家(SLP)进行半结构化访谈,调查用餐时屏幕暴露(MTSE)对儿童喂养习惯影响的相关观点。

设计

本研究采用建构主义范式和定性研究方法,运用主题分析,从从业者的角度理解研究目标。研究人员使用半结构化访谈的文字记录来生成主题。

背景

这是一项多地点的实地研究,于2023年3月至4月在印度泰米尔纳德邦金奈的医院、私人诊所和教育机构等医疗机构进行。

参与者

共访谈了24名参与者,其中12名SLP和12名儿科医生。研究人员根据他们在处理儿童喂养习惯相关疾病方面的专业知识和经验有目的地选择了这些参与者。

结果

该研究确定了六个主题:对MTSE影响的认识有限、对母亲的文化期望、屏幕依赖、感觉剥夺、照顾者与孩子之间脆弱的情感联系以及挑食倾向。主要研究结果反映出照顾者缺乏认识、社会文化压力以及MTSE对儿童喂养习惯的负面发展影响。

结论

本研究强调了提高初级照顾者和医疗保健专业人员对长期MTSE风险认识的必要性。儿科医生和SLP一致认为MTSE会对喂养习惯产生不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a3/11647395/bc96ae7f548c/bmjopen-14-12-g001.jpg

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