Stark L J, Knapp L G, Bowen A M, Powers S W, Jelalian E, Evans S, Passero M A, Mulvihill M M, Hovell M
Brown University School of Medicine, Providence, Rhode Island 02903.
J Appl Behav Anal. 1993 Winter;26(4):435-50. doi: 10.1901/jaba.1993.26-435.
Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.
三名患有囊性纤维化的轻度营养不良儿童及其父母参加了一个行为小组治疗项目，该项目侧重于促进和维持热量摄入的增加。治疗包括营养教育、逐步提高热量目标、应急管理和放松训练，并在四餐的多重基线设计中进行评估。儿童每餐的热量摄入量都有所增加，治疗后总热量摄入量比基线高出32%至60%。在96周随访（治疗后2年）时，热量消耗的增加得以维持。治疗后的两年里，儿童的体重和身高增长率高于治疗前一年。治疗后1年还观察到进食速度和每分钟消耗热量的增加。这些发现重复并扩展了早期的研究，支持行为干预在治疗囊性纤维化儿童营养不良方面的疗效。
