Child, Caregiver, Family, and Social-Contextual Factors to Consider when Implementing Parent-Focused Child Feeding Interventions.

Child, Caregiver, Family, and Social-Contextual Factors to Consider when Implementing Parent-Focused Child Feeding Interventions.
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DOI:
10.1007/s13668-018-0255-9
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发表时间:
2018-12
影响因子:
4.9
通讯作者:
Clark KM
Clark KM
中科院分区:
医学2区
文献类型:
--
作者:
Miller AL;Miller SE;Clark KM

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旨在改变儿童饮食行为的干预措施往往侧重于父母作为近端影响。然而,父母可能很难参与进来。因此,干预建议往往没有按照设计实施。本综述的目的是强调在制定解决儿童饮食问题的干预措施时需要考虑的多个背景层面的重要因素,因为它们对克服父母参与挑战具有重要意义。干预研究表明,父母往往是成功改变孩子饮食行为的关键,许多干预措施都侧重于喂养。儿童饮食表型等因素;父母的压力;家庭系统动力学;社会人口限制也被认为是影响食物养育的因素。多重情境层面的挑战会影响家长参与的可能性。为了促进以父母为重点的喂养干预措施的最佳做法,解决儿童、父母、家庭和更广泛的社会背景层面的影响因素至关重要。
Interventions that aim to alter child eating behaviors often focus on parents as a proximal influence. Yet, parents can be difficult to engage. Therefore, intervention recommendations are often not implemented as designed. The goal of this review is to highlight factors at multiple contextual levels that are important to consider when developing interventions to address child eating, due to their implications for overcoming parent engagement challenges. Intervention studies suggest that parents are often the key to successfully changing child eating behaviors, and many interventions focus on feeding. Factors such as child eating phenotypes; parent stress; family system dynamics; and sociodemographic constraints have also been identified as shaping food parenting. Challenges at multiple contextual levels can affect the likelihood of parent engagement. addressing factors at the child-, parent-, family- and broader social-contextual levels of influence is essential in order to promote best practices for parent-focused feeding interventions.