Appetite in Preschoolers: Producing Evidence for Tailoring Interventions Effectively - the APPETItE Study Protocol
Appetite in Preschoolers: Producing Evidence for Tailoring Interventions Effectively - the APPETItE Study Protocol
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学龄前儿童的食欲：为有效定制干预措施提供证据 - APPETItE 研究方案
DOI：
10.1016/j.appet.2022.106228
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发表时间：
2022
期刊：
影响因子：
5.4
通讯作者：
Pickard A
中科院分区：
文献类型：
--
作者：
Pickard A
父母如何喂养表现出高水平进食行为的孩子是一个关键的干预目标，但我们缺乏纵向和实验证据来揭示这方面的因果关系，也尚未确定具有这些特征的儿童行为改变的杠杆。胃口研究将通过实施以下方案来提供这一证据。本研究的初始阶段使用自回归交叉滞后结构方程模型(SEM)考察了儿童在多个时间点(3个月、1.5岁、3岁和5岁)的进食方式(FA)行为和父母喂养方式之间的动态关系。在第二阶段，将利用潜在特征分析(LPA)，分发在线调查，以确定具有高FA行为的3-5岁儿童的样本。被LPA归类为FA高的儿童的主要照顾者随后将使用生态瞬时评估来记录他们孩子的饮食行为和喂养实践。由扫描电子显微镜和EMA阶段确定的饲喂方式将有助于在实验环境中对具体的饲喂方式进行经验研究。在每种喂养实践条件下，高FA的3-5岁儿童及其主要照顾者将被邀请到儿童进食实验室接受三种喂养实践干预之一。所有工作包的结果都将与家长和其他利益攸关方就有针对性的干预措施的内容和交付情况的意见进行核对，以改善高进食方法儿童的结果。
How parents feed their children who show high levels of food approach behaviour is a key intervention target, but we lack longitudinal and experimental evidence to unravel cause and effect relationships in this context and have yet to identify the levers for behaviour change in children with these characteristics. The APPETItE study will provide this evidence by implementing the following protocol. The initial stage of this research examines the dynamic relationship between children's food approach (FA) behaviours and parent feeding practices over multiple time points (at age 3 months, 1.5, 3, and 5 years) using autoregressive cross-lagged structural equation models (SEM). In the second stage, an online survey will be distributed to identify a sample of 3-5-year-old children with high FA behaviour, using Latent Profile Analysis (LPA). Primary caregivers with children classified by LPA as high in FA will then document their child’s eating behaviours and feeding practices using Ecological Momentary Assessment. The feeding practices determined by the SEM and EMA phases will contribute to the empirical investigation of specific feeding practices in an experimental setting. In each feeding practice condition, 3-5-year-olds with high FA and their primary caregivers will be invited to the child-eating laboratory to receive one of three feeding practice interventions. The results of all work packages will be collated with the views of parents and other stakeholders regarding the content and delivery of a targeted intervention to improve outcomes for children with high food approach.