Parent report of mealtime behaviors in young children with type 1 diabetes mellitus: Implications for better assessment of dietary adherence problems in the clinic
Parent report of mealtime behaviors in young children with type 1 diabetes mellitus: Implications for better assessment of dietary adherence problems in the clinic
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DOI：
10.1097/00004703-200606000-00004
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发表时间：
2006-06-01
影响因子：
2.4
通讯作者：
Powers, Scott W.
中科院分区：
文献类型：
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作者：
Patton, Susana R.;Dolan, Lawrence M.;Powers, Scott W.
有营养治疗成分的慢性病儿童的父母经常报告进餐时间行为问题。尽管研究表明，1型糖尿病（T1DM）幼儿的父母比对照组的父母感知更多的进餐时间行为问题，但没有研究检查T1DM儿童父母报告的进餐时间行为模式。我们使用行为儿科喂养评估量表（BPFAS）检查父母对T1DM儿童进餐时间行为的看法。我们假设T1DM幼儿的父母会描述与临床喂养问题儿童家庭相似的进餐时间问题。使用了来自85个T1DM儿童家庭（平均年龄= 5 ± 1.5岁）的数据。T1DM儿童的因素分析确定了6个因素的解决方案。四个因素（儿童拒绝，挑食，拖延，食物质地）与临床喂养问题儿童中确定的因素相似。2个独特的因素，反映了严格的饮食要求和强烈的破坏性行为，被确定为儿童T1DM。与我们的假设一致，我们得出结论，T1DM儿童和临床喂养问题儿童的进餐时间行为模式相似。然而，对于患有T1DM的幼儿，存在与严格的喂养时间表一致的糖尿病饮食相关的独特问题。在常规糖尿病护理中，BPFAS是评估儿童饮食依从性和进餐行为的有效和临床有用的工具。通过BPFAS进行监测可以确定需要行为干预的家庭，以改善进餐时间的功能。
Parents of children with a chronic illness that has a nutrition treatment component often report mealtime behavior problems. Although research suggests that parents of young children with type 1 diabetes mellitus (T1DM) perceive more mealtime behavior problems than parents of controls, no study has examined the pattern of mealtime behaviors reported by parents of children with T1DM. We examined parents' perceptions of mealtime behaviors of children with T1DM using the Behavioral Pediatric Feeding Assessment Scale (BPFAS). We hypothesized that parents of young children with T1DM would describe similar mealtime problems as has been found in families of children with clinical feeding problems. Data from 85 families of children with T1DM (mean = 5 +/- 1.5 years) were used. Factor analysis for children with T1DM identified a 6-factor solution. Four factors (child refusal, picky eater, stalling, food texture) were similar to factors identified in children with clinical feeding problems. Two unique factors, reflecting strict dietary requirements and intense disruptive behavior, were identified for children with T1DM. Consistent with our hypothesis, we conclude that patterns of mealtime behaviors appear similar for children with T1DM and children with clinical feeding problems. However, for young children with T1DM, unique problems exist, related to a strict feeding schedule consistent with the diabetes diet. Within routine diabetes care, the BPFAS is a valid and clinically useful tool to assess dietary adherence and mealtime behaviors in children. Monitoring via the BPFAS can identify families in need of behavioral interventions to improve mealtime functioning.