Exploring infant signing to enhance responsive parenting: Findings from the INSIGHT study.

Exploring infant signing to enhance responsive parenting: Findings from the INSIGHT study.
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探索婴儿手语以增强回应性养育:INSIGHT 研究的结果。

DOI:
10.1111/mcn.12800
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发表时间:
2019
影响因子:
3.4
通讯作者:
Savage,JenniferS
Savage,JenniferS
中科院分区:
医学3区
文献类型:
--
作者:
Paul,IanM;Hohman,EmilyE;Birch,LeannL;Shelly,Amy;Vallotton,ClaireD;Savage,JenniferS

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响应式育儿是预防肥胖的一个有前途的框架,但迄今为止的尝试在很大程度上依赖于父母准确解释孩子的暗示。婴儿手语或“婴儿手语”可以通过改善前语言阶段和新兴语言阶段的双向亲子沟通来增强这些干预措施。在一项旨在预防肥胖的反应性育儿干预措施的临床试验中,我们在 40 周大时对一组参与的二人组进行了简短的干预测试,教会他们做出“全部完成”的手势,以提高父母对饱腹感的认识。此外,我们还对所有 18 个月大的参与母亲在上一年使用婴儿手语手势的情况进行了调查。 228 名母亲完成了调查,其中包括 72 名收到签名指示的响应性育儿团体母亲。大多数母亲(63.6%)表示在前一年教过婴儿手语,61.4% 的婴儿在 18 个月大时使用手语进行交流(手语中位数 = 2)。超过一半的研究参与者使用了“更多”和“全部完成”的标志,并且是最常用的标志。其他与饮食相关的标志也很常见。手语干预组婴儿比对照组婴儿更有可能使用“全部完成”的手势(63.9% vs. 45.5%;P= 0.01),但各组之间在使用“更多”手势方面没有差异(56.9% vs. 51.3%;P= 0.43)。手语是幼儿父母常用的方法,有可能提高父母的反应能力和预防肥胖的努力。
Responsive parenting is a promising framework for obesity prevention, yet attempts to date have largely relied on parents accurately interpreting their child's cues. Infant signing or “baby sign language” could enhance these interventions by improving bidirectional parent–child communication during the preverbal and emerging language years. In a clinical trial testing, a responsive parenting intervention designed for obesity prevention, we pilot tested a brief intervention at age 40 weeks with a subset of participating dyads that taught the signing gesture of “all done” to improve parental recognition of satiety. In addition, we surveyed all participating mothers at child age 18 months on the use of infant signing gestures in the prior year. Two hundred twenty‐eight mothers completed the survey including 72 responsive parenting group mothers that received the signing instructions. A majority of mothers, 63.6%, reported teaching their infant signs in the prior year, and 61.4% of infants were using signs to communicate at 18 months (median signs = 2). The signs for “more” and “all done” were used by over half of study participants and were the most common signs used. Other signs related to eating or drinking were commonly used. Signing intervention group infants were more likely to use the sign for “all done” than controls (63.9% vs. 45.5%;P= 0.01), but there was no difference between groups with regard to the use of the sign for “more” (56.9% vs. 51.3%;P= 0.43). Signing is commonly used by parents of young children and holds potential to improve parental responsiveness and obesity prevention efforts.
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