Behavior at Mealtimes and the Young Child with Cystic Fibrosis

Crist, William B.; McDonnell, Paul M.; Beck, Monica; Gillespie, C. T.; Barrett, P. K. M.; Mathews, Judith R.

doi:10.1097/00004703-199406000-00001

Cited by 141 publications

(130 citation statements)

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“…A number of the mealtime behaviors reported by parents of young children with type 1 diabetes (e.g., "does not come readily to mealtime," "meals Ͼ20 min") are similar to those noted as problems by families of children with cystic fibrosis (20). Our prior work indicates that such behaviors may be amenable to change via behavioral interventions (17,18).…”

Section: Parenting Stressmentioning

confidence: 58%

“…The Behavioral Pediatrics Feeding Assessment Scale (BPFAS) is a reliable and valid 35-item parent report questionnaire that assesses parent and child behaviors associated with poor nutritional intake (20). The first 25 scale items are focused specifically on child behaviors, and the last 10 items focus on parents' feelings and strategies for managing feeding problems.…”

Section: Instrumentsmentioning

confidence: 99%

“…Similar to prior research conducted with the BPFAS in young children with cystic fibrosis (20), the percentages for the type 1 diabetes group were compared with the control group using 2 analyses. All significant differences (Table 2) were the result of the type 1 diabetes group's endorsing items as being more problematic than did the control group.…”

Section: Mealtime Behavior Problemsmentioning

confidence: 99%

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Parent Report of Mealtime Behavior and Parenting Stress in Young Children With Type 1 Diabetes and in Healthy Control Subjects

Powers

Byars²,

Mitchell³

et al. 2002

Diabetes Care

155

146

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OBJECTIVE -This study assessed parent report of mealtime behavior and parenting stress in preschoolers with type 1 diabetes. It was hypothesized that children with type 1 diabetes would be seen as exhibiting more mealtime behavior problems and that their parents would evidence greater parenting stress when compared with healthy subjects. It was also hypothesized that report of mealtime behavior problems would be positively correlated with parenting stress. RESEARCH DESIGN AND METHODS-A total of 40 children (aged 1-6 years) with type 1 diabetes were recruited from a pediatric hospital. Another 40 children matched for age, sex, marital status, and socioeconomic status were used as control subjects. Reliable and valid parent report measures, such as the Behavioral Pediatrics Feeding Assessment Scale and the Parenting Stress Index, were used for data collection.RESULTS -Parents of children with type 1 diabetes reported more behavioral feeding problems than parents of healthy control subjects. Additionally, parents of children with type 1 diabetes reported higher frequencies of parenting behaviors associated with poor nutritional intake and a greater number of parenting problems concerning mealtimes when compared with parents of healthy control subjects. Parents of children with type 1 diabetes also reported higher stress levels than parents of control subjects. A moderate relationship between mealtime behavior problems and general parenting stress was observed for families coping with type 1 diabetes.CONCLUSIONS -Mealtime problems reported in preschool children with type 1 diabetes are appropriate targets for behavioral intervention. Behavioral observation techniques and training in child behavior management skills should be used in future research aimed at assessing and treating barriers to effective nutrition management in young children with type 1 diabetes. Diabetes Care 25:313-318, 2002

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Section: Parenting Stressmentioning

confidence: 58%

Section: Instrumentsmentioning

confidence: 99%

Section: Mealtime Behavior Problemsmentioning

confidence: 99%

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Parent Report of Mealtime Behavior and Parenting Stress in Young Children With Type 1 Diabetes and in Healthy Control Subjects

Powers

Byars²,

Mitchell³

et al. 2002

Diabetes Care

155

146

View full text Add to dashboard Cite

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“…The BPFAS (Crist et al, 1994) is a 35 item standardised and validated psychometric self-report questionnaire designed to assess mealtime behaviour associated with poor nutritional intake in children (9 to 84 months old). Respondents, usually the primary caregiver, are required to provide two answers for each question.…”

Section: Behavioral Pediatric Feeding Assessment Scalementioning

confidence: 99%

“…Of the various psychometric scales that have been used to assess ARFID, only the Behavioral Pediatrics Feeding Assessment Scale (BPFAS; Crist et al, 1994) has shown consistent reliability and validity metrics, the ability to differentiating samples of clinical relevance from the general population (Crist & Napier-Philips., 2001;Dovey et al, 2013) and sensitivity to changes following intervention (Dovey & Martin, 2012a;Dovey & Martin, 2012b). Despite its favourable characteristics, the BPFAS is currently the longest, in terms of items to analyse, psychometric questionnaire available to clinicians who wish to screen for ARFID.…”

Section: Introductionmentioning

confidence: 99%

Screening Avoidant/Restrictive Food Intake Disorder (ARFID) in children: Outcomes from utilitarian versus specialist psychometrics

Dovey

Aldridge²,

Martin³

et al. 2016

Eating Behaviors

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This study assessed the specificity and sensitivity of two commonly used psychometric methods to assess ARFID in children. To achieve this, a sample of 329 mothers and one father completed the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) and the Child Food Neophobia Scale (CFNS). A Receiver Operating Characteristic (ROC) analysis indicated that both measures were able to successfully differentiate a known clinical sample from those of typically developing population. Although the BPFAS was more accurate at differentiating ARFID from the general population, the CFNS was acceptable and on some metrics better than its longer counterpart. The ability of a food neophobia scale to differentiate clinical and population samples, and detect gradation of food avoidance within the population sample, suggests that the multitude of psychometric measures available may be measuring similar constructs. Therefore, confidence can be expected in cross-site comparisons despite each using different psychometric measures of food avoidance in children.

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Cystic Fibrosis

MacDonald¹

2001

Clinical Paediatric Dietetics

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Behavior at Mealtimes and the Young Child with Cystic Fibrosis

Cited by 141 publications

References 0 publications

Parent Report of Mealtime Behavior and Parenting Stress in Young Children With Type 1 Diabetes and in Healthy Control Subjects

Parent Report of Mealtime Behavior and Parenting Stress in Young Children With Type 1 Diabetes and in Healthy Control Subjects

Screening Avoidant/Restrictive Food Intake Disorder (ARFID) in children: Outcomes from utilitarian versus specialist psychometrics

Cystic Fibrosis

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