Parent and child mealtime behavior in families of children with cystic fibrosis

Stark, Lori J.; Jelalian, Elissa; Powers, Scott W.; Mulvihill, Mary M.; Opipari, Lisa C.; Bowen, Angela; Harwood, Ivan R.; Passero, Mary Anne; Lapey, Allan; Light, Michael J.; Hovell, Melbourne F.

doi:10.1016/s0022-3476(00)70101-6

Cited by 94 publications

(93 citation statements)

References 15 publications

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“…To test hypothesis 1, the within-subject frequency of children's mealtime behaviors and dietary adherence were averaged and correlated. Specific child behaviors considered disruptive were selected based on the existing literature, and they included: noncompliance to parental commands to eat, food refusal/complaints, child away from table/food, and child spit-outs (13). To test hypothesis 2, the within-subject frequency of children's disruptive mealtime behaviors were averaged and correlated with children's average daily blood glucose over the 2-week study period.…”

Section: Discussionmentioning

confidence: 99%

“…To examine hypothesis 3, the within-subject frequency of parents' mealtime behaviors were averaged and correlated with children's average dietary deviation. Parent behaviors considered coercive/ineffective were determined based on the literature and included: interrupted commands to eat, coaxes, physical prompts, and feeds (13). Correlations were also used to examine the association between parents' perceptions of mealtime problems (BPFAS data) and children's dietary deviations.…”

Section: Discussionmentioning

confidence: 99%

“…Observed mealtime behaviors. Videotaped meals were coded using a valid behavioral coding system, Dyadic Interaction Nomenclature for Eating (DINE) (13). The DINE codes for three categories of behaviors: parent behaviors, child behaviors, and child eating behaviors.…”

Section: Dependent Measuresmentioning

confidence: 99%

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Mealtime Interactions Relate to Dietary Adherence and Glycemic Control in Young Children With Type 1 Diabetes

2006

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OBJECTIVE -This study examined the relationships between parent-child mealtime interactions and dietary adherence and glycemic control in young children with type 1 diabetes. It was hypothesized that young children who exhibited disruptive mealtime behaviors would have more dietary deviations (poorer dietary adherence) and poor glycemic control. It was also hypothesized that parents of young children who used ineffective/coercive parenting strategies at mealtimes would have children with more dietary deviations and poor glycemic control. RESEARCH DESIGN AND METHODS-A total of 35 families of children (aged 2.2-7.9 years) with type 1 diabetes were recruited from a pediatric hospital. Families had at least three meals videotaped in their home, which were coded for parent, child, and eating behaviors, using the Dyadic Interaction Nomenclature for Eating. Children's dietary adherence was assessed according to deviations from the prescribed number of carbohydrate units per meal. Children's average glycemic excursion was assessed prospectively for 2 weeks, using a standardized home blood glucose meter.RESULTS -Findings demonstrated significant positive relationships between children's mealtime behavior, dietary deviations, and glycemic control. An examination of parent behaviors revealed significant positive correlations between parents' use of ineffective/coercive parenting strategies and children's dietary deviations and glycemic control.CONCLUSIONS -This was the first study to examine the relationship between parentchild mealtime interactions and health outcomes in young children with type 1 diabetes. The mealtime problems examined can be improved through specific behavioral interventions. Future research is needed to examine how parent-child interactions at mealtimes relate to children's health outcomes to inform clinical care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mealtime Interactions Relate to Dietary Adherence and Glycemic Control in Young Children With Type 1 Diabetes

2006

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“…13 Families with a young child with CF score significantly lower than families without a child with a pediatric illness on multiple dimensions of family functioning. 1,[14][15][16] Research has focused exclusively on how families with a toddler, preschooler, or school-age child manage such challenges at the dinner table. 17 The purpose of this exploratory, mixed-methods study was to determine the level of family functioning among families with a child with CF between the ages of 8 and 19 years from an observational measure of family functioning, and to determine the association between family functioning and treatment adherence.…”

Section: Introductionmentioning

confidence: 99%

Family Functioning and Treatment Adherence in Children and Adolescents with Cystic Fibrosis

Everhart

Fiese

Smyth

et al. 2014

Pediatric Allergy, Immunology, and Pulmonology

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Background: Cystic fibrosis (CF) is one of the most challenging pediatric illnesses for families to manage. There is, however, limited research that considers the associations between family functioning and treatment adherence in children and adolescents with CF. Methods: Nineteen children with CF (mean age = 12.42 years, mean forced expiratory volume in one second (FEV 1 ) = 90.9% predicted) and their families participated in the study. Caregiver and child participants completed interview-based assessments and were then videotaped during a family mealtime. Results: Mean scores on several domains of family functioning fell in the ''unhealthy'' range. Better family functioning was found among older children. Better family functioning was also associated with better adherence to antibiotic treatment and worse adherence to enzymes. Conclusions: Findings suggest that family functioning may be an important correlate of treatment adherence in children and adolescents with CF. Future research should replicate these findings in larger samples of children and adolescents with CF.

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“…4,11,12 Mealtime behavior problems may be 1 factor contributing to families' limited compliance with CF dietary recommendations. 13 Parents of children with CF commonly report mealtime behavior problems, including poor appetite, avoiding eating by talking, and spitting out food. 14 -16 In fact, relative to parents of age-matched, nonchronically ill children and parents of children with other chronic illnesses (eg, sickle cell disease and cancer), parents of children with CF report more problematic mealtime behaviors in their children.…”

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confidence: 99%

Caloric Intake and Eating Behavior in Infants and Toddlers With Cystic Fibrosis

et al. 2002

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, and observations that their child has a poor appetite (32%) and would rather drink than eat (32%). Parents of children with CF chose a greater number of mealtime strategies and feelings as problems and reported more frequently using problematic strategies at mealtimes than did parents of controls. Examples of problematic strategies and feelings for parents of infants and toddlers with CF included feeling anxious/frustrated when feeding their children (37%), not feeling confident that their child eats enough (32%), and using coaxing to get their child to take a bite (26%). For the entire sample, a positive correlation of 0.29 was found between the number of mealtime behavior problems reported by parents and meal duration, suggesting the co-occurrence of problematic mealtime behavior with longer meal duration. No relationship was found between the number of child mealtime behavior problems reported by parents and the number of calories consumed during the filmed meal. For the CF sample, a correlation of ؊0.26 between children's weight percentile for age and the filmed meal duration was found, suggesting a tendency for meal duration to increase as children's weight for age decreases. Post-hoc analyses were conducted comparing infants and toddlers with previously reported samples of preschool and school-aged children on meal duration. Results demonstrated that in each group, children with CF had longer meals than age-matched controls.Conclusions. Our findings reveal significant deficits in achieving dietary recommendations for many families of infants and toddlers with CF. Only 11% of infants and toddlers with CF met the CF dietary recommendation of at least 120% of the RDA/day for energy. In addition, infants and toddlers were found to derive only 34% of their daily calories from fat, compared with the recommended 40% needed for a moderate to high fat diet.

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Parent and child mealtime behavior in families of children with cystic fibrosis

Cited by 94 publications

References 15 publications

Mealtime Interactions Relate to Dietary Adherence and Glycemic Control in Young Children With Type 1 Diabetes

Mealtime Interactions Relate to Dietary Adherence and Glycemic Control in Young Children With Type 1 Diabetes

Family Functioning and Treatment Adherence in Children and Adolescents with Cystic Fibrosis

Caloric Intake and Eating Behavior in Infants and Toddlers With Cystic Fibrosis

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