摘要
Objective To identify the target behavior in the process of behavioral intervention for children with feeding difficulty and relevant factors that may contribute to more effective intervention.Methods Children aged from 1 to 6 years with feeding difficulty randomly received interactive behavioral intervention(245 cases)or routine primary care(217 cases).By the end of the 1,3,6,and 9 months,the rating score of feeding difficulty and the body mass index(BMI)were assessed.The target behavior was determined based on the selecting criteria that simultaneously satisfied two conditions:①it was relevant to improving children's nutritional status;②it changed fast during intervention.Moreover,the relevant factors of target behavior were analyzed by multivariate analysis(Multi-Way ANOVA).Results Among nine behaviors of feeding difficulty,"eating slowly"was identified as a target behavior because it was closely relevant to the BMI z-score increment and had the biggest score reduction at early stage during intervention.Various factors were relevant to improving the target behavior,including parents acting as caregivers,caregiver's education level equal to and above junior college,and caregiver's concern about their children's feeding difficulty.Conclusion"Eating slowly"should be selected as the target behavior for early intervention for children with feeding difficulty and some social factors should be considered for optimizing the intervention.
Objective To identify the target behavior in the process of behavioral intervention for children with feeding difficulty and relevant factors that may contribute to more effective intervention.Methods Children aged from 1 to 6 years with feeding difficulty randomly received interactive behavioral intervention（245 cases） or routine primary care（217 cases）.By the end of the 1,3,6,and 9 months,the rating score of feeding difficulty and the body mass index（BMI） were assessed.The target behavior was determined based on the selecting criteria that simultaneously satisfied two conditions：①it was relevant to improving children＇s nutritional status;②it changed fast during intervention.Moreover,the relevant factors of target behavior were analyzed by multivariate analysis（Multi-Way ANOVA）.Results Among nine behaviors of feeding difficulty, ＂eating slowly＂ was identified as a target behavior because it was closely relevant to the BMI z-score increment and had the biggest score reduction at early stage during intervention.Various factors were relevant to improving the target behavior,including parents acting as caregivers,caregiver＇s education level equal to and above junior college,and caregiver＇s concern about their children＇s feeding difficulty.Conclusion ＂Eating slowly＂ should be selected as the target behavior for early intervention for children with feeding difficulty and some social factors should be considered for optimizing the intervention.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2015年第9期1290-1298,共9页
Journal of Shanghai Jiao tong University:Medical Science
基金
Science and Technology Commission of Shanghai Municipality(14411969200,10DZ2272200,09DZ2200900,10PJ1407500,10PJ1403500,10231203903,10JC1411200)
Ministry of Education of China(NCET program)
National Natural Science Foundation of China(81000592,11001084)
Shanghai Municipal Education Commission(11ZZ103)
Shanghai Municipal Health Bureau(2010004)
Morning Star Rewarding Fund of Shanghai Jiao Tong University(Category B,2011)
New Bairen Plan of Shanghai Jiao Tong University School of Medicine,and Shanghai Health Municipal Bureau Three-year Action(GWⅢ-27.3)
关键词
医疗卫生
医学研究
症状
患者
body mass index
behavioral therapy
feeding difficulty
target behavior
