学龄前儿童父母喂养行为量表的编制与评价
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摘要
目的编制适合我国文化背景的学龄前儿童父母喂养行为评价量表,为临床实践和相关研究的开展提供标准化测量工具。方法通过文献回顾,结合目标人群的质性访谈和专家咨询,确定学龄前儿童父母喂养行为评价的概念框架,形成包含95条目的父母喂养行为量表初稿;在济南市、西安市对3~6岁儿童父母进行两轮调查,综合运用不同的条目筛选方法进行条目筛选,确定正式量表。最后,采用正式量表对济南和西安市3~6岁儿童父母进行第三轮调查,对正式量表进行信度、效度、区分度检验。结果正式量表由35个条目组成,包括责任喂养、体重担忧、以饮食内容、饮食观念、饮食行为为中心的限制喂养、逼迫喂养、监督喂养共7个维度,累积方差贡献率为58.6%,量表的Cronbach′α系数为0.91,分半信度系数为0.89,重测信度系数为0.80。结论本研究所编制的学龄前儿童父母喂养行为评价量表具有较好的信度和效度,7个维度能较全面地反映父母喂养行为的特点。
Objective To develop the Preschooler′s Parents Feeding Behavior Scale,so as to provide a standardized measure tool for clinical practice and related studies. Methods The theoretical framework and concept model of preschooler′s parents feeding behavior were determined through literature review,combined with qualitative interviews among target population and expert consultation.The first draft of Parents′Feeding Behavior Scale contained 95 items was made.After two rounds of survey in the urban and rural kindergartens of Jinan and Xi′an,the formal scale with 35 items by using different item selection methods.The structure of the formal scale were evaluated by using factor analysis and correlation analysis,and the reliability,validity and discrimination of the scale were evaluated based on the survey data of 912 preschool children from 5 kindergartens of Jinan and Xi′an. Results Preschooler′s Parents Feeding Behavior Scale consisted of 35 items,including 7 dimensions like responsibility feeding,weight concerns,with content of diet,diet concept,diet behavior as the center of the restricted feeding,forced feeding,and monitoring feeding dimensions.The cumulative variance contribution rate was 58.6%.The Cronbach′sαcoefficient of the scale was 0.91,split-half and re-test reliability coefficient was0.89 and 0.80,respectively. Conclusions Preschooler′s Parents Feeding Behavior Scale has good reliability and validity,seven dimensions in this scale can comprehensively reflect parents′feeding behavior characteristics.
Objective To develop the Preschooler′s Parents Feeding Behavior Scale,so as to provide a standardized measure tool for clinical practice and related studies. Methods The theoretical framework and concept model of preschooler′s parents feeding behavior were determined through literature review,combined with qualitative interviews among target population and expert consultation.The first draft of Parents′Feeding Behavior Scale contained 95 items was made.After two rounds of survey in the urban and rural kindergartens of Jinan and Xi′an,the formal scale with 35 items by using different item selection methods.The structure of the formal scale were evaluated by using factor analysis and correlation analysis,and the reliability,validity and discrimination of the scale were evaluated based on the survey data of 912 preschool children from 5 kindergartens of Jinan and Xi′an. Results Preschooler′s Parents Feeding Behavior Scale consisted of 35 items,including 7 dimensions like responsibility feeding,weight concerns,with content of diet,diet concept,diet behavior as the center of the restricted feeding,forced feeding,and monitoring feeding dimensions.The cumulative variance contribution rate was 58.6%.The Cronbach′sαcoefficient of the scale was 0.91,split-half and re-test reliability coefficient was0.89 and 0.80,respectively. Conclusions Preschooler′s Parents Feeding Behavior Scale has good reliability and validity,seven dimensions in this scale can comprehensively reflect parents′feeding behavior characteristics.
引文
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[8]李红娟,杨柳,张楠.身体质量指数作为肥胖筛查标准的判别准确性评价[J].中国预防医学杂志,2014,15(06):571-575.
[9]刘相英.最小平均偏相关法和平行分析在主成分分析中的应用[J].中国卫生统计,2016,33(2):319-320,323.
[10]Corsini N,Danthiir V,Kettler L,et al.Factor structure and psychometric properties of the Child Feeding Questionnaire in Australian preschool children[J].Appetite,2008,51(3):474-481.
[11]Liu W,Mallan KM,Mihrshahi S,et al.Feeding beliefs and practices of Chinese immigrant mothers.Validation of a modified version of the Child Feeding Questionnaire[J].Appetite,2014,80(4):55-60.
[12]Wardle J,Sanderson S,Guthrie CA,et al.Parental feeding style and the inter-generational transmission of obesity risk[J].Obesity Research,2002,10(6):453-462.
[13]Clark HR,Goyder E,Bissell P,et al.A pilot survey of socio-economic differences in child-feeding behaviours among parents of primary-school children[J].Public Health Nutr,2008,11(10):1030-1036.
[14]Sleddens EFC,Kremers SPJ,De Vries N K,et al.Relationship between parental feeding styles and eating behaviours of Dutch children aged 6~7[J].Appetite,2010,54(1):30-36.
[15]Lo K,Cheung C,Lee A,et al.Associations between parental feeding styles and childhood eating habits:a survey of Hong Kong pre-school Children[J].Plos One,2015,10(4):1-11.
[16]Webber L,Cooke L,Hill C,et al.Associations between children′s appetitive traits and maternal feeding practices[J].J Am Diet Assoc,2010,110(11):1718-1722.
[17]Mallan KM,Daniels LA,Nothard M,et al.Dads at the dinner table.A cross-sectional study of Australian fathers’child feeding perceptions and practices[J].Appetite,2014,73:40-44.
[18]Jansen PW,Tharner A,van der Ende J,et al.Feeding practices and child weight:is the association bidirectional in preschool children?[J].Am J Clin Nutr,2014,100(5):1329-1336.
[2]Shloim N,Edelson LR,Martin N,et al.Parenting styles,feeding styles,feeding practices,and seight status in 4-12year-old children:a systematic review of the literature[J].Front Psychol,2015,6(12):1-20.
[3]章志红,朱小康,廖承红,等.学龄前儿童家长喂养行为及其影响因素分析[J].中国妇幼保健,2015,30(17):2784-2787.
[4]Hughes SO,Cross MB,Hennessy E,et al.Caregiver′s Feeding Styles Questionnaire.Establishing cutoff points[J].Appetite,2012,58(1):393-395.
[5]Murashima M,Hoerr SL,Hughes SO,et al.Confirmatory factor analysis of a questionnaire measuring control in parental feeding practices in mothers of head start children[J].Appetite,2011,56(3):594-601.
[6]Savage JS,Rollins BY,Kugler KC,et al.Development of a theory-based questionnaire to assess structure and control in parent feeding(SCPF)[J].Int J Behav Nutr Phys Act,2017,14(1):1-11.
[7]李辉,季成叶,宗心南,等.中国0~18岁儿童、青少年体块指数的生长曲线[J].中华儿科杂志,2009,47(7):493-498.
[8]李红娟,杨柳,张楠.身体质量指数作为肥胖筛查标准的判别准确性评价[J].中国预防医学杂志,2014,15(06):571-575.
[9]刘相英.最小平均偏相关法和平行分析在主成分分析中的应用[J].中国卫生统计,2016,33(2):319-320,323.
[10]Corsini N,Danthiir V,Kettler L,et al.Factor structure and psychometric properties of the Child Feeding Questionnaire in Australian preschool children[J].Appetite,2008,51(3):474-481.
[11]Liu W,Mallan KM,Mihrshahi S,et al.Feeding beliefs and practices of Chinese immigrant mothers.Validation of a modified version of the Child Feeding Questionnaire[J].Appetite,2014,80(4):55-60.
[12]Wardle J,Sanderson S,Guthrie CA,et al.Parental feeding style and the inter-generational transmission of obesity risk[J].Obesity Research,2002,10(6):453-462.
[13]Clark HR,Goyder E,Bissell P,et al.A pilot survey of socio-economic differences in child-feeding behaviours among parents of primary-school children[J].Public Health Nutr,2008,11(10):1030-1036.
[14]Sleddens EFC,Kremers SPJ,De Vries N K,et al.Relationship between parental feeding styles and eating behaviours of Dutch children aged 6~7[J].Appetite,2010,54(1):30-36.
[15]Lo K,Cheung C,Lee A,et al.Associations between parental feeding styles and childhood eating habits:a survey of Hong Kong pre-school Children[J].Plos One,2015,10(4):1-11.
[16]Webber L,Cooke L,Hill C,et al.Associations between children′s appetitive traits and maternal feeding practices[J].J Am Diet Assoc,2010,110(11):1718-1722.
[17]Mallan KM,Daniels LA,Nothard M,et al.Dads at the dinner table.A cross-sectional study of Australian fathers’child feeding perceptions and practices[J].Appetite,2014,73:40-44.
[18]Jansen PW,Tharner A,van der Ende J,et al.Feeding practices and child weight:is the association bidirectional in preschool children?[J].Am J Clin Nutr,2014,100(5):1329-1336.