Abstract
Background
Currently developed parent feeding measures do not exclusively measure behaviors compatible
with theoretical underpinnings of the Satter Division of Responsibility in Feeding
for Children Aged 2 to 6 Years (sDOR.2-6y). A measure of adherence to sDOR.2-6y has
been constructed and shown to have translational validity.
Objective
To examine the construct validity of the 15 sDOR.2-6y items.
Design
Observations from in-home mealtime video-capture in a household with a child aged
2 to 6 years were compared with parent sDOR.2-6y responses. One sDOR.2-6y item about
mealtime regularity was compared with mealtime data provided in the Automated Self-Administered
24-Hour Dietary Assessment Tool that had been completed by a larger sample of parents
that included the smaller sample of video-capture participants.
Participants/setting
Parents of preschool children aged 2 to 6 years in central Pennsylvania participated
in Automated Self-Administered 24-Hour Dietary Assessment Tool online dietary assessment
(n = 61) from May to November 2013 or in-home mealtime video-capture (n = 20) during
October 2013 or both (n = 16).
Main outcome measures
Consensus of three trained sDOR coders of plausible parent sDOR.2-6y item responses
after video viewing, parent responses to sDOR.2-6y items, and mealtime regularity
from three Automated Self-Administered 24-Hour Dietary Assessment Tool recalls.
Statistical analysis
Data analysis included identification of codeable 5-minute segments, coding by three
sDOR experts, intraclass correlation coefficient, and determination of coder congruence
to establish plausible sDOR.2-6y responses and comparison between coder-observed and
parent sDOR.2-6y responses.
Results
Video-capture participants were mostly women, White, and overweight with a mean ±
standard deviation age of 35.3 ± 6.4 years. Postvideo debriefing supported the observed
meal as typical in location, timing, and composition. Of 273 coding decisions, coder
congruence was inadequate or dissonant for 3.7% and intraclass correlation coefficient
was 0.81 (0.77 to 0.84; P < 0.001). Parent and congruent coder responses were in agreement for nearly 70% of
the possible comparisons. Of the original 15 items, three were deemed not valid, nine
of the remaining 12 were considered valid, and three could not be invalidated.
Conclusions
Congruence between observed and self-reported behaviors supported additional validation
and scoring studies with the 12-item sDOR.2-6y to assess adherence of parents to sDOR.
Keywords
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References
- A bidirectional analysis of feeding practices and eating behaviors in parent/child dyads from low-income and minority households.J Pediatr. 2020; 221: 93-98.e20
- Measuring behavioural susceptibility to obesity: Validation of the child eating behaviour questionnaire.Appetite. 2007; 48: 104-113
- Parent Attribution for Child Eating Scale (PACES). Psychometric characteristics and associations with child and parent variables.Appetite. 2014; 81: 312-319
- The Feeding Practices and Structure Questionnaire (FPSQ-28): A parsimonious version validated for longitudinal use from 2 to 5 years.Appetite. 2016; 100: 172-180
- The Feeding Demands Questionnaire: assessment of parental demand cognitions concerning parent-child feeding relations.J Am Diet Assoc. 2008; 108: 624-630
- Confirmatory factor analysis of the Feeding Emotions Scale. A measure of parent emotions in the context of feeding.Appetite. 2015; 91: 107-113
- The children's eating behavior inventory: Reliability and validity results.J Ped Psych. 1991; 16: 629-642
- About your child's eating: Factor structure and psychometric properties of a feeding relationship measure.Eat Behav. 2007; 8: 457-463
- Confirmatory factor analysis of the child feeding questionnaire: A measure of parental attitudes, beliefs and practices about child feeding and obesity proneness.Appetite. 2001; 36: 201-210
- Comprehensive Feeding Practices Questionnaire: Validation of a new measure of parental feeding practices.J Pediatr Psychol. 2007; 32: 960-972
- The feeding relationship: Problems and interventions.J Pediatr. 1990; 117: S181-S189
- Caloric compensation and sensory specific satiety: Evidence for self regulation of food intake by young children.Appetite. 1986; 7: 323-331
- Appetite and eating behavior in children.Pediatr Clin North Am. 1995; 42: 931-953
- Specific social influences on the acceptance of novel foods in 2-5-year-old children.Appetite. 2005; 45: 264-271
- Influence of formula concentration on caloric intake and growth of normal infants.Acta Paediatr Scand. 1975; 64: 172-181
- Tracking of body size from birth to late adolescence: contributions of birth length, birth weight, duration of gestation, parents' body size, and twinship.Am J Epidemiol. 2001; 154: 21-29
- Screening for obesity and intervention for weight management in children and adolescents: Evidence report and systematic review for the US Preventive Services Task Force.JAMA. 2017; 317: 2427-2444
- American Academy of Pediatrics recommendations for complementary feeding.Pediatrics. 2000; 106: 1274
- Pre-Feeding Skills—A Comprehensive Resource for Mealtime Development.The Psychological Corporation/Therapy Skill Builders, San Antonio, TX2000
- Developmental structuralist approach to the classification of adaptive and pathological personality organizations: Infancy and early childhood.Am J Psychiatry. 1981; 138: 725-735
- Parenting styles and overweight status in first grade.Pediatrics. 2006; 117: 2047-2054
- Parenting style and obesity risk in children.Prev Med. 2015; 75: 18-22
- US Dept of Agriculture, Food and Nutrition Service. Child feeding messages.https://www.fns.usda.gov/core-nutrition/child-feedingDate accessed: August 16, 2020
- Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report.Pediatrics. 2007; 120: S164-S192
- The start healthy feeding guidelines for infants and toddlers.J Am Diet Assoc. 2004; 104: 422-454
- Position of the Academy of Nutrition and Dietetics: Nutrition guidance for healthy children ages 2 to 11 years.J Acad Nutr Diet. 2014; 114: 1257-1276
- Promoting healthy feeding relationships and nurturing parenting practices. New Mexico WIC program.https://wicworks.fns.usda.gov/wicworks/Sharing_Center/spg/NM_report.pdfDate accessed: August 16, 2020
- Dietary Risk Assessment in the WIC.National Academies Press, Washington, DC2002
- Healthy eating for your preschooler.https://www.healthyeating.org/Healthy-Kids/Healthy-Eating-for-Your-Preschooler/Dealing-with-Picky-EatersDate accessed: August 16, 2020
- Five reasons to distrust the trust model.Obesity. 2009; 17: 1107-1111
- What matters most—what parents model or what parents eat?.Appetite. 2018; 126: 102-107
- Early childhood feeding practices improved after short-term pilot intervention with pediatricians and parents.Child Obes. 2011; 7: 480-487
- Associations between maternal feeding style and food intake of children with a higher risk for overweight.Appetite. 2008; 51: 166-172
- Learned pleasure from eating: An opportunity to promote healthy eating in children?.Appetite. 2018; 120: 265-274
- Fruit and vegetable intakes of preschool children are associated with feeding practices facilitating internalization of extrinsic motivation.J Nutr Educ Behav. 2016; 48: 311-317
- Deconstructing the family meal: are characteristics of the mealtime environment associated with the healthfulness of meals served?.J Acad Nutr Diet. 2019; 119: 1296-1304
- Development of a tool to assess adherence to a model of the division of responsibility in feeding young children: Using response mapping to capacitate validation measures.Child Obes. 2014; 10: 153-168
- Measuring parent food practices: A systematic review of existing measures and examination of instruments.Int J Behav Nutr Phys Act. 2013; 10: 61
- Mothers misunderstand questions on a feeding questionnaire.Appetite. 2004; 42: 249-254
- Feeding practices of low-income mothers: how do they compare to current recommendations?.Int J Behav Nutr Phys Act. 2015; 12: 34
- Reported and observed controlling feeding practices predict child eating behavior after 12 months.J Nutr. 2015; 145: 1311-1316
- Do maternal perceptions of child eating and feeding help to explain the disconnect between reported and observed feeding practices? A follow-up study.Matern Child Nutr. 2017; 13 (e12420)
- Systematic research review of observational approaches used to evaluate mother-child mealtime interactions during preschool years.Am J Clin Nutr. 2015; 101: 7-15
- Methodological issues in the direct observation of parent-child interaction: Do observational findings reflect the natural behavior of participants?.Clin Child Fam Psychol Rev. 2000; 3: 185-198
- Qualtrics XM [computer program]. Qualtrics, Provo, UT2013
- Automated Self-Administered 24-h Recall (ASA24).https://epi.grants.cancer.gov/asa24/Date accessed: August 16, 2020
- Influence of stress in parents on child obesity and related behaviors.Pediatrics. 2012; 130: 1096-1104
- Revisiting a neglected construct: Parenting styles in a child-feeding context.Appetite. 2005; 44: 83-92
- Validation of a measure of the Satter eating competence model with low-income females.Int J Behav Nutr Phys Act. 2011; 8: 26
- The Satter eating competence inventory for low-income persons is a valid measure of eating competence for persons of higher socioeconomic position.Appetite. 2015; 87: 223-228
- Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study.Int J Obes. 2000; 24: 1715-1725
- The three-factor eating questionnaire-R18 is able to distinguish among different eating patterns in a general population.J Nutr. 2004; 134: 2372-2380
- Blending observational methods: Possibilities, strategies, and challenges.Int J Qual Methods. 2003; 2: 29-38
- Methods to improve reliability of video recorded behavioral data.Res Nurs Health. 2009; 32: 465-474
- Final Cut Pro X [computer program]. Version 10.1. Apple Inc, Cupertino, CA2011
- Relations between parental mealtime practices and children’s food intake.Appetite. 1994; 22: 245-258
- Google Hangouts [computer program]. Google LLC, Mountain View, CA2018
- Caregiver’s feeding styles questionnaire. Establishing cutoff points.Appetite. 2012; 58: 393-395
- Computing inter-rater reliability for observational data: An overview and tutorial.Tutor Quant Methods Psychol. 2012; 8: 23-34
- SPSS Statistics for Macintosh [computer program]. Version 25.0. IBM Corp, Armonk, NY2017
- Get your documents readability and level statistics.
- My child at mealtime: A visually enhanced self-assessment of feeding styles for low-income parents of preschoolers.Appetite. 2016; 99: 76-81
- Food parenting: A selective review of current measurement and an empirical examination to inform future measurement.Child Obes. 2013; 9: S32-S39
- Guiding family-based obesity prevention efforts in low-income children in the United States. Part 1: What determinants do we target?.Int J Child Adolesc Health. 2009; 2: 19-30
- The relationship between parental eating problems and children’s feeding behavior: A selective review of the literature.Eat Behav. 2004; 5: 103-115
- Observed assertive and intrusive maternal feeding behaviors increase child adiposity.Am J Clin Nutr. 2012; 95: 640-647
- Hungry for love: The feeding relationship in the psychological development of young children.Perm J. 2004; 8: 23-29
- Nurturing children’s healthy eating: Position statement.Appetite. 2019; 137: 124-133
- Emotional climate, feeding practices, and feeding styles: An observational analysis of the dinner meal in Head Start families.Int J Behav Nutr Phys Activ. 2011; 8: 60
- My child at mealtime parent self-assessment of food-related behaviors: Validation with mealtime behaviors.Appetite. 2019; 136: 62-69
- Methodological considerations for observational coding of eating and feeding behaviors in children and their families.Int J Behav Nutr Phys Act. 2017; 14: 170
- Systematic review: Mealtime behavior measures used in pediatric chronic illness populations.J Pediatr Psychol. 2015; 40: 475-486
- Feeding practices and parenting: A pathway to child health and family happiness.Ann Nutr Metab. 2019; 74: S29-S42
- Impact of parent engagement in childhood obesity prevention interventions on anthropometric indices among preschool children: A systematic review.Child Obes. 2020; 16: 3-19
Biography
B. Lohse is a professor and head, Wegmans School of Health and Nutrition, Rochester Institute of Technology, Rochester, NY; at the time of the study, she was a research professor, Department of Nutritional Sciences, The Pennsylvania State University, University Park.
Biography
E. Satter is with the Ellyn Satter Institute, Madison, WI.
Article info
Publication history
Published online: December 18, 2020
Accepted:
November 11,
2020
Received:
February 4,
2020
Footnotes
Supplementary materials: Tables 3, 5 and 6 and Figure 2 are available at www.jandonline.org
STATEMENT OF POTENTIAL CONFLICT OF INTEREST E. Satter receives royalties from educational material about child feeding. No other potential conflicts of interest were reported by the authors.
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© 2021 by the Academy of Nutrition and Dietetics.
