Journal of Nutrition Education and Behavior最新文献_第2页

Toward Balanced Curricula: Advancing Nondiet and Weight-Neutral Education in Dietetics 迈向均衡课程：推进非饮食和体重中立的营养学教育。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.007

Jun Norkaew MPH, Nathkapach Kaewpitoon Rattanapitoon PhD, MSc, BSc, Chadaporn Nuchjungreed Gordon PhD, MSc, BSc, Schawanya Kaewpitoon Rattanapitoon MD, FRCFPT

引用次数: 0

Skin Carotenoid Score Level and Race Affect Intradevice Repeatability of Veggie Meter® at a Single Time Point 皮肤类胡萝卜素评分水平和种族在单个时间点影响设备内Veggie Meter®的重复性。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.003

Saima Hasnin PhD , Stephanie B. Jilcott Pitts PhD , Charlotte K. Roman BS , Naiman A. Khan PhD, RD

Objective

To compare the reliability of 2 methods (3 scan average vs average of scan 2 and 3) of skin carotenoid score (SCS) measurement and identify participant-level factors affecting intradevice repeatability of Veggie Meter® (VM).

Design

Cross-sectional study in Illinois.

Participants

The sample (N = 587) included about 36% children, 27% adolescents, and 32% adults; 67% were White, 14% Asian, 10% Black or African American, 8% mixed race, 1% Native Hawaiian, and 0.4% American Indian; 92% were non-Hispanic, and 53% female.

Variable Measured

Three consecutive SCS readings using 2 devices. Self-reported or parent-reported demographic information.

Analysis

Paired sample t-tests compared the coefficient of variation of the 3-scan average SCS with the coefficient of variation of the second and third-scan average SCS. We conducted sign tests and generated Bland-Altman plots to determine the type of errors. Kruskal-Wallis and Mann-Whitney tests assessed if repeatability coefficients of the 3 consecutive SCS readings were different across age, race, ethnicity, and SCS quartiles, where repeatability coefficients = within-subject SD × √2 × 1.96.

Results

Averaging the second and third scans of SCS produced 1.2% higher reliability in VM 1 and 0.7% higher reliability in VM 2 than averaging all 3 scans (t_{VM 1} = −7.1, P < 0.001; t_{VM 2} = −3.1, P = 0.002). Repeatability coefficients were significantly higher among participants with higher SCS than lower SCS, in both devices (H_{VM 1} = 30.2, P < 0.001; H_{VM 2} = 9.7, P = 0.02). Pairwise comparisons showed that repeatability coefficients were significantly lower for Black or African American participants than White (mean SCS difference = 22.3, P = 0.001) and Asian participants (mean SCS difference = 23.7, P = 0.005) in one device (VM 1).

Conclusion and Implications

Findings support using the average of the second and third scans as a more reliable method for assessing SCS. Reporting device-specific repeatability coefficients for the VM may enhance the interpretability of SCS, particularly for individuals with low SCS and for Black or African American participants.

目的：比较皮肤类胡萝卜素评分（SCS）测量的两种方法（3次扫描平均值与2次和3次扫描平均值）的可靠性，并确定影响Veggie Meter®（VM）设备内重复性的参与者水平因素。设计：伊利诺斯州横断面研究。参与者：样本（N = 587）包括约36%的儿童，27%的青少年和32%的成年人；67%是白人，14%是亚洲人，10%是黑人或非裔美国人，8%是混血儿，1%是夏威夷原住民，0.4%是美洲印第安人；92%是非西班牙裔，53%为女性。测量变量：使用2个设备连续三个SCS读数。自我报告或父母报告的人口统计信息。分析：配对样本t检验比较3次扫描平均SCS变异系数与第二次和第三次扫描平均SCS变异系数。我们进行符号测试并生成Bland-Altman图来确定错误的类型。Kruskal-Wallis和Mann-Whitney检验评估连续3次SCS读数的重复性系数在年龄、种族、民族和SCS四分位数之间是否存在差异，其中重复性系数=受试者内SD ×√2 × 1.96。结果：与对所有3次扫描进行平均相比，对第2次和第3次扫描进行平均可使vm1的信度提高1.2%，vm2的信度提高0.7% （tvm1 = -7.1, P < 0.001; tvm2 = -3.1, P = 0.002）。在两种设备中，高SCS受试者的重复性系数显著高于低SCS受试者（hvm1 = 30.2, P < 0.001; hvm2 = 9.7, P = 0.02）。两两比较显示，在同一设备（vm1）中，黑人或非裔美国参与者的重复性系数显著低于白人（平均SCS差异= 22.3,P = 0.001）和亚洲参与者（平均SCS差异= 23.7,P = 0.005）。结论和意义：研究结果支持使用第二次和第三次扫描的平均值作为评估SCS的更可靠的方法。报告VM特定设备的重复性系数可以提高SCS的可解释性，特别是对于低SCS的个体和黑人或非裔美国人参与者。

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引用次数: 0

Associations Between Diet Quality and Psychosocial and Environmental Factors in Rural Adults 农村成年人饮食质量与社会心理和环境因素的关系

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.10.010

Rebecca A. Seguin-Fowler PhD , Karla L. Hanson PhD , Galen D. Eldridge MS , Grace A. Marshall MHS , Meredith L. Graham MS , Miriam E. Nelson PhD , Deyaun L. Villarreal PhD , Johanna Y. Andrews Trevino PhD , Jay E. Maddock PhD

Objective

Assess relationships between diet quality and healthy eating motivation, confidence, social support, and food environment.

Methods

The study sample of a community-randomized controlled intervention trial responded at baseline to sociodemographic, diet, diet-related psychosocial factor (motivation, confidence, social support), and environment (healthy food availability, food shopping motivation) questions. Linear regression was used to analyze cross-sectional associations between dietary intake (diet quality, fruit and vegetable, fiber, ultraprocessed food) and psychosocial and environmental factors.

Results

Data from 2420 rural adults were analyzed. Psychosocial factors were positively associated with fruit and vegetable and fiber consumption and diet quality. Psychosocial factors were negatively associated with ultraprocessed food consumption frequency, except for social support from friends. Fruit and vegetable availability was positively associated with fruit and vegetable and fiber consumption and overall diet quality. Food shopping motivation was positively associated with fruit and vegetable intake and overall diet quality.

Conclusions and Implications

These findings contribute insights into ways psychosocial and environmental factors influence diet quality within rural studies.

目的：评估饮食质量与健康饮食动机、自信、社会支持和食物环境之间的关系。方法：社区随机对照干预试验的研究样本在基线时回答了社会人口学、饮食、饮食相关的社会心理因素（动机、信心、社会支持）和环境（健康食品供应、食品购物动机）的问题。采用线性回归分析饮食摄入（饮食质量、水果和蔬菜、纤维、超加工食品）与社会心理和环境因素之间的横断面关联。结果：分析了2420名农村成年人的资料。心理社会因素与水果、蔬菜和纤维的摄入量以及饮食质量呈正相关。除了来自朋友的社会支持外，心理社会因素与超加工食品消费频率呈负相关。水果和蔬菜的可得性与水果、蔬菜和纤维的消耗量以及整体饮食质量呈正相关。食品购物动机与水果和蔬菜摄入量以及整体饮食质量呈正相关。结论和意义：这些发现有助于深入了解社会心理和环境因素如何影响农村研究中的饮食质量。

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引用次数: 0

Recent Federal Nutrition Assistance Policy Shifts: Implications and Research Priorities 最近的联邦营养援助政策转变：影响和研究重点

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.12.001

Rebecca Maida MS, RDN, CDN, LD, Palak Gupta PhD, MPH, Chelsea R. Singleton PhD, MPH, Marissa McElrone PhD, RDN, CPH, Julie D. Wright MPH, CHW, CHWI

引用次数: 0

Parental Misperceptions of Children’s Weight and Their Association With Feeding Practices 父母对儿童体重的误解及其与喂养方法的关系。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.001

An-Kuo Chou MD, PhD , Duan-Rung Chen PhD , Chun-Hua Liao MD , Meng-Ju Li MD

Objective

To examine associations between parental perceptions of child weight and feeding practices.

Design

Cross-sectional study using parent and self-reported questionnaires to collect data on parental perceptions, feeding practices, demographic characteristics, and self-reported anthropometric data.

Setting

Elementary schools in Hsinchu County, Taiwan.

Participants

A total of 2,507 parent-child dyads with children aged 10–11 years in Taiwan.

Variables Measured

Primary variables included parental weight perceptions, feeding practices (monitoring, pressure-to-eat [PE], restriction, and reward-based practices), sociodemographic characteristics, and anthropometric measurements.

Analysis

Linear regression models analyzed associations between feeding practices and parental underestimation of child weight, with separate models for fathers and mothers, adjusting for child sex and socioeconomic status. Multiple imputation addressed missing data.

Results

Parental underestimation of child weight was common (fathers: 28.9%, mothers: 26.9%), particularly for children with overweight or obesity. Both parents showed increased PE practices when underestimating weight (fathers: coefficient = 0.24; mothers: coefficient = 0.26; P < 0.001). Mothers reduced restriction (coefficient = −0.10, P = 0.02) and used more PE with sons (coefficient = 0.15, P < 0.001), whereas fathers employed more reward-based practices with daughters (coefficient = 0.14, P = 0.005).

Conclusions and Implications

Findings reveal distinct gender differences in how parental weight perceptions relate to feeding practices. Health care providers should consider these patterns when developing family-based weight management strategies.

目的：研究父母对儿童体重的认知与喂养方式之间的关系。设计：横断面研究使用父母和自我报告的问卷来收集关于父母观念、喂养方式、人口统计学特征和自我报告的人体测量数据的数据。活动地点：台湾新竹县小学。参与者：台湾地区共有2507对10-11岁的亲子对。测量的变量：主要变量包括父母体重感知、喂养方法（监测、进食压力[PE]、限制和基于奖励的做法）、社会人口学特征和人体测量。分析：线性回归模型分析了喂养方式与父母低估儿童体重之间的关系，对父亲和母亲分别建立了模型，并根据儿童性别和社会经济地位进行了调整。多重输入解决了缺失的数据。结果：父母低估儿童体重的现象很普遍（父亲：28.9%，母亲：26.9%），尤其是超重或肥胖儿童。低估体重时，父母双方的体育锻炼都增加了（父亲：系数= 0.24；母亲：系数= 0.26;P < 0.001）。母亲减少了对儿子的限制（系数= -0.10,P = 0.02），并对儿子进行了更多的体育锻炼（系数= 0.15,P < 0.001），而父亲对女儿进行了更多基于奖励的体育锻炼（系数= 0.14,P = 0.005）。结论和意义：研究结果揭示了父母体重感知与喂养方法之间的明显性别差异。卫生保健提供者在制定以家庭为基础的体重管理策略时应考虑这些模式。

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引用次数: 0

Dietetics Program Directors’ Perceptions and Responses to AI Chatbot Use in Dietetics Education in the US 美国营养学项目主管对人工智能聊天机器人在营养学教育中的应用的看法和回应。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.002

Sarah Powell BS, Lauren Weaver BS, Sarah Bellini PhD, RD, Pauline Williams PhD, RD, Emily Vaterlaus Patten PhD, RD, Nathan Stokes PhD

Objective

Explore how Dietetic Program Directors in the US perceive and respond to the use of artificial intelligence (AI) in dietetic education programs.

Methods

Dietetic program directors were invited via email to complete a cross-sectional online survey with both closed and open-ended questions. Quantitative data were analyzed descriptively, and open-ended qualitative responses were analyzed using content analysis.

Results

A total of 126 usable responses (21% response rate) were received. Most program directors were only somewhat familiar with AI (60%) and concerned with AI’s potential effect on academic honesty (76%) and critical thinking skills (97%). Four overarching themes were identified: (1) general perspectives and attitudes, (2) uses and applications, (3) policy and course changes, and (4) time.

Conclusions and Implications

Dietetics program directors were unfamiliar with AI and rarely used it. Most programs did not currently have specific policies to regulate their use but felt policies would be important. Educators may find professional development opportunities related to AI use in higher education through their universities and professional organizations.

目的：探讨美国饮食项目主管如何看待和应对人工智能（AI）在饮食教育项目中的应用。方法：通过电子邮件邀请饮食项目主管完成一份包含封闭式和开放式问题的横断面在线调查。定量数据采用描述性分析，开放式定性回答采用内容分析。结果：共收到可用回复126份，回复率21%。大多数项目主管对人工智能只有一定程度的了解（60%），并担心人工智能对学术诚信（76%）和批判性思维技能（97%）的潜在影响。确定了四个主要主题：(1)一般观点和态度；(2)用途和应用；(3)政策和进程变化；(4)时间。结论和启示：营养学项目主管不熟悉人工智能，很少使用它。大多数项目目前没有具体的政策来规范它们的使用，但认为政策将是重要的。教育工作者可以通过他们的大学和专业组织在高等教育中找到与人工智能应用相关的专业发展机会。

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引用次数: 0

Longitudinal Change in Eating Competence of Adults and Their School-Age Children 成人及其学龄儿童饮食能力的纵向变化。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.010

Barbara Lohse PhD, RDN, CDN, LDN

Objective

Examine the change in eating competence (EatC) over time in adults and children; explore the relationship between parent and child EatC.

Design

Survey assessment at 4 timepoints up to 6 years after baseline.

Setting

Elementary classroom and online survey.

Participants

Parent and child participants of the Fuel for Fun study. Adults (n = 406) were mostly female, White, and educated. Children (n = 296) were fourth graders, mostly White.

Intervention

For children, Fuel for Fun or control classrooms; for parents, About Eating, family-based activities, or no intervention.

Variables Measured

Eating competence, potential moderators (e.g., physical activity level, parent feeding strategy), or mediators (e.g., stress, body mass index, child fruit and vegetable preference).

Analysis

Linear mixed models with fixed effects for repeated measures. Bivariate and partial Pearson correlation coefficients.

Results

Eating competence tenets were affirmed, and EatC did not change over the measurement period for parents or children. For both parents and children, initial and final EatC measures were significantly correlated, but not between parents and their children.

Conclusions and Implications

Eating competence is a stable construct. Changing EatC may require a focused inclusion of Satter eating competence model tenets rather than information or activities that inhibit EatC (e.g., required tastings, pressure to eat fruit/vegetables, emphasis on weight loss).

目的：探讨成人和儿童饮食能力（EatC）随时间的变化；探究父母与孩子之间的关系。设计：在基线后6年的4个时间点进行调查评估。设置：小学课堂和在线调查。参与者：“乐趣燃料”研究的家长和儿童参与者。成人（n = 406）主要是受过教育的白人女性。296名儿童为四年级学生，大部分为白人。干预：针对儿童，《Fuel For Fun》或控制教室；对于父母，关于饮食，以家庭为基础的活动，或者不干预。测量的变量：饮食能力、潜在的调节因素（如身体活动水平、父母喂养策略）或调节因素（如压力、体重指数、儿童水果和蔬菜偏好）。分析：对重复测量具有固定效应的线性混合模型。双变量和偏Pearson相关系数。结果：饮食能力原则得到了肯定，在测量期间，父母和孩子的饮食能力没有变化。对于父母和孩子来说，初始和最终的EatC测量值显著相关，但父母和孩子之间没有显著相关。结论与启示：饮食能力是一个稳定的构式。改变EatC可能需要重点包括Satter饮食能力模型的原则，而不是抑制EatC的信息或活动（例如，要求品尝，吃水果/蔬菜的压力，强调减肥）。

{"title":"Longitudinal Change in Eating Competence of Adults and Their School-Age Children","authors":"Barbara Lohse PhD, RDN, CDN, LDN","doi":"10.1016/j.jneb.2025.11.010","DOIUrl":"10.1016/j.jneb.2025.11.010","url":null,"abstract":"<div><h3>Objective</h3><div>Examine the change in eating competence (EatC) over time in adults and children; explore the relationship between parent and child EatC.</div></div><div><h3>Design</h3><div>Survey assessment at 4 timepoints up to 6 years after baseline.</div></div><div><h3>Setting</h3><div>Elementary classroom and online survey.</div></div><div><h3>Participants</h3><div>Parent and child participants of the <em>Fuel for Fun</em> study. Adults (n = 406) were mostly female, White, and educated. Children (n = 296) were fourth graders, mostly White.</div></div><div><h3>Intervention</h3><div>For children, <em>Fuel for Fun</em> or control classrooms; for parents, <em>About Eating,</em> family-based activities, or no intervention.</div></div><div><h3>Variables Measured</h3><div>Eating competence, potential moderators (e.g., physical activity level, parent feeding strategy), or mediators (e.g., stress, body mass index, child fruit and vegetable preference).</div></div><div><h3>Analysis</h3><div>Linear mixed models with fixed effects for repeated measures. Bivariate and partial Pearson correlation coefficients.</div></div><div><h3>Results</h3><div>Eating competence tenets were affirmed, and EatC did not change over the measurement period for parents or children. For both parents and children, initial and final EatC measures were significantly correlated, but not between parents and their children.</div></div><div><h3>Conclusions and Implications</h3><div>Eating competence is a stable construct. Changing EatC may require a focused inclusion of Satter eating competence model tenets rather than information or activities that inhibit EatC (e.g., required tastings, pressure to eat fruit/vegetables, emphasis on weight loss).</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"58 2","pages":"Pages 86-96"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reduction in COVID-19 Emergency SNAP Benefits Among Virginia Fresh Match Customers is Associated with Food Insecurity and Changes in Food Procurement Experience but not Fruit and Vegetable Intake. 弗吉尼亚新鲜匹配客户COVID-19紧急SNAP福利的减少与粮食不安全和食品采购经验的变化有关，但与水果和蔬菜摄入量无关。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-01-30 DOI: 10.1016/j.jneb.2025.12.002

Rebecca Hagedorn-Hatfield, Stephanie Reichert, Maureen McNamara Best, Elizabeth Borst, Sam Hedges, Lanae Hood

Objective: To examine the associations between reductions in coronavirus disease 2019 emergency Supplemental Nutrition Assistance Program (SNAP) benefits and food security (FS), fruit and vegetable (FV) intake, and food procurement experiences among customers of the Virginia Fresh Match Nutrition Incentive Program.

Design: Cross-sectional survey.

Setting: Community-based food stores and farmers' markets participating in VFM.

Participants: Supplemental Nutrition Assistance Program customers using VFM.

Measurable outcome measures: Benefit reduction and shopping experience, dietary screener, and the US Department of Agriculture 6-item FS Survey ANALYSIS: Pearson chi-square determined the association between shopping experiences, benefit reduction, and FS. Independent samples t tests analyzed differences in FV intake by benefit reduction and FS. One-way analysis of variance assessed differences in FV intake between the benefit reduction amount and the FS level.

Results: Most (80.5%) experienced benefit reduction, with 40.3% reporting benefit reduction of at least $100/mo. Customers who experienced benefit reduction were more likely to be food insecure (71.0%) than food secure (29.0%, P = 0.03). Customers with food insecurity had difficulty buying enough food (84.9%) and purchasing FVs (88.0%) after benefit reductions compared with participants who are food secure (15.1% and 12.0%, respectively, P < 0.001). No significant differences in FV intake were shown.

Conclusions and implications: Customers with food insecurity faced hardships acquiring food, including fresh FV. Access to VFM may support FV intake for households with food insecurity. Findings support advocacy for increased Supplemental Nutrition Assistance Program-benefit allotments and the strengthening of nutrition incentive programs.

目的：研究2019冠状病毒病紧急补充营养援助计划（SNAP）福利的减少与弗吉尼亚新鲜匹配营养激励计划客户的食品安全（FS）、水果和蔬菜（FV）摄入量以及食品采购经验之间的关系。设计：横断面调查。环境：参与VFM的社区食品商店和农贸市场。参与者：使用VFM的补充营养援助计划客户。可测量的结果测量：福利减少和购物体验，饮食筛选，以及美国农业部6项FS调查分析：皮尔逊卡方确定购物体验，福利减少和FS之间的关联。独立样本t检验分析了益处减少和FS对FV摄入量的差异。单向方差分析评估了益处减少量和FS水平之间FV摄入量的差异。结果：大多数（80.5%）经历了福利减少，40.3%的人报告福利减少至少100美元/月。经历福利减少的顾客更有可能是食品不安全的（71.0%），而不是食品安全的（29.0%,P = 0.03）。与食品安全的参与者（分别为15.1%和12.0%,P < 0.001）相比，食品不安全的客户在福利减少后难以购买足够的食物（84.9%）和购买FVs（88.0%）。在脂肪摄取量方面没有显著差异。结论和启示：食品不安全的消费者在获取食品（包括新鲜食品）方面面临困难。获得粮食调养可支持粮食不安全家庭的粮食调养。研究结果支持增加补充营养援助计划——福利分配和加强营养激励计划。

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引用次数: 0

Happy Healthy Homes Virtual Intervention Improved Rural Family Child Care Home Provider Mealtimes: Partial and Sustained Effects. 快乐健康之家虚拟干预改善农村家庭托儿服务提供者用餐时间：部分和持续效果。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-01-30 DOI: 10.1016/j.jneb.2026.01.001

Divya Patel, Dipti A Dev, Steven Pan, Bethany Williams, Alicia L Salvatore, Susan B Sisson

Objective: Family Child Care homes (FCCH) are home-based child care settings that often care for children in their households, operating with limited resources, and are a common choice for children from low-income families. The purpose of this study was to examine changes in FCCH provider feeding practices after a virtual intervention.

Design: Randomized controlled clinical trial.

Setting: Rural Oklahoma FCCHs.

Participants: Thirty-six (intervention = 15; control = 21) FCCH providers participated at baseline.

Intervention: A virtual 20-minute module on implementing responsive feeding practices delivered by Extension educators.

Main outcome measures: Feeding practice scores at baseline, 3, and 12 months.

Analysis: The Kruskal-Wallis and paired t tests were used to detect between-group and within-group differences, respectively.

Results: Meal service style significantly improved over time (P = 0.05), intervention providers' meal service style (2.1 points; P = 0.05), role modeling (4.0 points; P = 0.007), and mealtime quality (11.3 points; P = 0.04) improved from baseline to 12 months. Intervention providers scored significantly lower than the control group for self-regulation at 12 months (9.6 ± 0.8 vs 8.5 ± 1.4; P = 0.02).

Conclusions and implications: Although the meal service style score improved over time, the scores remained low, indicating a need to improve implementation. Although self-regulation use decreased in the intervention group, it is an ambiguous and complex construct needing further exploration. Future studies must examine the implementation effectiveness of feeding practices and explore newer mealtime constructs such as sensory exploration of foods, peer modeling, and nonverbal cues to support rural FCCH providers' ability to implement optimal practices.

目的：家庭托儿之家（FCCH）是一种以家庭为基础的儿童保育机构，通常在家庭中照顾儿童，资源有限，是低收入家庭儿童的常见选择。本研究的目的是检查虚拟干预后FCCH提供者喂养方式的变化。设计：随机对照临床试验。地点：俄克拉何马州农村卫生保健中心。参与者：36名（干预= 15；对照= 21）FCCH提供者在基线时参与。干预：一个20分钟的虚拟模块，由推广教育工作者提供，内容是实施响应性喂养实践。主要结果测量：基线、3个月和12个月的喂养练习评分。分析：分别采用Kruskal-Wallis检验和配对t检验检测组间差异和组内差异。结果：随着时间的推移，用餐服务风格有了显著的改善（P = 0.05），干预提供者的用餐服务风格（2.1分，P = 0.05）、角色示范（4.0分，P = 0.007）和用餐质量（11.3分，P = 0.04）从基线到12个月有了改善。干预提供者在12个月时的自我调节得分显著低于对照组（9.6±0.8 vs 8.5±1.4;P = 0.02）。结论和意义：虽然餐饮服务风格得分随着时间的推移而提高，但得分仍然很低，表明需要改进实施。虽然干预组的自我调节使用有所减少，但这是一个模糊而复杂的概念，需要进一步探索。未来的研究必须检查喂养实践的实施效果，并探索新的用餐时间结构，如食物感官探索、同伴建模和非语言提示，以支持农村fch提供者实施最佳实践的能力。

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引用次数: 0

Associations Between Mothers' and Fathers' Food Skills and Children's Diet Quality. 母亲和父亲的饮食技巧与儿童饮食质量的关系

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-01-30 DOI: 10.1016/j.jneb.2025.12.016

Amar Laila, Maude Perreault, Adam Sadowski, Scott Maitland, David W L Ma, Jess Haines

Objective: To assess associations between mothers' and fathers' food skills and children's diet quality.

Methods: Linear regression models using generalized estimating equations were used to assess the association between mothers' (n = 154) and fathers' (n = 100) self-reported conceptualizing and mechanical food skills with children's diet quality (n = 201) assessed using the Healthy Eating Index (HEI)-2015.

Results: Fathers' food skills were not associated with children's HEI-2015. Mothers' scores were significantly higher than fathers on conceptualizing (P < 0.001) but lower on mechanical food skills (P = 0.02). Mothers' conceptualizing food skills were associated with greater child HEI (B̂ = 1.04, 95% confidence interval = 0.016-1.93, P = 0.02).

Conclusions and implications: While results showed that mothers' food skills are a key determinant of children's diet quality, more studies are needed to explore how both parents' food skills as well as other factors interact to influence children's diets. Future family interventions targeting food skills may be more effective in emphasizing conceptualizing food skills.

目的：探讨父母饮食技巧与儿童饮食质量的关系。方法：采用广义估计方程建立线性回归模型，评估母亲（n = 154）和父亲（n = 100）自述概念化和机械食品技能与使用健康饮食指数（HEI -2015）评估的儿童饮食质量（n = 201）之间的关系。结果：父亲的饮食技能与儿童的HEI-2015无关。母亲的概念化得分显著高于父亲（P < 0.001），但机械食品技能得分低于父亲（P = 0.02）。母亲对食物的概念化技能与孩子的高智商相关（B´= 1.04,95%可信区间= 0.016-1.93,P = 0.02）。结论和启示：虽然结果表明母亲的饮食技巧是儿童饮食质量的关键决定因素，但需要更多的研究来探索父母的饮食技巧以及其他因素如何相互作用来影响儿童的饮食。未来以食物技能为目标的家庭干预可能更有效地强调食物技能的概念化。

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引用次数: 0