Parents' Perceptions of Child Feeding: A Qualitative Study Based on the Theory of Planned Behavior

ArticleinJournal of developmental and behavioral pediatrics: JDBP 34(4):227-36 · May 2013with26 Reads
Impact Factor: 2.13 · DOI: 10.1097/DBP.0b013e31828b2ccf · Source: PubMed

: The aim of this qualitative study was to investigate the child-feeding behaviors and attitudes of parents of children aged 2 to 5 years, within the theory of planned behavior (TPB) framework. : Semistructured telephone interviews were conducted in October 2011. The interviewer conducted and recorded the interviews from a community health center, to interviewees who were in their own home environment. Verbatim transcription of interviews preceded manual coding of data. Emergent themes were mapped into a matrix against a priori-coded TPB constructs (attitudes, beliefs, subjective norms, perceived behavioral control, and behavioral intention). : Twenty-one consenting parents participated in interviews. Participants were predominantly tertiary-educated (65%) mothers (85%) who were older than 30 years (76%). Parents believed that optimal child nutrition is important but difficult to achieve. Behavioral intention to change feeding practices was limited by a belief that child's dietary intake is above average compared with their peer group. Perceived control over child dietary intake was influenced by food advertising, extended family, and peer influences. Parents supported targeting nutrition education directly at children and a policy approach to offset the costs of fresh foods by taxing "junk" foods. : The application of TPB to child feeding may explain the disparity between parents' child-feeding intentions and behaviors. Parents' feeding behaviors are more influenced by peers than by dietary guidelines. Future interventions need to target parents' perceived child-feeding responsibilities, influence subjective norms, and increase parents' perceived control over child feeding. Peer nutrition education is proposed as an intervention model.

    • "Since the ultimate goal of the project is to support positive parenting behaviors, the Theory of Planned Behavior was used to frame the instrument. The Theory of Planned Behavior (TPB) has been well-supported in its usefulness to predict health related behavior (Ajzen, 1985Ajzen, , 1991 Andrews, Silk, & Eneli, 2010; Duncanson, Burrows, Holman, & Collins, 2013; Montano & Kasprzyk, 2008). The Theory of Planned Behavior suggests that one's health-promoting behaviors are predicted by one's behavioral intentions, which are predicted by one's attitudes towards the behavior, subjective norms about the behavior, and perceived behavioral control of the behavior (Ajzen, 1985Ajzen, , 1991 Francis et al., 2004). "
    [Show abstract] [Hide abstract] ABSTRACT: No instrument exists to measure parent beliefs about early social-emotional development, which is foundational for child outcomes. We developed and tested an instrument to measure parent beliefs.
    No preview · Article · Jan 2016
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    • "In this study, theory-driven qualitative research methods were used to assess Latino providers' beliefs and practices related to promoting healthful dietary and physical activity behaviors among preschool children attending FCCH. Theory-driven qualitative approaches are critical to enhancing knowledge and guiding development of interventions that promote healthful behaviors related to pediatric obesity intervention [22, 23]. Study findings indicate that Latino FCCH providers are vested in and believe they are influential in promoting healthy eating and physical activity behaviors of the preschool children in their care. "
    [Show abstract] [Hide abstract] ABSTRACT: Background. The continuing rise of obesity among Latinos is a public health concern with an immediate need for early prevention. Changes in family structures have increased demand and reliance for child care for young children. Latino children are the fastest-growing segment of the child population in the United States, and research shows that Latino families use preschools and day care centers much less than those of other ethnic groups, apparently because of cultural preferences for family-like care. Objectives. Given that many low income Latino children attend family child care homes (FCCHs), there is a need to explore the role that FCCH providers may play in establishing and reinforcing children's early healthful eating and physical activity behaviors and consequently in the prevention of childhood obesity. Design. Using purposive sampling, six focus groups were conducted in Spanish with licensed Latino FCCH providers (n = 44). Data was analyzed to identify recurrent themes. Results. Latino FCCH providers described how they play an influential role in promoting healthful eating and physical activity behaviors of preschool children in their care. They also identified many barriers and challenges in establishing and maintaining healthful nutrition and physical activity behaviors, including high cost of healthy foods, cold weather, and physical environment of FCCH. Conclusions. Latino FCCH providers can have a strong impact in promoting healthful behaviors in low-income, Latino communities. They may be able to effectively deliver interventions targeting low-income, minority families to promote healthful eating and physical activity behaviors and prevent child obesity.
    Full-text · Article · Apr 2015 · Journal of obesity
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    • "In a study of child feeding behaviours and attitudes of 146 parents of children aged two to five years in rural Australia, it was identified that parents believe that optimal child nutrition is vital [10], however optimal child dietary intake is difficult to attain [10]. Intention to change feeding practices was restricted by a belief that a child's nutritional intake is above 'average' when compared to their peer group [10] . External factors including food advertising , peer influences and extended family perpetuated this ambivalence towards change. "
    [Show abstract] [Hide abstract] ABSTRACT: This study examined whether peer education based on the Theory of Planned Behaviour is a feasible method to share and disseminate nutrition and feeding information between mothers of babies and toddlers. The Peer Educator Nutrition Training (PeerENT) study was a feasibility study. Participants were recruited from an existing cohort of mothers of six month to two year olds. An online survey tool was used to collect and collate data, which was then analysed using STATA statistical software. Thirty four mothers (35%) responded to the survey with 76% (n = 26) either very interested (n = 13) or interested (n = 13) in receiving child nutrition information from a trained peer educator, preferably in a structured group session. Sixty five per cent (n = 22) were "interested" or "very interested" in becoming a peer nutrition educator. The preferred methods of communicating information to other parents were online (n = 17), informally in a social group (n = 16) and via a face-to-face group program (n = 14). Participants predicted they would share child nutrition information with an average of fifteen people, a total reach of 510 individuals. High levels of interest in peer educator training and the capacity for mothers to share resources widely and easily via social media offers a potential opportunity to disseminate evidence-based nutrition information. A pilot study investigating the impact of a well-designed, theory-based peer nutrition education program on the child feeding practices of mothers with children aged between six months to two years is warranted.
    Full-text · Article · Dec 2014 · BMC Public Health
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