目的 评价爱饭达(Identification and Management of Feeding Difficulties, IMFeD)工具对儿童不良饮食行为问题的干预效果, 为制定标准化干预措施提供科学依据。方法 采用前瞻性随机对照临床研究方法对沈阳市8个社区和4所幼儿园具有不良饮食行为问题的211名儿童进行干预研究, 干预组应用爱饭达工具给予指导, 对照组应用常规门诊保健技术给予指导。结果 经过9个月5次随访, 干预组饮食行为问题综合评分下降分值较对照组高, 差异有高度统计学意义(P＜0.01), 不同年龄组中3岁组、4岁组差异有高度统计学意义(P＜0.01);干预组前后比较呈显著下降(t=21.2, P＜0.01), 且随着年龄的增加下降分值逐渐增高;干预组和对照组对比其IMFD工具的保护率为66.8%, 效果指数是3.0;单纯干预组应用IMFD工具M9与M0的对比, 其保护率为85.2%, 效果指数是6.7;NNT1.3为(95%CI:1.2~1.5)。结论 应用IMFeD工具对儿童饮食行为问题进行诊断、分类和干预效果明显。

Objective To evaluate the intervention effects of Identification and Management of Feeding Difficulties (IMFeD) tools for eating behavior problem in children, and to provide scientific basis for standardized intervention measures. Methods Prospective randomized controlled clinical study method was used for 211 children with the eating behavior problems in 8 communities and 4 kindergartens in Shenyang.The intervention group was used by IMFeD tools, the control group was used by the common health care technology. Results After 5 follow-up within 9 months, The comprehensive decreased scoreΔ (M9-M0) of the eating behavior problems in the intervention group was higher than that in control group, the difference was statistically significant(P＜0.01).In different age group, that of 3 and 4 years old group had statistically significant difference(P＜0.01);Comparison before and after the intervention group was decreased significantly(t=21.2, P＜0.01), and the decreased score increased gradually with the increase of age;Through the comparison of the intervention group and the control group, the protective rate of IMFeD tool was 66.8%, the index of effectiveness was 3.0;The protective rate was 85.2% through the comparison of M9 and M0 in the intervention group, the effect index was 6.7; NNT was 1.3 (95%CI:1.2~1.5). Conclusion Effects of applying IMFeD tool is obvious for diagnosing, classifying and intervening the eating behavior problems of children.