基于行为改变轮理论的顺应喂养干预在6~12月龄婴儿及其照护者中的应用

doi:10.11852/zgetbjzz2024-1373

摘要/Abstract

摘要： 目的探讨基于行为改变轮(BCW)理论的顺应喂养干预方案在6~12月龄婴儿及其照护者中的应用效果,为丰富顺应喂养干预具体实施方法提供参考。方法采用便利抽样法,于2024年2—3月抽取青岛市某三级甲等医院儿童保健科的70名婴儿及其照护者为研究对象,按其入组时间先后顺序分为干预组和对照组,每组各35例。对照组接受儿童保健科的常规喂养指导,干预组在对照组基础上实施基于BCW理论的顺应喂养干预。采用顺应喂养行为评价量表(RFPAT)、婴儿饮食行为问卷 (BEBQ)、婴儿年龄别体质量指数Z评分(BMI Z)对两组婴儿及其照护者的干预效果进行评估。结果重复测量方差分析结果显示,两组不同时间点的顺应喂养行为得分和饮食行为的食物响应、食物喜好、进食缓慢和过饱响应维度得分,以及婴儿BMI Z评分比较,在组间、时间及交互效应上均有统计学意义(P＜0.05);干预组在干预3、6个月的顺应喂养行为和食物喜好得分均高于对照组(P＜0.05),食物响应、进食缓慢、过饱响应得分以及婴儿BMI Z评分均低于对照组(P＜0.05)。结论基于BCW理论的顺应喂养干预能显著提高照护者的顺应喂养水平,降低婴儿饮食行为问题的发生,促进婴儿健康的体格发展状态。

关键词: 行为改变轮理论, 顺应喂养, 婴儿, 照护者, 生长发育

Abstract: Objective To evaluate the effectiveness of a responsive feeding intervention program based on the Behaviour Change Wheel (BCW) theory among infants aged 6 - 12 months and their caregivers, in order to provide a reference for enriching specific implementation methods of responsive feeding interventions. Methods A convenience sampling method was used to select 70 infants and their caregivers from the child health clinic of a tertiary hospital in Qingdao between February and March 2024.Participants were sequentially assigned to either the intervention group (n=35) or the control group (n=35) based on enrollment time.The control group received routine feeding guidance from the child health clinic, while the intervention group additionally received a BCW-based responsive feeding intervention.The intervention effects were assessed using the Responsive Feeding Parent Assessment Tool (RFPAT), the Baby Eating Behaviour Questionnaire (BEBQ), and the infant BMI-for-age Z-score (BMI Z). Results Repeated measures ANOVA showed statistically significant differences between the two groups in responsive feeding behavior scores, BEBQ subscale scores (food responsiveness, food fussiness, slowness in eating, and satiety responsiveness), and infant BMI Z-scores across time points, with significant group, time, and interaction effects (P<0.05).At 3 and 6 months post-intervention, the intervention group exhibited higher responsive feeding behavior and food fussiness scores (P<0.05) but lower food responsiveness, slowness in eating, satiety responsiveness scores, and infant BMI Z-scores compared to the control group (P<0.05). Conclusion The BCW-based responsive feeding intervention can significantly improve caregivers' responsive feeding practices, reduce infant feeding behavior problems, and promote healthier physical growth in infants.

Key words: behavior change wheel theory, responsive feeding, infants, caregivers, growth and development

中图分类号:

R179

王雪, 李智慧, 孔燕, 于桂玲. 基于行为改变轮理论的顺应喂养干预在6~12月龄婴儿及其照护者中的应用[J]. 中国儿童保健杂志, 2025, 33(8): 829-834.

WANG Xue, LI Zhihui, KONG Yan, YU Guiling. Application of responsive feeding intervention on infants aged 6 - 12 months and their caregivers based on behaviour change wheel theory[J]. Chinese Journal of Child Health Care, 2025, 33(8): 829-834.

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