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Instruments assessing parental responsive feeding in children ages birth to 5 years: A systematic review

Rebecca L Heller1, Amy R Mobley2

  • 1Department of Nutritional Sciences, University of Connecticut, 3624 Horsebarn Hill Road Ext, Unit 4017, Storrs, CT, 06269, USA.

Appetite
|March 12, 2019
PubMed

Insights

Responsive feeding practices protect against childhood obesity. A review found few validated instruments for assessing these practices in young children, highlighting a need for more comprehensive tools for diverse populations.

Area of Science:

  • Pediatric Nutrition
  • Childhood Obesity Prevention
  • Parenting and Child Development

Background:

  • Responsive feeding is a key factor in preventing childhood obesity.
  • Existing instruments for assessing parental responsive feeding in children aged 0-5 years were reviewed.
  • The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist guided the review process.

Purpose of the Study:

  • To systematically review instruments assessing responsive feeding practices in children aged birth to 5 years.
  • To evaluate the development, validation, and reliability of these instruments.
  • To identify gaps in current assessment tools regarding age groups, populations, and feeding practice aspects.

Main Methods:

  • A systematic review of four databases (PubMed, CINAHL, PsycINFO, Scopus) was conducted.
  • Instruments were included if they assessed responsive feeding categories, underwent development/validation/reliability testing, and were used in children aged 0-5 years.
  • Risk of bias was assessed using the Risk of Bias in Non-randomized Studies (ROBINS-I) tool.

Main Results:

  • 33 responsive feeding instruments were identified; only three demonstrated rigorous validation and reliability.
  • Limited instruments exist for infants (0-2 years), low-income families, diverse ethnic groups, and non-parental caregivers.
  • Commonly assessed practices included 'Pressure to Eat,' 'Parental Control,' and 'Food Rewards,' with no instrument covering all responsive feeding aspects.

Conclusions:

  • There is a significant need for more comprehensive instruments to assess all facets of responsive feeding.
  • Further validation and reliability testing are required, especially in diverse and underrepresented populations.
  • Improved assessment tools are crucial for effective childhood obesity prevention strategies.

Keywords:
Childhood obesityFeeding practicesInfantParentsPreschoolValidity

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