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Journal of Obesity
Volume 2015 (2015), Article ID 964249, 8 pages
http://dx.doi.org/10.1155/2015/964249
Research Article

Targeting Feeding and Eating Behaviors: Development of the Feeding Dynamic Intervention for Caregivers of 2- to 5-Year-Old Children

1Center for Healthy Weight and Nutrition, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA
2Department of Pediatrics, Ohio State University, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA
3Department of Psychology, Ohio State University, 225 Psychology Building, Columbus, OH 43210, USA
4Ohio Action for Healthy Kids, 370 South Fifth Street, Columbus, OH 43215, USA
5Center for Human Growth and Development, University of Michigan, 300 North Ingalls Street, Ann Arbor, MI 48109, USA
6Department of Pediatrics, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
7Human Nutrition Program, Department of Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, 1700 SPH I, Ann Arbor, MI 48109, USA

Received 12 January 2015; Revised 29 May 2015; Accepted 30 May 2015

Academic Editor: Aron Weller

Copyright © 2015 Ihuoma U. Eneli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Targeting feeding dynamics, a concept centered on the roles and interaction of the caregiver and child in a feeding relationship, may have significant potential for obesity intervention. The aim of this paper is to describe the 3-phase development of the Feeding Dynamics Intervention (FDI), an acceptability and feasibility study on implementing the feeding dynamic roles (Study 1), development of the FDI content (Study 2), and a pilot study on use of the 6-lesson FDI to promote behaviors consistent with a feeding dynamic approach (Study 3). Sample population was mothers with young children, 2–5 years old. An effect size (Hedges’ g) greater than 0.20 was seen in more than half (57%) of maternal feeding behaviors, with the largest effect sizes (Hedges’ ) occurring with behaviors that represent the mother adopting her roles of determining what food is served, not using food as a reward, and not controlling her child’s intake. There was a significant decline in Pressure to Eat behaviors (2.9 versus 2.2, ) and Monitoring (4.1 versus 3.5, ). The FDI emerged as an acceptable and implementable intervention. Future studies need to investigate effects of the FDI on the child’s eating behaviors, self-regulation of energy intake, and anthropometrics.