Identifying behavior change techniques (BCTs) in responsive feeding interventions to prevent childhood obesity-A systematic review.

IF 8 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Obesity Reviews Pub Date : 2025-02-01 Epub Date: 2024-11-04 DOI:10.1111/obr.13857

Gráinne Máire Áine Ní Eidhin, Karen Matvienko-Sikar, Sarah Anne Redsell

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引用次数: 0

Abstract

Background: Complex interventions that include responsive infant feeding components can potentially prevent childhood obesity. To develop a replicable responsive feeding intervention, an understanding of the most effective behavior change techniques (BCTs) and theory is needed.

Objective: To identify the BCTs and theories used in interventions with responsive feeding components for caregivers of children ≤2 years.

Methods: PsycINFO, CINAHL, Cochrane Library, EMBASE, and MIDIRS were searched from inception to May 2023. Studies of obesity prevention interventions with a responsive feeding component were included. BCT Taxonomy Version 1 and Michie and Prestwich theory coding method were applied.

Findings: Eighteen interventions were identified; the number of BCTs ranged from 3 to 11 (mean = 5.5). The most used BCTs were "Instruction on how to perform a behaviour" (17/18) and "Adding objects to the environment" (13/18), which were commonly used in the nine trials demonstrating higher responsive feeding behaviours and the four trials reporting reduced likelihood of overweight or obesity, or rapid weight gain. Fifteen trials reported use of theory.

Conclusion: BCT use was low in interventions with responsive feeding components. BCTs are replicable; their use in interventions, alongside theory, will ensure that key determinants of responsive feeding behavior are included in future obesity prevention interventions.

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在预防儿童肥胖的响应性喂养干预中识别行为改变技术（BCTs）--系统综述。

背景：包含婴儿喂养响应内容的复杂干预措施有可能预防儿童肥胖。为了开发可复制的顺应性喂养干预措施，需要了解最有效的行为改变技术（BCT）和理论：目的：确定针对 2 岁以下儿童看护者的回应性喂养干预措施中使用的 BCTs 和理论：方法：检索从开始到 2023 年 5 月的 PsycINFO、CINAHL、Cochrane Library、EMBASE 和 MIDIRS。方法：检索了自 2023 年 5 月开始的 PsycINFO、Cochrane Library、EMBASE 和 MIDIRS。采用 BCT 分类法第 1 版以及 Michie 和 Prestwich 理论编码法：共确定了 18 项干预措施；BCT 的数量从 3 到 11 不等（平均值 = 5.5）。使用最多的BCT是 "指导如何做出某种行为"（17/18）和 "在环境中添加物品"（13/18），这两种BCT在9项显示喂养行为反应性更高的试验和4项报告超重、肥胖或体重增加过快的可能性降低的试验中得到了普遍使用。15项试验报告了理论的使用情况：结论：在含有顺应性喂养内容的干预中，BCT的使用率较低。BCT具有可复制性；在干预措施中使用BCT和理论，将确保在未来的肥胖预防干预措施中纳入顺应性喂养行为的关键决定因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Reviews 医学-内分泌学与代谢

CiteScore

19.30

自引率

1.10%

发文量

130

审稿时长

1 months

期刊介绍： Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.