A Behavioral Approach to Increasing Calorie Consuption in Children With Cystic Fibrosis

Stark, Lori J.; Bowen, Angela; Tyc, Vida L.; Evans, Sylvia; Passero, Mary Ann

doi:10.1093/jpepsy/15.3.309

Cited by 77 publications

(55 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because of the potential health implications of poor parent-child mealtime interactions in families of young children with type 1 diabetes, it is likely that these families may benefit from behavioral-based interventions to improve mealtimes. Within the behavioral science literature, research has demonstrated that common disruptive child behaviors can be effectively reduced by establishing specific rules and consequences for mealtimes and teaching parents behavioral strategies for meals (16). We report on the relationships between mealtime behaviors and children's dietary adherence and blood glucose control in a sample of young children with type 1 diabetes.…”

Section: Mealtime Characteristicsmentioning

confidence: 99%

Mealtime Interactions Relate to Dietary Adherence and Glycemic Control in Young Children With Type 1 Diabetes

2006

View full text Add to dashboard Cite

OBJECTIVE -This study examined the relationships between parent-child mealtime interactions and dietary adherence and glycemic control in young children with type 1 diabetes. It was hypothesized that young children who exhibited disruptive mealtime behaviors would have more dietary deviations (poorer dietary adherence) and poor glycemic control. It was also hypothesized that parents of young children who used ineffective/coercive parenting strategies at mealtimes would have children with more dietary deviations and poor glycemic control. RESEARCH DESIGN AND METHODS-A total of 35 families of children (aged 2.2-7.9 years) with type 1 diabetes were recruited from a pediatric hospital. Families had at least three meals videotaped in their home, which were coded for parent, child, and eating behaviors, using the Dyadic Interaction Nomenclature for Eating. Children's dietary adherence was assessed according to deviations from the prescribed number of carbohydrate units per meal. Children's average glycemic excursion was assessed prospectively for 2 weeks, using a standardized home blood glucose meter.RESULTS -Findings demonstrated significant positive relationships between children's mealtime behavior, dietary deviations, and glycemic control. An examination of parent behaviors revealed significant positive correlations between parents' use of ineffective/coercive parenting strategies and children's dietary deviations and glycemic control.CONCLUSIONS -This was the first study to examine the relationship between parentchild mealtime interactions and health outcomes in young children with type 1 diabetes. The mealtime problems examined can be improved through specific behavioral interventions. Future research is needed to examine how parent-child interactions at mealtimes relate to children's health outcomes to inform clinical care.

show abstract

Section: Mealtime Characteristicsmentioning

confidence: 99%

Mealtime Interactions Relate to Dietary Adherence and Glycemic Control in Young Children With Type 1 Diabetes

2006

View full text Add to dashboard Cite

show abstract

“…Results demonstrated significant improvement in treatment adherence compared to standard care and education only groups. Stark and colleagues demonstrated significant improvements in dietary adherence (i.e., calorie consumption) in cystic fibrosis baseline to post-treatment 15,16 , and at two-year follow up 17,18 using group-based behavioral intervention. The same treatment approach was used to increase dietary calcium intake in children with Juvenile Rheumatoid Arthritis (JRA) and IBD.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a group-based behavioral intervention to promote adherence in adolescents with inflammatory bowel disease

Hommel

Hente

Odell

et al. 2012

European Journal of Gastroenterology & Hepatology

View full text Add to dashboard Cite

Objective To pilot test the feasibility and acceptability of a family-based group behavioral intervention to improve medication adherence in adolescents diagnosed with Inflammatory Bowel Disease (IBD). Methods Participants were 40 adolescents age 11-18 years diagnosed with IBD and their primary caregivers, who were randomized to either a 4-session Family-Based Group Behavioral Treatment or Usual Care over a 6-week period. Adherence was measured using a mutli-method, multi-informant assessment involving caregiver- and patient-report, pill count data, and electronic monitoring. Results Adherence rates ranged from 66-89% for 6-MP/azathioprine and 51-93% for mesalamine across assessment methods. The intervention was feasible, as evidenced by the 99% treatment session attendance rate, and acceptable based on patient and caregiver report. Repeated measures ANOVA tests revealed nonsignificant differences between the conditions from baseline to post-treatment assessments for pill count, electronic monitor, and primary caregiver-reported adherence (p's> .05). There was a statistically significant improvement in patient-reported mesalamine adherence represented by a significant main effect for Condition (F = 22.24, p< .01; δ = .79) and Condition X Time interaction (F = 13.32, p< .05; δ = .69). Conclusions Findings suggest potential for use of behavioral intervention to improve medication adherence in this population. This intervention may be more effective with more complex regimens (e.g., multiple doses per day) such as those prescribed with mesalamine. Further research is needed to examine this type of intervention in more diverse samples with more active disease. Use of alternative adherence measurement approaches, including electronic pill boxes and/or real-time self-report (e.g., via text messaging, electronic diaries, etc.) is also recommended.

show abstract

“…A series of studies by Stark and colleagues (Stark, Bowen, Tyc, Evans, & Passero, 1990;Stark et al, 1993;Stark et al, 1996) shows that a combined behavioral and nutrition treatment for 4-to 11-year-old children with CF can lead to increased calorie intake and weight gain. The nutrition component of the intervention included setting specific calorie goals and targeting one meal at a time.…”

mentioning

confidence: 99%

A Randomized Pilot Study of Behavioral Treatment to Increase Calorie Intake in Toddlers With Cystic Fibrosis

Powers¹,

Byars²,

Mitchell³

et al. 2003

Children's Health Care

View full text Add to dashboard Cite

A Behavioral Approach to Increasing Calorie Consuption in Children With Cystic Fibrosis

Cited by 77 publications

References 0 publications

Mealtime Interactions Relate to Dietary Adherence and Glycemic Control in Young Children With Type 1 Diabetes

Mealtime Interactions Relate to Dietary Adherence and Glycemic Control in Young Children With Type 1 Diabetes

Evaluation of a group-based behavioral intervention to promote adherence in adolescents with inflammatory bowel disease

A Randomized Pilot Study of Behavioral Treatment to Increase Calorie Intake in Toddlers With Cystic Fibrosis

Contact Info

Product

Resources

About