应用爱饭达工具对儿童不良饮食行为问题干预效果评价  

Intervention effects evaluation about the eating behavior problems of children by Identification and Management of Feeding Difficulties tools,China

作　　者：李静[1] 黄彦红[1] 董颖[1] 曹春兰[1] 李荔荔[1] 张雪娇[1] 董爽 倪佳[1] 马辉[2] 金星明[3] 

机构地区：[1]沈阳市妇女儿童保健中心,辽宁沈阳110032 [2]沈阳医学院奉天医院,辽宁沈阳110024 [3]上海交通大学医学院附属上海儿童医学中心发育行为儿科,上海200127

出　　处：《中国儿童保健杂志》2014年第3期333-336,共4页Chinese Journal of Child Health Care

基　　金：沈阳市科研项目(F11-262-9-40)

摘　　要：目的评价爱饭达(Identification and Management of Feeding Difficulties,IMFeD)工具对儿童不良饮食行为问题的干预效果,为制定标准化干预措施提供科学依据。方法采用前瞻性随机对照临床研究方法对沈阳市8个社区和4所幼儿园具有不良饮食行为问题的211名儿童进行干预研究,干预组应用爱饭达工具给予指导,对照组应用常规门诊保健技术给予指导。结果经过9个月5次随访,干预组饮食行为问题综合评分下降分值较对照组高,差异有高度统计学意义(P<0.01),不同年龄组中3岁组、4岁组差异有高度统计学意义(P<0.01);干预组前后比较呈显著下降(t=21.2,P<0.01),且随着年龄的增加下降分值逐渐增高;干预组和对照组对比其IMFD工具的保护率为66.8%,效果指数是3.0;单纯干预组应用IMFD工具M9与M0的对比,其保护率为85.2%,效果指数是6.7;NNT1.3为(95%CI:1.2～1.5)。结论应用IMFeD工具对儿童饮食行为问题进行诊断、分类和干预效果明显。Objective To evaluate the intervention effects of Identification and Management of Feeding Difficulties （IMFeD） tools for eating behavior problem in children, and to provide scientific basis for standardized intervention meas- ures. Methods Prospective randomized controlled clinical study method was used for 211 children with the eating behav- ior problems in 8 communities and 4 kindergartens in Shenyang. The intervention group was used by IMFeD tools,the con- trol group was used by the common health care technology. Results After 5 follow-up within 9 months,The comprehen- sive decreased scoreA （M9-M0） of the eating behavior problems in the intervention group was higher than that in control group,the difference was statistically significant（P〈0.01）. In different age group,that of 3 and 4 years old group had sta- tistically significant difference（P〈0. 01） ;Comparison before and after the intervention group was decreased significantly（t =21.2,P〈0. 01） ,and the decreased score increased gradually with the increase of age; Through the comparison of the in- tervention group and the control group,the protective rate of IMFeD tool was 66.8%, the index of effectiveness was 3.0 The protective rate was 85.2 %through the comparison of M9 and M0 in the intervention group,the effect index was 6.7 ; NNT was 1.3 （95 %CI：1.2- 1.5）. Conclusion Effects of applying IMFeD tool is obvious for diagnosing,classifying and intervening the eating behavior problems of children.

关 键 词：饮食行为问题 爱饭达工具 效果评价 儿童 

分 类 号：R179[医药卫生—妇幼卫生保健]