Evidence map›Paper›PMID 30200993›Full record

ArticleThe international journal of behavioral nutrition and physical activity2018

About feeding children: factor structure and internal reliability of a survey to assess mealtime strategies and beliefs of early childhood education teachers.

Taren Swindle, Madeleine Sigman-Grant, Laurel J Branen, Janice Fletcher, Susan L Johnson

Abstract readMulticenter Study
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. "A few more bites?": Manifestation of pressure-to-eat in child care.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Taren SwindleDepartment of Family and Preventive Medicine, University of Arkansas for Medical Sciences, 521 Jack Stephens Drive, Little Rock, AR, 72205, USA. tswindle@uams.edu.ORCID 0000-0001-7231-6002
Madeleine Sigman-GrantUniversity of Nevada Cooperative Extension, 2558 So Elizabeth Street, Salt Lake City, UT, 85406, USA.
Laurel J BranenFood and Nutrition, University of Idaho, Moscow, ID, 83844-3183, USA.
Janice FletcherChild, Family and Consumer Studies, Center on Disabilities and Human Development, University of Idaho, 1187 Alturas Drive, Moscow, ID, 83844-1187, USA.
Susan L JohnsonDepartment of Pediatrics, Anschutz Medical Campus, Section of Nutrition, F-561, University of Colorado-Denver, 12,631 E 17th Ave, Rm #2609, Aurora, CO, 80045, USA.

Funding

The Role of the Mitochondrion in the Metabolic Stress Response to Burn TraumaP20GM109096 · NIGMS · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI BROWN, ANDREW W · 2016 to 2025
$20.7M
Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
Developing and Testing Implementation Strategies for Evidence-Based Obesity Prevention in ChildcareK01DK110141 · NIDDK · UNIV OF ARKANSAS FOR MED SCIS · PI SWINDLE, TAREN · 2016 to 2019
$460k
Arkansas Center for Clinical Translational ResearchKL2TR000063 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$459k
NCATS NIH HHS KL2 TR000063NCATS NIH HHS UL1 TR000039NCATS NIH HHS UL1TR000039 and KL2TR000063NIDDK NIH HHS DK110141-02NIDDK NIH HHS K01 DK110141NIGMS NIH HHS P20 GM109096NIGMS NIH HHS P20GM109096USDA NIFA 2001-52102-11202
6 · The paper itself

Abstract

backgroundChildren spend a substantial amount of time in early care and education (ECE) settings and may eat a majority of their diet in this setting. While there are several instruments focused on measuring factors of the ECE environment that may influence diet and weight outcomes, there are few comprehensive, valid, and reliable measures for collecting self-report of ECE providers' feeding practices. The purpose of this study was to establish the factor structure and internal reliability of a survey developed to measure practices and beliefs of ECE providers relative to feeding children.

methodsLicensed ECE centers from CA, CO, ID and NV were included in this cross-sectional survey study. The sample was stratified by states and census regions to yield equal numbers of centers from each category. The total sample distribution included 1600 randomly selected centers and up to 8000 staff members (who represented teachers, aides, assistants, or cooks); 1178 surveys were completed. We conducted an exploratory, unrestricted factor analysis as well as parallel analyses to inform the number of factors to be extracted.

resultsFactors within Structural Mealtime Strategies included Adult Control of Foods Consumed (Kuder-Richardson [KR] = 0.67), Bribing with Sweet Foods (KR = 0.70), and Supportive Adult Roles at Mealtime (KR = 0.55). Factors in Verbal Mealtime Strategies included Supporting Children's Eating Self-regulation (KR =0.61), Pressure to Eat (KR = 0.58), and Social Comparisons (KR = 0.59). Beliefs about Mealtime factors were Autonomy Promoting (α = 0.64), Coercive Beliefs (α = 0.77), and Concern-Based Control (α = 0.60).

conclusionsThe AFC Strategies and Beliefs Survey provides a promising self-report instrument with a strong factor structure consistent with the extant literature to measure practices and beliefs related to feeding and mealtimes in the ECE setting. Feeding young children in group settings differs in many ways from feeding in a family setting; hence it is important that measures such as the AFC Strategies and Beliefs Survey capture unique aspects of the ECE feeding environment.

Indexed as

Early Intervention, EducationalHealth Knowledge, Attitudes, PracticeMealsAdultBody WeightChild, PreschoolCross-Sectional StudiesDietFeeding BehaviorFemaleHumansInfantMaleReproducibility of ResultsSchool TeachersSelf ReportChildcareEarly care and educationPreschoolers, feeding, measurement

Identifiers

PMID30200993
PMCPMC6131865

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.