Examining parent mood, feeding context, and feeding goals as predictors of feeding practices used by parents of preschool children with avid eating behavior: Protocol for an ecological momentary assessment study


Background: An avid eating behavior profile is characterized by a greater interest in food and a tendency to overeat in response to negative emotions. Parents use specific strategies to manage feeding interactions with children with avid eating behavior. While momentary and contextual factors, such as parental mood, have been found to influence parental feeding practices, there is a lack of research examining parents’ daily experiences of feeding children with avid eating behavior. Examining this is important because parental feeding practices are key levers in tailored interventions to support children’s healthy eating behavior. Objective: We aim to describe the ecological momentary assessment methods and procedures used in the APPETItE (Appetite in Preschoolers: Producing Evidence for Tailoring Interventions Effectively) project, which aims to examine how variation in parental mood, feeding goals, and the context of eating occasions affect the parental feeding practices used to manage feeding interactions with children with an avid eating behavior profile. Methods: Participants are primary caregivers from the APPETItE cohort who have a preschool-age child (aged 3-5 years) with an avid eating behavior profile. Caregivers complete a 10-day ecological momentary assessment period using signal- and event-contingent surveys to examine (1) mood and stress, (2) parental feeding goals, and (3) contextual factors as predictors of parental feeding practices. Results: Recruitment and data collection began in October 2023 and is expected to be completed by spring 2024. The data have a 3-level structure: repeated measurements (level 1) nested within days (level 2) nested within an individual (level 3). Thus, lag-dependent models will be conducted to test the main hypotheses. Conclusions: The findings from this study will provide an understanding of caregivers’ daily experiences of feeding preschool children with avid eating behavior, who are at greater risk for the development of obesity. Understanding the predictors of feeding practices at the moment they occur, and across various contexts, will inform the development of tailored resources to support caregivers in managing children’s avid eating behavior. International Registered Report Identifier (IRRID): DERR1-10.2196/55193

Publication DOI: https://doi.org/10.2196/55193
Divisions: College of Health & Life Sciences > School of Psychology
Funding Information: This research was supported by the Economic and Social Research Council (ES/V014153/1).
Additional Information: Copyright © Katie Edwards, Helen Croker, Claire Farrow, Emma Haycraft, Moritz Herle, Clare Llewellyn, Abigail Pickard, Jacqueline Blissett. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 19.03.2024. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.
Uncontrolled Keywords: United Kingdom,avid eating,children,children's eating behavior,eating behaviour,ecological momentary assessment,environmental factors,feeding,feeding behaviour,obesity,observational study,parent,parental feeding practices,Medicine(all)
Publication ISSN: 1929-0748
Data Access Statement: The data sets generated and analyzed during this study will be available from the corresponding author upon reasonable request.
Last Modified: 14 Jun 2024 07:35
Date Deposited: 20 Mar 2024 16:51
Full Text Link:
Related URLs: https://www.res ... g/2024/1/e55193 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2024-03-19
Published Online Date: 2024-03-19
Accepted Date: 2024-02-13
Authors: Edwards, Katie (ORCID Profile 0000-0003-1076-8382)
Croker, Helen
Farrow, Claire (ORCID Profile 0000-0003-3745-6610)
Haycraft, Emma
Herle, Moritz
Llewellyn, Clare
Pickard, Abigail (ORCID Profile 0000-0002-1708-500X)
Blissett, Jacqueline (ORCID Profile 0000-0002-0275-6413)



Version: Published Version

License: Creative Commons Attribution

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