한국형 부모의 식사 중 행동척도(K-PMAS)의 표준화 연구
A Study for the Standardization of the Korean Version of the Parent Mealtime Action Scale
이수진 (연세대학교)
초록
본 연구에서는 Hendy 등(2009)이 개발한 부모의 식사 중 행동평가 척도(Parent Mealtime Action Scale)의 표준화를 실시하였다. 이를 위해 만 1-11세 정상발달 아동의 부모(N=887)를 대상으로 번안된 PMAS와 K-CEBI를 실시하였으며, 신뢰도 검증을 위해 이들 중 일부에게 재검사(N=45)를 실시하였다. 또한 발달장애아동의 양육자 116명을 대상으로 PMAS를 실시하여 변별타당도를 검증하였다. 요인분석 결과 한국형 부모의 식사 중 행동척도(PMAS)는 8요인구조가 적합한 것으로 나타났다(간식제한, 섭취주장, 과일채소 섭취, 긍정적 설득, 보상사용, 부모의 간식섭취, 음식의 다양성, 저지방식). K-PMAS는 유의한 수준의 내적 합치도 및 검사-재검사 신뢰도를 보고하였고, K-CEBI와의 상관분석 및 발달장애 아동을 둔 부모 집단과의 차이를 통해 아동의 체중 및 식습관에 영향을 주는 부모의 식사 중 행동을 측정하기에 신뢰롭고 타당한 도구임이 증명되었다. 일원변량분석 결과 아동의 성별에 따른 차이는 나타나지 않았으나, 아동의 연령에 따른 부모의 식사 중 행동에서는 유의한 차이가 드러나 이를 반영한 규준을 제시하였다. 끝으로 본 연구의 연구적, 임상적 함의 및 한계점에 대해 논의하였다.
- keywords
- Parent Mealtime Action Scale, Childhood feeding problems, Standardization, 부모의 식사 중 행동척도, PMAS, 표준화
Abstract
The purpose of this study was to develop and standardize the Korean version of the Parent Mealtime Action Scale(K-PMAS). The parents of typically developing preschool and elementary school children (N=887) ranging in age from 1 to 11 years as well as parents of children with developmental disorders (N=116) completed the PMAS. A subset of the participants were retested for reliability and also completed the Children’s Eating Behavior Inventory- Korean Version (K-CEBI), which was used for assessing validity. The confirmatory factor analysis revealed that the theoretically-based 8-factor structure of PMAS fit the data well. The PMAS scores suggested acceptable levels of internal consistency and test-retest reliability. Validity was also supported by significant correlations between the K-CEBI scores and the differences in K-PMAS scores between the parents of children with developmental disorders and those of typically developing children. The results of one-way ANOVA showed no significant differences in K-PMAS scores between the genders. However, there were significant differences across ages. The means and standard deviations of the PMAS scale scores are provided. Clinical and research implications as well as limitations are discussed.
- keywords
- Parent Mealtime Action Scale, Childhood feeding problems, Standardization, 부모의 식사 중 행동척도, PMAS, 표준화
참고문헌
김민정. (2013). 초등학교 아동 및 학부모의 생활양상과신체상이 비만도에 미치는 영향. 한국발육발달학회지, 21(3), 227-235.
김혜진, 정경미, 박미정. (2008). 한국형 아동 섭취행동검사의 표준화 연구. 정서· 행동장애연구, 24(1), 163-183.
이기형. (2004). 청소년 비만의 진단과 역학. 대한비만학회 춘계학술대회,2004(단일호), 99-103.
이미경, 제갈윤석, 김은성, 이승환, 전용관. (2009). 과체중, 비만아동의 체질량지수, 근지구력과 심혈관질환위험요인의 관계. 한국체육학회지-자연과학, 48(4), 535-543.
이숙자, 오수성. (2006). 상담 일반: 발달장애아동 어머니의 양육 스트레스와 심리적 안녕감 간의 관계:적극적 대처방식과 사회적 지지의 매개효과 검증. 상담학연구, 7(1), 27-45.
이어진, 정경미, 진혜경. (2010). 발달장애아동의 섭식문제가 양육스트레스에 미치는 영향과 양육자의 사회적 지지와 대처방식의 매개효과. 정서· 행동장애연구, 26(1), 181-208.
정경미, 주정현. (2012). 한국형 아동 섭취행동 질문지(K-CEBQ) 의 표준화 연구. 한국심리학회지: 건강, 17(4), 943-961.
정옥남. (1995). 주제: 정서 학습장애 아동의 특성 및 심리학적 이해; 발달장애 아동의 섭식문제에 대한 연구. 한국정서· 행동장애아교육학회 학술발표논문집, 1995(단일호), 29-42.
Ammaniti, M., Ambruzzi, A. M., Lucarelli, L., Cimino, S., D’Olimpio, F. (2004). Malnutrition and dysfunctional mother-child feeding interactions:Clinical assessment and research implications. Journal of the American College of Nutrition, 23(3), 259-271.
Archer, L. A., Rosenbaum, P. L., Streiner, D. L. (1991). The children's eating behavior inventory:reliability and validity results. Journal of Pediatric Psychology, 16(5), 629-642.
Bandura, A. (1994). Self‐efficacy. John Wiley &Sons, Inc..
Baughcum, A. E., Powers, S. W., Johnson, S. B., Chamberlin, L. A., Deeks, C. M., Jain, A., Whitaker, R. C. (2001). Maternal feeding practices and beliefs and their relationships to overweight in early childhood. Journal of Developmental &Behavioral Pediatrics, 22(6), 391-408.
Benton, D. (2004). Role of parents in the determination of the food preferences of children and the development of obesity. International journal of obesity,28(7), 858-869.
Birch, L. L. (2006). Child feeding practices and the etiology of obesity. Obesity,14(3), 343-344.
Birch, L. L., Fisher, J. O., Grimm-Thomas, K., Markey, C. N., Sawyer, R., Johnson, S. L. (2001). Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite, 36(3), 201-210.
Birch, L. L., Johnson, S. L., Andresen, G., Peters, J. C., Schulte, M. C. (1991). The variability of young children's energy intake. New England Journal of Medicine, 324(4), 232-235.
Blazer, D. G., Moody-Ayers, S., Craft-Morgan, J., Burchett, B. (2002). Depression in diabetes and obesity: racial/ethnic/gender issues in older adults. Journal of Psychosomatic Research, 53(4), 913-916.
Blissett, J., Meyer, C., Haycraft, E. (2006). Maternal and paternal controlling feeding practices with male and female children. Appetite, 47(2), 212-219.
Brislin, R. W. (1970). Back-translation for crosscultural research. Journal of cross-cultural psychology, 1(3), 185-216.
Cohen, J. (1992). A power primer. Psychological bulletin, 112(1), 155.
De Moor, J., Didden, R., Korzilius, H. P. L. M. (2007). Behavioural treatment of severe food refusal in five toddlers with developmental disabilities. Child: care, health and development, 33(6), 670-676.
Edwards, C. P., Liu, W. (2002). Parenting toddlers. Handbook of parenting,1, 45-71.
Enten, R. S., Golan, M. (2008). Parenting styles and weight‐related symptoms and behaviors with recommendations for practice. Nutrition reviews, 66(2), 65-75.
Eriksson, J., Forsen, T., Osmond, C., &Barker, D. (2003). Obesity from cradle to grave. International journal of obesity, 27(6), 722-727.
Erickson, S. J., Robinson, T. N., Haydel, K. F., Killen, J. D. (2000). Are overweight children unhappy?:Body mass index, depressive symptoms, and overweight concerns in elementary school children. Archives of Pediatrics &Adolescent Medicine, 154(9), 931-935.
Faith, M. S., Scanlon, K. S., Birch, L. L., Francis, L. A., Sherry, B. (2004). Parent‐child feeding strategies and their relationships to child eating and weight status. Obesity Research, 12(11), 1711-1722.
Fox, R. J. (1983). Confirmatory factor analysis. John Wiley &Sons, Ltd.
Francis, L. A., Lee, Y., Birch, L. L. (2003). Parental weight status and girls’ television viewing, snacking, and body mass indexes. Obesity research, 11(1), 143-151.
Gerrish, C. J., Mennella, J. A. (2001). Flavor variety enhances food acceptance in formula-fed infants. The American journal of clinical nutrition,73(6), 1080-1085.
Goodman, E., Whitaker, R. C. (2002). A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics, 110(3), 497-504.
Goran, M. I. (1998). Measurement issues related to studies of childhood obesity: assessment of body composition, body fat distribution, physical activity, and food intake. Pediatrics, 101(Supplement 2), 505-518.
Hendy, H. M., Williams, K. E., Camise, T. S., Eckman, N., Hedemann, A. (2009). The Parent Mealtime Action Scale (PMAS). Development and association with children's diet and weight. Appetite, 52(2), 328-339.
Hendy, H. M., Williams, K. E., Riegel, K., Paul, C. (2010). Parent mealtime actions that mediate associations between children's fussy-eating and their weight and diet. Appetite, 54(1), 191-195.
Jones, J., Passey, J. (2005). Family adaptation, coping and resources: Parents of children with developmental disabilities and behaviour problems. Journal on Developmental Disabilities, 11(1), 31-46.
Linscheid, T. R. (2006). Behavioral treatments for pediatric feeding disorders. Behavior Modification, 30(1), 6-23.
Manikam, R., Perman, J. A. (2000). Pediatric feeding disorders. Journal of clinical gastroenterology, 30(1), 34-46.
McMahon, R. J., Wells, K. C., Kotler, J. S. (1998). Conduct problems. Treatment of childhood disorders, 3, 137-268.
Moore, S. N., Tapper, K., &Murphy, S. (2007). Feeding strategies used by mothers of 3–5-year-old children. Appetite, 49(3), 704-707.
Munk, D. D., Repp, A. C. (1994). Behavioral assessment of feeding problems of individuals with severe disabilities. Journal of Applied Behavior Analysis,27(2), 241-250.
Neter, J. E., Schokker, D. F., de Jong, E., Renders, C. M., Seidell, J. C., Visscher, T. L. (2011). The prevalence of overweight and obesity and its determinants in children with and without disabilities. The Journal of pediatrics,158(5), 735-739.
Newman, J., &Taylor, A. (1992). Effect of a means-end contingency on young children's food preferences. Journal of experimental child psychology, 53(2), 200-216.
Olive, M. (2004). Assessment and Intervention for Young Children with Nonphysiological Feeding Concerns. Young Exceptional Children, 7(4), 10-19.
Orrell-Valente, J. K., Hill, L. G., Brechwald, W. A., Dodge, K. A., Pettit, G. S., Bates, J. E. (2007). “Just three more bites”: An observational analysis of parents’ socialization of children's eating at mealtime. Appetite, 48(1), 37-45.
Pelchat, M. L., Pliner, P. (1995). “Try it. You'll like it”. Effects of information on willingness to try novel foods. Appetite, 24(2), 153-165.
Perske, R., Clifton, A., McClean, B.M., Stein. J.I.(Eds.)(1977). Mealtimes for severely and profoundly handicapped persons: New concepts and attitudes. University Park Press,
Petty, M. L. B., Escrivão, M. A. M. S., Souza, A. A. L. D. (2013). Preliminary validation of the Parent Mealtime Action Scale and its association with food intake in children from São Paulo, Brazil. Appetite, 62, 166-172.
Ramsay, M. (1995). Feeding disorder and failure to thrive. Child and Adolescent Psychiatric Clinics of North America, 4(3), 605-616.
Seiverling, L., Williams, K., Sturmey, P. (2010). Assessment of feeding problems in children with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 22(4), 401-413.
Strauss, R. S. (2002). Childhood obesity. Pediatric Clinics of North America,49(1), 175-201.
Sullivan, S. A., &Birch, L. L. (1994). Infant dietary experience and acceptance of solid foods. Pediatrics, 93(2), 271-277.
Tanner, E. M., Finn‐Stevenson, M. (2002). Nutrition and brain development: Social policy implications. American Journal of Orthopsychiatry, 72(2), 182-193.
Teran-Garcia, M., Rankinen, T., Bouchard, C. (2008). Genes, exercise, growth, and the sedentary, obese child. Journal of Applied Physiology, 105(3), 988-1001.
Ventura, A. K., & Birch, L. L. (2008). Does parenting affect children's eating and weight status?. International Journal of Behavioral Nutrition and Physical Activity, 5(1), 15.
Wardle, J., Carnell, S. (2007). Parental feeding practices and children's weight. Acta Paediatrica, 96(s454), 5-11.
Williams, K. E., Hendy, H. M., Seiverling, L. J., Can, S. H. (2011). Validation of the parent mealtime action scale (PMAS) when applied to children referred to a hospital-based feeding clinic. Appetite, 56(3), 553-557.
Williams, K. E., Petty, M. B., Schimith-Escrivão, M. M., Chung, K. M., Jung, W. H., Hendy, H. M. (2014). Comparison of Maternal Feeding Practices and Child Weight Status in Children from Three Countries. International Journal of Child Health and Nutrition, 3(2), 67-77.
Yperman, A. M., Vermeersch, J. A. (1979). Factors associated with children's food habits. Journal of Nutrition Education, 11(2), 72-76.
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