The feeding siblings questionnaire (FSQ): Development of a self-report tool for parents with children aged 2-5 years.

Over the last decade, there have been repeated calls to expand the operationalisation of food parenting practices. The conceptualisation and measurement of these practices has been based primarily on research with parent-child dyads. One unexplored dimension of food parenting pertains to the evaluation of practices specific to feeding siblings. This study describes the development and validation of the Feeding Siblings Questionnaire (FSQ) - a tool designed to measure practices in which siblings are positioned as mediators in parents' attempts to prompt or persuade a child to eat. Item development was guided by a conceptual model derived from mixed-methods research and refined through expert reviews and cognitive interviews. These interviews were conducted in two phases, where parents responded to the questionnaire primarily to test i) the readability and relevance of each item, and ii) its overall feasibility. The instrument was completed by 330 parents (96.1% mothers) in Australia with two children aged 2-5 years, and repeated by 133 parents (40.3%) two weeks later. Exploratory factor analysis was performed on baseline data. Internal consistency and test re-test reliability of the subsequent subscales were examined. Construct validity was assessed through comparisons with existing measures of food parenting practices and child eating behaviours. The final FSQ scale included 22 items, reflecting five food parenting practices: sibling competitiveness, active sibling influence, threatening unequal division of food, sibling role modelling, and vicarious operant conditioning. Internal consistency and test re-test reliability estimates were high, and there was some evidence of convergent construct validity. While its factor structure should be confirmed in a different sample, the FSQ offers a novel tool for assessing, monitoring, and evaluating feeding interactions beyond those confined to the parent-child dyad.

Meta-synthesis of qualitative studies to explore fathers' perspectives of their influence on children's obesity-related health behaviors.

BACKGROUND: In nursing research and practice, there is a paucity of information about how fathers perceive their role in shaping their children's health behaviors. Most studies on the parental factors affecting children's health behaviors have focused on the role of mothers. However, recent studies showed that fathers' health behaviors can influence those of their children. Therefore, the aim of this study was to synthesize existing qualitative studies to explore fathers' perspectives regarding how they influence children's obesity-related health behaviors. METHODS: We conducted a descriptive meta-synthesis. To retrieve relevant articles, we used databases including PubMed, CINAHL, and Web of Science. Only qualitative studies published in English-language peer-reviewed journals, targeting fathers of children aged 2-18 years, and focusing on fathers' perspectives were included. All the quotes collected from the studies were reviewed and coded, and thematic analysis was used to derive themes. RESULTS: Article screening and review yielded a total of 13 qualitative studies, from which the following themes emerged: (1) fathers' parenting practices and role-modeling behaviors, (2) fathers' roles in their relationships with their family members, and (3) fathers' resource-seeking behaviors and contributions to their home food environment. Fathers were aware that their parenting practices and role-modeling behaviors could influence their children's health behaviors. Furthermore, fathers recognized the importance of their relationships with family members, which was reflected in their family roles; that is, whether they took responsibility for childcare and household work, whether their parenting practices were similar to those of their spouses, and whether they involved their children in their activities. Fathers also reported their resource-seeking behaviors as well as their contribution to the home food environment, which affected their children's health behaviors. CONCLUSION: Fathers' perspectives on their influence on children's health behaviors reveal their unique paternal role in influencing children's health behaviors. Fathers' perspectives could be incorporated into future nursing research to examine the relationship between fathers' roles and children's health behaviors to develop better health intervention programs.

Influence of parenting styles in the context of adolescents' energy balance-related behaviors: Findings from the FLASHE study.

Lack of compliance with dietary and activity guidelines contributes to the high prevalence of overweight and obesity among adolescents. Intervention programs need enhanced strategies to promote healthy lifestyle behaviors. Although adolescents have more autonomy than younger children, parents still play an important role in influencing adolescents' energy balance-related behaviors (EBRBs). Parenting style may have an overarching effect on adolescents' EBRBs. The purpose of this study was to inform improvements to the design of intervention programs for the parents of adolescents by examining influences of parenting styles on adolescents' EBRBs. The current study used data from the Family Life, Activity, Sun, Health, and Eating (FLASHE) Study, which was an online survey on factors affecting adolescents' EBRBs among a national sample of adolescent-parent dyads (n = 1521; aged 12-17). Adolescents reported parenting dimensions of responsiveness and demandingness as well as parenting practices related to fruit and vegetable intake, junk food and sugary drink intake, physical activity, and screen time. They also reported food intake frequencies and time spent in physical activity and sedentary behaviors. Moderation and mediation analyses found that the potential protective effect of junk food/sugary drink- and physical activity-related parenting practices were significant among non-authoritarian parents. In addition, parenting styles had significant associations with adolescents' EBRBs after adjusting for the mediation effects of corresponding parenting practices. These findings suggest that further research and intervention programs need to consider the potential influence of parenting styles on adolescents' EBRBs. Parenting skill education to improve the connection between parents and adolescents may enhance the effectiveness of healthy lifestyle interventions.

A Developmental Perspective on Young Adult Romantic Relationships: Examining Family and Individual Factors in Adolescence.

The ability to develop and maintain healthy romantic relationships is a key developmental task in young adulthood. The present study investigated how adolescent interpersonal skills (assertiveness, positive engagement) and family processes (family climate, parenting practices) influence the development of young adult romantic relationship functioning. We evaluated cross-lag structural equation models with a sample of 974 early adolescents living in rural and semi-rural communities in Pennsylvania and Iowa, starting in sixth grade (mean age = 12.4, 62.1% female) and followed into young adulthood (mean age = 19.5). Findings revealed that adolescents who had experienced a more positive family climate and more competent parenting reported more effective problem-solving skills and less violent behavior in their young adult romantic relationships. Adolescent assertiveness was consistently positively associated with relationship problem-solving skills, and adolescents' positive engagement with their family was associated with feeling more love in young adult romantic relationships. In addition, family functioning and adolescent interpersonal skills exhibited some reciprocal relations over the adolescent years. In summary, family processes and interpersonal skills are mutually influenced by each other across adolescence, and both have unique predictive implications to specific facets of young adult romantic relationship functioning.

Impact of self-efficacy and parenting practice on physical activity among school children.

As insufficient engagement in physical activity (PA) is becoming a major health concern in Thailand, we aimed to investigate the impact of parenting practices and children's self-efficacy on a child's PA level and further in the subgroups, stratified by the child's sex and weight status. A total of 609 primary school children recruited by cluster sampling in two schools were asked to complete questionnaires, and general familial factors and parenting practice related to activities were completed by parents. Multivariate linear regressions were conducted to calculate the standardized beta-coefficients (ß). Children's PA level was positively related to greater support seeking self-efficacy (ß=0.281) for engaging in PA, and parenting practices, including less limit setting (ß=-0.124) and more discipline (ß=0.147) in the total sample. In the analyses of subgroups by a child's sex and weight status, parenting practice, such as less limit setting and discipline played a more important role in children's PA in normal weight children and girls as taking account of around 10% of variance of the child's PA, while only seeking support self-efficacy showed great impact in overweight children and boys. In conclusion, impacts of children's self-efficacy and parenting practices on children's PA were different by child's sex and weight status. This can suggest that future interventions to increase children's PA might need to consider different strategies to increase children's self-efficacy as well as parenting strategies when targeting different groups of children.

Linkages Between Parenting Practices and Adolescents' Life Satisfaction: The Mediating Role of Resilience.

Background: Life satisfaction is a critical antecedent of adolescents' positive development in many domains. To promote adolescents to feel more satisfied with their lives, it is important to identify the factors influencing life satisfaction and to further investigate the inner mechanisms. The purpose of this research was to examine whether parenting practices were closely associated with life satisfaction among Chinese adolescents and whether these associations were mediated by adolescents' resilience. Methods: In this one-year interval longitudinal study, 353 students (50.7% girls) in Grade 7 and Grade 10 were recruited as participants. At the first wave of assessment, they reported parenting practices and resilience; at the second wave of assessment, they rated the level of life satisfaction. Results: The results of this study revealed that parental responsiveness, demandingness, and autonomy granting promoted adolescents' life satisfaction. Additionally, parental responsiveness and demandingness positively predicted adolescents' life satisfaction through the mediating effect of adolescents' resilience; however, resilience did not significantly mediate the relation between autonomy granting and adolescents' life satisfaction. Conclusion: Adolescents' resilience plays a mediating role in the relations between parental responsiveness and demandingness and adolescents' life satisfaction. The present study highlights the significance of providing adolescents with positive parenting practices and promoting adolescents' development of resilience to elevate their life satisfaction.

Association of Prosocial Behavior Between Mothers and Their Child with Autism Spectrum Disorder: The Mediating Role of Maternal Parenting.

The relationship between maternal parenting and the prosocial behavior of a child with autism spectrum disorder (ASD) was tested cross-sectionally (Study 1) and longitudinally (Study 2). In Study 1, maternal prosocial behavior was moderately associated with child behavior, and maternal positive parenting completely mediated this relationship. In Study 2, we found that the association between guidance (T1) and maternal prosocial behavior (T2) was significant, as were the longitudinal and mutual associations between high control and child prosocial behavior. However, a mediating effect of any component of parenting was not found in the longitudinal data. These results suggest an important role for maternal parenting in the development of prosocial behavior in children with ASD.

Parenting Practices and Adolescents' Eating Behaviors in African American Families.

Parents play an important role in developing the eating behaviors of their children by adopting specific parenting practices. As the prevalence of obesity is high amongst African American adolescents, investigations into associations of specific parenting practices and adolescents' eating behaviors are essential. In this exploratory study, 14 African American parent-adolescent dyads were interviewed to characterize the influence of eight different parenting practices on the consumption of three main food categories (dairy, fruits and vegetables, and unhealthy snacks). The results revealed that authoritarian parenting practices were correlated with a higher BMI percentile in adolescents, whereas modeling and monitoring are correlated with a higher parent BMI. In addition, reasoning, monitoring, modeling, and authoritative parenting practices were associated with less unhealthy snack consumption among adolescents. Reasoning and monitoring were the only parenting practices associated with higher fruit and vegetable consumption. Finally, a significant correlation was found between eating fruits and vegetables and unhealthy snacks and the location of eating. In conclusion, different parenting practices and environmental factors may impact BMI and food consumption of African American dyads. The results of this study can be used to guide improvement in, and/or development of, nutritional education interventions considering the cultural differences of racial minorities.

Psychometric Properties of a Comprehensive Parenting Practice Measure for Parents of Adolescents.

Many measures exist that assess parenting skills and practices. Few comprehensive measures for parents of adolescents (13-17 years) exist. The aim of the current study was to develop a comprehensive assessment measure of parenting practices based on items from existing measures. Research and clinical settings can benefit from the advancement of a valid and more inclusive measure of parenting to assess youth behavior and functioning. This study utilized a sample that included 387 caregivers and youth (mean age of youth = 13.6, SD = .59) from a longitudinal study examining contextual influences on youths'substance use initiation. Exploratory factor analysis (EFA) was conducted on 12 parent-report measures of parenting. Confirmatory factor analysis (CFA) was conducted on a second sample, which included peers (N = 362, mean age of peers = 13.6, SD = 1.09) and peers' caregivers of the youth included in the original sample. The EFA results indicated a three-factor solution (i.e., parental knowledge and affective relationships, parental control, parental communication and involvement), which was supported in the CFA. The final measure demonstrated strong internal consistency and satisfactory convergent and discriminant validity. This study supported the sound psychometrical features of the Parenting Practice Measure (PPM), a comprehensive measure of parenting quality for adolescent samples. The PPM can serve as a tool for clinicians to design more targeted treatment plans and evaluate the effectiveness of treatments when working with parents with children in the early teenage years.

Effects of childhood adversity trajectories on mental health outcomes in late adolescence: The buffering role of parenting practices in Taiwan.

BACKGROUND: Childhood adversities (CAs) have been linked with unfavorable development; however, the chronic trajectories of multiple CAs and possible heterogeneous effects are understudied. OBJECTIVES: This study examined the trajectories of multiple CAs and their associations with mental health outcomes in adolescence and investigated the buffering effect of parenting practices. PARTICIPANTS AND SETTING: We used population-representative data from the Taiwan Education Panel Survey (2005 and 2007, n = 10,416). METHODS: This study was based on retrospectively self-reporting of six CAs, namely physical abuse, family economic hardship, parental problematic drinking, parental catastrophic health problems, parental divorce, and parental death, at three developmental periods: early childhood, middle childhood, and early adolescence. Group-based multitrajectory modeling and multiple regressions were used to identify distinct trajectories of multiple CAs and evaluate the association estimates. RESULTS: A total of four trajectory groups were identified: increasing family economic hardship (12.3 %), chronic physical abuse (3.3 %), chronic parental problematic drinking (2.8 %), and low adversity (81.6 %). The chronic physical abuse group had the highest levels of depressive symptoms (ß = 6.61, p < .001) and suicidal ideation (Adjusted Odds Ratio [AOR] = 2.67, p < .001), whereas the chronic parental problematic drinking group had the highest level of substance abuse (AOR = 4.59, p < .001). Positive parental practices buffered the harmful effects of increasing family economic hardship in late adolescence, particularly for depressive symptoms and substance abuse. CONCLUSIONS: Adverse mental health outcomes varied among groups with distinct multiple CA trajectories. The provision of social services to train or support positive parenting practices in families experiencing economic hardship is a potentially valuable resilience strategy.

[Practice of parenting and related factors on children aged 0-5 in the urban areas of China].

Objective: To characterize the relations between the practice of parenting and associated factors on children (0-5 years old) in urban areas of China, in order to provide evidence for promoting the early development of children and to provide positive guidance and service programs on parenting. Methods: A total of 4 515 parents from 15 cities (14 provinces) were surveyed with a self-administered questionnaire. Parenting and Family Adjustment Scales (PAFAS) was used, including parameters as: consistency and coercive parenting, positive encouragement, parent-child relationship and parental emotion adjustment, family relationship and parental teamwork aspects, etc. Both single factor analysis and multiple linear regression were used to examine the associations between parenting practice, individual, parental and family factors. Results: The mean score of PAFAS was 21.00 (15.00-28.00), associated with factors as children's age, only-child family, premature delivery, father's education level, confidence on parenting, problems regarding the parental mood, annual family income, family structure and behavior on seeking professional help, etc. Results showed that there were big differences on the practice of parenting in China and influenced by variety of factors. Conclusions: The general situation of parenting was well, in the urban areas of China. The practice of parenting was associated with a series of individual, parental and family factors. Programs on improving the parenting skills and promoting the early development of children, should be highlighted.

A longitudinal study of socioeconomic status, family processes, and child adjustment from preschool until early elementary school: the role of social competence.

OBJECTIVE: Using a short-term longitudinal design, this study examined the concurrent and longitudinal relationships among familial socioeconomic status (SES; i.e., family income and maternal and paternal education levels), marital conflict (i.e., constructive and destructive marital conflict), parenting practices (i.e., positive and negative parenting practices), child social competence (i.e., social skills), and child behavioral adjustment (i.e., internalizing and externalizing problems) in a comprehensive model. METHODS: The sample included a total of 1604 preschoolers aged 5 years at Time 1 and first graders aged 6 years at Time 2 (51.5% male). Parents completed a self-reported questionnaire regarding their SES, marital conflict, parenting practices, and their children's behavioral adjustment. Teachers also evaluated the children's social competence. RESULTS: The path analysis results revealed that Time 1 family income and maternal and paternal education levels were respectively related to Time 1 social skills and Time 2 internalizing and externalizing problems, both directly and indirectly, through their influence on destructive and constructive marital conflict, as well as negative and positive parenting practices. Notably, after controlling for Time 1 behavioral problems as mediating mechanisms in the link between family factors (i.e., SES, marital conflict, and parenting practices) and behavioral adjustment, Time 1 social skills significantly and inversely influenced both the internalization and externalization of problems at Time 2. CONCLUSIONS: The merit of examining SES, marital conflict, and parenting practices as multidimensional constructs is discussed in relation to an understanding of processes and pathways within families that affect child mental health functioning. The results suggest social competence, which is influenced by the multidimensional constructs of family factors, may prove protective in reducing the risk of child maladjustment, especially for children who are socioeconomically disadvantaged.

Impacto de práticas parentais de peso e dieta na imagem corporal de adolescentes do sexo feminino / Impact of weight and diet parenting practices on body image of female adolescents

RESUMO Objetivo Avaliar as práticas parentais de peso e alimentação e sua relação com a insatisfação da imagem corporal em adolescentes. Métodos As análises referem-se aos dados de base de um ensaio clínico randomizado previamente realizado com 270 adolescentes do sexo feminino de escolas públicas de São Paulo que participaram do Programa New Moves Brasil durante os anos de 2014 e 2015. Dados antropométricos, nível econômico, insatisfação com a imagem corporal, autoestima e práticas parentais sobre a ótica das adolescentes quanto à alimentação e corpo foram coletados. Um modelo de regressão logística múltipla foi conduzido para avaliar a influência das variáveis sobre a insatisfação com a imagem corporal das adolescentes. Resultados Adolescentes que estavam acima do peso tinham média/baixa autoestima, sofriam provocações relativas ao peso e faziam menos refeições em família tiveram associação com a insatisfação com a imagem corporal. Na análise de regressão, somente o comentário sobre o peso da filha foi considerado como um fator de risco, e esse deixa de existir quando há o convívio de ambos os pais com as filhas. Em relação à influência do pai, no modelo de convivência familiar, ele pode ser tanto um modelo positivo, na influência de escolhas saudáveis, quanto negativo, ao fazer provocações sobre peso e o incentivar fazer dietas. Conclusões Práticas parentais relacionadas ao peso e alimentação são consideradas de risco para o desenvolvimento de uma insatisfação com a imagem corporal e consequente predisposição a problemas relacionados ao peso.

ABSTRACT Objective To evaluate parenting practices of weight and diet and their relationship with body image dissatisfaction in adolescents. Methods Data analysis refers to baseline data of a randomized clinical trial previously conducted with 270 female adolescents from public schools in São Paulo, who participated in the New Moves Brazil Program during 2014 and 2015. Anthropometric data, economic level, body dissatisfaction with body image, self-esteem, and parental practices of weight and diet from adolescents' perspective were collected. A multiple logistic regression model was conducted to evaluate the influence of the variables on the dissatisfaction with body image of adolescents. Results Adolescents who were overweight, had medium/low self-esteem, suffered from weight teasing, and ate less family meals were associated with body image dissatisfaction. In the regression analysis, only comments about daughter's weight were considered as a risk factor that ceases to exist when both parents live with their daughters. Regarding influence of father, in a family coexistence model, he can be both a positive model, in the influence of healthy choices, and a negative one in teasing about weight and encouraging dieting. Conclusions Parental practices related to weight and diet are considered as risk factor for the development of dissatisfaction with body image, and can consequently predispose to weight-related problems.

Practice of parenting and related factors on children aged 0-5 in the urban areas of China / 中华流行病学杂志

Objective@#To characterize the relations between the practice of parenting and associated factors on children (0-5 years old) in urban areas of China, in order to provide evidence for promoting the early development of children and to provide positive guidance and service programs on parenting.@*Methods@#A total of 4 515 parents from 15 cities (14 provinces) were surveyed with a self-administered questionnaire. Parenting and Family Adjustment Scales (PAFAS) was used, including parameters as: consistency and coercive parenting, positive encouragement, parent-child relationship and parental emotion adjustment, family relationship and parental teamwork aspects, etc. Both single factor analysis and multiple linear regression were used to examine the associations between parenting practice, individual, parental and family factors.@*Results@#The mean score of PAFAS was 21.00 (15.00-28.00), associated with factors as children’s age, only-child family, premature delivery, father’s education level, confidence on parenting, problems regarding the parental mood, annual family income, family structure and behavior on seeking professional help, etc. Results showed that there were big differences on the practice of parenting in China and influenced by variety of factors.@*Conclusions@#The general situation of parenting was well, in the urban areas of China. The practice of parenting was associated with a series of individual, parental and family factors. Programs on improving the parenting skills and promoting the early development of children, should be highlighted.

Relationship of Behavioral Problems, Parenting Practice and School Life in Children with Atopic Dermatitis / 소아알레르기및호흡기학회지

PURPOSE: To identify relationship of behavioral problems, parenting practice and school life in children with atopic dermatitis. METHODS: The participants were parents of 102 school-aged children with atopic dermatitis. The instruments used were a self-reported questionnaire on K-CBCL, Childrearing Behavior Questionnaire, and measurements of relationship with friends and teachers. Descriptive, Pearson correlation and multiple regression analyses were performed. RESULTS: There was no statistically significant relationship between behavior problems for gender, age, parent's age, parent's educational level, family structure, academic achievement, and duration and severity of illness. There were significant differences in internalizing (F=3.471, P<0.05) and externalizing problems (F=3.227, P<0.05) according to economic status. In bivariate analysis, rejection-nonintervention maternal parenting practice (r=0.293, P<0.05), the relationship with friends (r=-0.297, P<0.05) and the relationship with teachers (r=-0.252, P<0.05) were significantly correlated with internalizing problems and rejection-nonintervention maternal parenting practice (r=0.257, P<0.05), rejection-nonintervention paternal parenting practice (r=0.274, P< 0.05), the relationship with friends (r=-0.275, P<0.05) and the relationship with teachers (r= -0.263, P<0.05) were significantly correlated with externalizing problems. However, the results of multiple regression analysis showed that only the relationship with friends (beta=-1.412, P<0.05) was significantly associated with internalizing problems and rejection-nonintervention maternal parenting practice (beta=-0.458, P<0.05), the relationship with friends (beta=0.402, P<0.05) were significantly associated with externalizing problems. CONCLUSION: School-aged children with atopic dermatitis who reported lower socioeconomic status, reported higher rejection-nonintervention parenting practice and had a poor relationship with friends and teachers showed higher internalizing and externalizing problems. A comprehensive intervention program for children with atopic dermatitis is recommended to promote the development of positive relationships with parents, friend and teachers.