Postprint version. Published in Journal of Developmental & Behavioral Pediatrics, Volume 44, Issue 4, May 1, 2023, pages e315-e321.
The definitive version is available at https://doi.org/10.1097/DBP.0000000000001174.
Objectives: The primary objective was to examine associations between mothers’ television and mobile device (TV/MD) use and responsive feeding during an observed mother-toddler mealtime interaction. The secondary objective was to assess whether dimensions of child temperament were associated with mothers’ TV/MD use. Methods: Participants from a prenatal lifestyle intervention trial to prevent excess gestational weight gain among women with overweight and obesity (N 5 77) were observed during a dinnertime meal when their children were aged 19.4 6 0.9 months. Trained video coders used the Responsiveness to Child Feeding Cues Scale to rate child strength of early/subtle, positive active, and negative active satiation cues and maternal responsiveness to these cues. Coders also recorded mothers’ use of TV/MD. Child temperament was reported by mothers through the Infant Behavior Questionnaire–Revised Very Short Form. Results: Twelve percent (n 5 9) of mothers used TV/MD during the mealtime interaction. Children whose mothers used TV/MD exhibited stronger early/subtle cues (4.1 6 0.4) compared with children whose mothers did not use TV/MD (3.4 6 0.2; p 5 0.04). Mothers who used TV/MD exhibited significantly lower responsiveness to child satiation cues (2.0 6 0.4) than those who did not use TV/MD (3.4 6 0.2; p 5 0.001). Greater child temperamental negative affectivity was associated with a greater likelihood of maternal TV/MD use (OR 5 4.80, 95% CI 5 1.21, 19.03). Conclusion: Mothers’ TV/MD use was associated with greater child temperamental negative affectivity and lower responsiveness to child cues.
Kinesiology | Public Health
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