TY - JOUR
T1 - Valid and Reliable Measure of Adherence to Satter Division of Responsibility in Feeding
AU - Lohse, Barbara
AU - Mitchell, Diane C.
N1 - Funding Information:
The work in this manuscript was funded by the USDA, Food and Nutrition Services Supplemental Nutrition Assistance Program Education program through an agreement between The Pennsylvania Department of Human Services and the Pennsylvania Nutrition Education TRACKS, The Pennsylvania State University. The authors acknowledge the staff of The Pennsylvania State University Diet Assessment Center for assistance with dietary data collection and preparation, Kathryn Faulring, MPH, CHES, for her assistance with manuscript preparation, and Ellyn Satter, MS, for her contributions to the research. Some descriptive components of this study were presented in the 2015 annual meeting of the Society for Nutrition Education and Behavior in Pittsburgh, PA.
Funding Information:
The work in this manuscript was funded by the USDA, Food and Nutrition Services Supplemental Nutrition Assistance Program Education program through an agreement between The Pennsylvania Department of Human Services and the Pennsylvania Nutrition Education TRACKS, The Pennsylvania State University.
Publisher Copyright:
© 2020 The Authors
PY - 2021/3
Y1 - 2021/3
N2 - Objective: To examine the validity and psychometrics of sDOR.2-6y, a 12-item measure of adherence to the Satter Division of Responsibility in Feeding (sDOR). Design: Cross-sectional survey. Setting: Online respondents in central Pennsylvania. Participants: 117 parents (94% female, 77% White, 62% in ≥1 income-based assistance program) of preschoolers aged 2–6 years (28% moderate/high nutrition risk). Main Outcome Measures: The sDOR.2-6y and Nutrition Screening Tool for Every Preschooler (NutriSTEP), a measure of child nutrition risk and other validated measures of eating behavior and parent feeding practices. Analysis: Relationships were evaluated with Pearson r, t tests, ANOVA, or chi-square. Factor structure was investigated using principal components analysis with varimax rotation. Binary logistic regression and general linear model controlling for low-income status compared with sDOR.2-6y and NutriSTEP scores. Linear regression predicted NutriSTEP and Satter Eating Competence Inventory 2.0 scores from sDOR.2-6y. Results: The sDOR.2-6y ranged from 16–32 (mean, 25.9 ± 3.3; n = 114). Parents of youth at nutrition risk had lower sDOR.2–6y scores (P = 0.004). Each 1 point sDOR.2-6y increase decreased nutrition risk odds by 21% (95% confidence interval, 0.675–0.918; P = 0.002). The sDOR.2-6y scores were higher with less restriction and pressure to eat (both P < 0.001) and were associated with feeding style. Specificity was 87% with sDOR.2-6y cutoff ≥24; sensitivity was 66% with cutoff ≥26. Conclusions and Implications: The sDOR.2-6y accurately and reliably indicated adherence of low-income mothers to sDOR. Larger, diverse samples for future studies are recommended.
AB - Objective: To examine the validity and psychometrics of sDOR.2-6y, a 12-item measure of adherence to the Satter Division of Responsibility in Feeding (sDOR). Design: Cross-sectional survey. Setting: Online respondents in central Pennsylvania. Participants: 117 parents (94% female, 77% White, 62% in ≥1 income-based assistance program) of preschoolers aged 2–6 years (28% moderate/high nutrition risk). Main Outcome Measures: The sDOR.2-6y and Nutrition Screening Tool for Every Preschooler (NutriSTEP), a measure of child nutrition risk and other validated measures of eating behavior and parent feeding practices. Analysis: Relationships were evaluated with Pearson r, t tests, ANOVA, or chi-square. Factor structure was investigated using principal components analysis with varimax rotation. Binary logistic regression and general linear model controlling for low-income status compared with sDOR.2-6y and NutriSTEP scores. Linear regression predicted NutriSTEP and Satter Eating Competence Inventory 2.0 scores from sDOR.2-6y. Results: The sDOR.2-6y ranged from 16–32 (mean, 25.9 ± 3.3; n = 114). Parents of youth at nutrition risk had lower sDOR.2–6y scores (P = 0.004). Each 1 point sDOR.2-6y increase decreased nutrition risk odds by 21% (95% confidence interval, 0.675–0.918; P = 0.002). The sDOR.2-6y scores were higher with less restriction and pressure to eat (both P < 0.001) and were associated with feeding style. Specificity was 87% with sDOR.2-6y cutoff ≥24; sensitivity was 66% with cutoff ≥26. Conclusions and Implications: The sDOR.2-6y accurately and reliably indicated adherence of low-income mothers to sDOR. Larger, diverse samples for future studies are recommended.
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U2 - 10.1016/j.jneb.2020.11.007
DO - 10.1016/j.jneb.2020.11.007
M3 - Article
C2 - 33423902
AN - SCOPUS:85099117188
VL - 53
SP - 211
EP - 222
JO - Journal of Nutrition Education
JF - Journal of Nutrition Education
SN - 1499-4046
IS - 3
ER -