Parents’ use of coercive and indulgent feeding practices for children with avid eating behaviour: an Ecological Momentary Assessment study

Abstract Background Children with avid eating behaviour display high food responsiveness, high emotional overeating and low sensitivity to fullness; behaviours which may increase the risk of obesity and are challenging for parents to manage. This study explores the situational predictors of coercive...

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Main Authors: Abigail Pickard, Katie L. Edwards, Claire Farrow, Emma Haycraft, Moritz Herle, Clare Llewellyn, Helen Croker, Alice Kininmonth, Jacqueline Blissett
Format: Article
Language:English
Published: BMC 2025-02-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:https://doi.org/10.1186/s12966-025-01715-w
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author Abigail Pickard
Katie L. Edwards
Claire Farrow
Emma Haycraft
Moritz Herle
Clare Llewellyn
Helen Croker
Alice Kininmonth
Jacqueline Blissett
author_facet Abigail Pickard
Katie L. Edwards
Claire Farrow
Emma Haycraft
Moritz Herle
Clare Llewellyn
Helen Croker
Alice Kininmonth
Jacqueline Blissett
author_sort Abigail Pickard
collection DOAJ
description Abstract Background Children with avid eating behaviour display high food responsiveness, high emotional overeating and low sensitivity to fullness; behaviours which may increase the risk of obesity and are challenging for parents to manage. This study explores the situational predictors of coercive or indulgent feeding practices among parents of children with avid eating behaviours using Ecological Momentary Assessment (EMA). Methods The study involved 109 parents of 3-5-year-old children exhibiting avid eating behaviour. Over 10 days, participants completed EMA surveys via a mobile app to report on their mood, stress, feeding goals, and feeding practices during eating occasions. Multilevel modelling was used to assess how parental mood, goals, and the eating context (e.g., meal versus snack, public versus private setting) influenced feeding practices. Results Parents were more likely to use specific coercive or indulgent feeding practices when experiencing higher stress, when aiming to avoid mealtime conflict, and during meals versus snacks. A negative meal atmosphere and a public setting also increased the likelihood of certain indulgent practices. Notably, parents were more likely to report giving their child food to calm them down or help manage their behaviour when the meal atmosphere was perceived as negative and if they aimed to reduce conflict at the meal. The findings highlight that the context of feeding occasions significantly drives the use of coercive or indulgent feeding practices. Conclusions Parental stress, goals, and the eating context are key determinants of coercive or indulgent feeding practices with children exhibiting avid eating behaviours. Interventions to support parents should consider these dynamic factors, promoting healthier feeding strategies tailored to real-life contexts.
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spelling doaj-art-738dea91d7714ea4bbfef5649a275a182025-02-09T12:54:43ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682025-02-0122111010.1186/s12966-025-01715-wParents’ use of coercive and indulgent feeding practices for children with avid eating behaviour: an Ecological Momentary Assessment studyAbigail Pickard0Katie L. Edwards1Claire Farrow2Emma Haycraft3Moritz Herle4Clare Llewellyn5Helen Croker6Alice Kininmonth7Jacqueline Blissett8School of Psychology, Institute of Health and Neurodevelopment, Aston UniversitySchool of Psychology, Institute of Health and Neurodevelopment, Aston UniversitySchool of Psychology, Institute of Health and Neurodevelopment, Aston UniversitySchool of Sport, Exercise and Health Sciences, Loughborough UniversitySocial, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonResearch Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College LondonWorld Cancer Research Fund InternationalSchool of Food Science and Nutrition, Faculty of Environment, University of LeedsSchool of Psychology, Institute of Health and Neurodevelopment, Aston UniversityAbstract Background Children with avid eating behaviour display high food responsiveness, high emotional overeating and low sensitivity to fullness; behaviours which may increase the risk of obesity and are challenging for parents to manage. This study explores the situational predictors of coercive or indulgent feeding practices among parents of children with avid eating behaviours using Ecological Momentary Assessment (EMA). Methods The study involved 109 parents of 3-5-year-old children exhibiting avid eating behaviour. Over 10 days, participants completed EMA surveys via a mobile app to report on their mood, stress, feeding goals, and feeding practices during eating occasions. Multilevel modelling was used to assess how parental mood, goals, and the eating context (e.g., meal versus snack, public versus private setting) influenced feeding practices. Results Parents were more likely to use specific coercive or indulgent feeding practices when experiencing higher stress, when aiming to avoid mealtime conflict, and during meals versus snacks. A negative meal atmosphere and a public setting also increased the likelihood of certain indulgent practices. Notably, parents were more likely to report giving their child food to calm them down or help manage their behaviour when the meal atmosphere was perceived as negative and if they aimed to reduce conflict at the meal. The findings highlight that the context of feeding occasions significantly drives the use of coercive or indulgent feeding practices. Conclusions Parental stress, goals, and the eating context are key determinants of coercive or indulgent feeding practices with children exhibiting avid eating behaviours. Interventions to support parents should consider these dynamic factors, promoting healthier feeding strategies tailored to real-life contexts.https://doi.org/10.1186/s12966-025-01715-wEcological Momentary Assessment (EMA)Avid eatingPreschoolersEating behaviourCoercive/indulgent feeding
spellingShingle Abigail Pickard
Katie L. Edwards
Claire Farrow
Emma Haycraft
Moritz Herle
Clare Llewellyn
Helen Croker
Alice Kininmonth
Jacqueline Blissett
Parents’ use of coercive and indulgent feeding practices for children with avid eating behaviour: an Ecological Momentary Assessment study
International Journal of Behavioral Nutrition and Physical Activity
Ecological Momentary Assessment (EMA)
Avid eating
Preschoolers
Eating behaviour
Coercive/indulgent feeding
title Parents’ use of coercive and indulgent feeding practices for children with avid eating behaviour: an Ecological Momentary Assessment study
title_full Parents’ use of coercive and indulgent feeding practices for children with avid eating behaviour: an Ecological Momentary Assessment study
title_fullStr Parents’ use of coercive and indulgent feeding practices for children with avid eating behaviour: an Ecological Momentary Assessment study
title_full_unstemmed Parents’ use of coercive and indulgent feeding practices for children with avid eating behaviour: an Ecological Momentary Assessment study
title_short Parents’ use of coercive and indulgent feeding practices for children with avid eating behaviour: an Ecological Momentary Assessment study
title_sort parents use of coercive and indulgent feeding practices for children with avid eating behaviour an ecological momentary assessment study
topic Ecological Momentary Assessment (EMA)
Avid eating
Preschoolers
Eating behaviour
Coercive/indulgent feeding
url https://doi.org/10.1186/s12966-025-01715-w
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