Mealtime interactions in families of a child with cystic fibrosis: a meta-analysis

Abstract

Background: A meta-analysis was performed to examine differences in family mealtimes between families with and without a child with CF. Both global measures of family functioning during the mealtime and parent-child micro behaviors specific to feeding were compared to determine if one class of mealtime behaviors is more strongly affected.

Methods: Of 41 studies identified, 10 studies across 4 independent samples met the criteria for study inclusion. All studies included observational methodology. The mean sample age ranged from 18.6 months to 8 years and 6 months. The total aggregate sample size was 230 participants, 119 with CF and 111 comparison children.

Results: Families with children with CF encounter more difficulties during mealtimes than comparison families, and the effects on overall family functioning are greater than for parent-child micro feeding behaviors.

Conclusion: Findings suggest that future interventions should focus on the broader family context as well as behaviors specific to feeding.