“An invisible map” - maternal perceptions of hunger, satiation and ‘enough’ in the context of baby led and traditional complementary feeding practices

Abstract

This is a repository copy of "An invisible map" -maternal perceptions of hunger, satiation and 'enough' in the context of baby led and traditional complementary feeding practices.

Barriers and enablers to caregivers' responsive feeding behaviour: A systematic review to inform childhood obesity prevention

“…The overarching enabling skill identified in six of the nine qualitative studies was parents' ability to recognise their child's feeding cues and signs 47,52,56,57,61,65 . Recognizing their child's feeding cues was evident for parents who were milk feeding and for those who were feeding solid food.…”

“…The majority of studies were conducted in the USA ( n = 20), 24–43 followed by Australia ( n = 10), 44–53 United Kingdom ( n = 8), 54–61 New Zealand ( n = 1), 62 Norway ( n = 2), 63,64 and Sweden ( n = 1) 65 . Thirty‐four studies, reported in 33 papers, employed a quantitative design, including RCTs of an intervention ( n = 5), 32,39,50,62,63 observational cohort studies ( n = 8), 24,27–29,35,54,59,60 cross‐sectional studies ( n = 11), 24,30,38,41–44,46,48,53,64 a case–control study, 26 a within‐subject experimental study, 40 a quasi‐experimental study, 51 and observational descriptive/measurement development 31 .…”

“…Six studies undertook secondary analyses; two used cross‐sectional data, 25,37 two studies used data from observational cohort studies, 33,45 one used control group data, 34 and one used data from an RCT 36 . Nine studies utilised qualitative methodology, 47,49,52,55–58,61,65 including one study informed by feminist theory 55 and one which used the COM‐B framework 52 . The remaining seven studies used inductive thematic analysis ( n = 3), 47,49,58 content analysis ( n = 2), 57,65 and template analysis 61 ; one qualitative study did not report their methods 56 .…”

“…Quality assessment scores are presented in Supporting Information S1–S3. Only one qualitative paper failed to meet the MMAT criteria for screening 56 : the majority clearly addressed the research questions 47,52,55,57,58,61,65 and derived their findings adequately from the data 47,49,52,55,57,58,61 . The randomised trials all conducted appropriate randomization and had comparable groups at baseline 32,36,39,50,62,63 .…”

“…The influence of psychological capability on responsive feeding was identified in 17 studies 32,36,39,43,47,49–52,55–58,61–63,65 . Four barriers and enablers were identified related to psychological capability: (1) responsive feeding skills; (2) knowledge and understanding of feeding, appetite, and nutrition; (3) caregiver attitude to who controls feeding; and (4) education to support responsive feeding.…”