Caregiver- vs Infant-Oriented Feeding: A Model of Infant-Feeding Strategies among Special Supplemental Nutrition Program for Women, Infants, and Children Participants in Rural East Tennessee

Kavanagh, Katie; Habibi, Mona; Anderson, Kirsten; Spence, Marsha

doi:10.1016/j.jada.2010.07.009

Cited by 17 publications

(37 citation statements)

References 34 publications

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“…You know, like is this person telling me this and they probably don't even have any children? You know?’ . Parents in six studies felt HCP advice was insufficient or unhelpful in some instances .…”

Section: Resultsmentioning

confidence: 99%

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Parental experiences and perceptions of infant complementary feeding: a qualitative evidence synthesis

et al. 2017

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Section: Resultsmentioning

confidence: 99%

“…I dunno – it's just something I know. Like I know their cry from something else’ . Other hunger cues were discussed in 13 papers .…”

Section: Resultsmentioning

confidence: 99%

Parental experiences and perceptions of infant complementary feeding: a qualitative evidence synthesis

et al. 2017

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“…The decision to include a component related to social support was based on evidence that s among low-income populations, positive social support can positively impact parenting behavior [32]. However, as designed, this component was not feasible to implement; research staff only talked to 18% of the support people.…”

Section: Discussionmentioning

confidence: 99%

Application of the multiphase optimization strategy to a pilot study: an empirical example targeting obesity among children of low-income mothers

et al. 2016

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BackgroundEmerging approaches to building more efficient and effective behavioral interventions are becoming more widely available. The current paper provides an empirical example of the use of the engineering-inspired multiphase optimization strategy (MOST) to build a remotely delivered responsive parenting intervention to prevent obesity among children of low-income mothers with and without depressive symptoms.MethodsParticipants were 107 mothers with (n = 45) and without (n = 62) depressive symptoms who had a child aged 12 to 42 months participating in the Women, Infants and Children program. Participants were randomized to one of sixteen experimental conditions using a factorial design that included a combination of the following eight remotely delivered intervention components: responsive feeding curriculum (given to all participants), parenting curriculum, portion size guidance, obesogenic risk assessment, personalized feedback on mealtime routines, feeding curriculum counseling, goal setting, mobile messaging, and social support. This design enabled efficient identification of components with low feasibility and acceptability.ResultsCompletion rates were high (85%) and did not statistically differ by depressive symptoms. However, mothers with depressive symptoms who received obesogenic risk assessment and personalized feedback on mealtime routines components had lower completion rates than mothers without depressive symptoms. All intervention components were feasible to implement except the social support component. Regardless of experimental condition, most participants reported that the program increased their awareness of what, when, and how to feed their children.ConclusionsMOST provided an efficient way to assess the feasibility of components prior to testing them with a fully powered experiment. This framework helped identify potentially challenging combinations of remotely delivered intervention components. Consideration of how these results can inform future studies focused on the optimization phase of MOST is discussed.

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“…19

Did you put infant cereal in the bottle so he would sleep longer at night?

Did you put infant cereal in the bottle so he would stay full longer?

These questions assess the frequency with which cereal is added to bottles for the most common non-medical reasons identified in literature. 8–9,13 …”

Section: Methodsmentioning

confidence: 99%

Characteristics Associated With Adding Cereal Into the Bottle Among Immigrant Mother–Infant Dyads of Low Socioeconomic Status and Hispanic Ethnicity

Lucas

Messito

Gross

et al. 2017

Journal of Nutrition Education and Behavior

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Objective Determine maternal and infant characteristics associated with adding cereal into the bottle. Design Secondary data analysis Participants Study participants were immigrant, low-income, urban mother-infant dyads (n=216; 91% Hispanic, 19% US born) enrolled in a randomized controlled trial entitled the Bellevue project for Early Language, Literacy and Education Success. Main Outcome Measures Maternal characteristics (age, marital status, ethnicity, primary language, country of origin, education, work status, income, depressive symptoms and concern about infant’s future weight), and infant characteristics (gender, first born, and difficult temperament). Analysis Fisher’s exact, chi-square, and simultaneous multiple logistic regression of significant (p<.05) variables identified in unadjusted analyses. Results Twenty-seven percent of mothers added cereal into the bottle. After adjusting for confounding variables identified in bivariate analyses, mothers who were single (p=0.02), had moderate to severe depressive symptoms (p=0.01), and perceived their infant had a difficult temperament (p=0.03) were more likely to add cereal into the bottle. Conversely, mothers who expressed concern about their infants becoming overweight were less likely to add cereal (p=0.02). Implications for Research and Practice Health care providers should screen for adding cereal in infant bottles. Further research is needed to investigate the impact of adding cereal into the bottle on weight trajectories over time. Causal associations also need to be identified to effectively prevent this practice.

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Caregiver- vs Infant-Oriented Feeding: A Model of Infant-Feeding Strategies among Special Supplemental Nutrition Program for Women, Infants, and Children Participants in Rural East Tennessee

Cited by 17 publications

References 34 publications

Parental experiences and perceptions of infant complementary feeding: a qualitative evidence synthesis

Parental experiences and perceptions of infant complementary feeding: a qualitative evidence synthesis

Application of the multiphase optimization strategy to a pilot study: an empirical example targeting obesity among children of low-income mothers

Characteristics Associated With Adding Cereal Into the Bottle Among Immigrant Mother–Infant Dyads of Low Socioeconomic Status and Hispanic Ethnicity

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