“I try, I do”: Child feeding practices of motivated, low-income parents reflect trade-offs between psychosocial- and nutrition-oriented goals

Schuster, Roseanne C.; Szpak, Megan; Klein, Elizabeth G.; Sklar, Kelsey; Dickin, Katherine

doi:10.1016/j.appet.2019.01.005

Cited by 40 publications

(68 citation statements)

References 46 publications

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“…Fourthly, the results of this study indicate that women faced conflicting motivations when it came to eating healthy despite holding a general strong motivation for healthy eating in general. A similar result has been found in a study amongst low-income parents where psychosocial related child feeding goals (e.g., maintaining family relationships) and nutrition-related child feeding goals (e.g., healthy diets) created tension (Schuster et al, 2019). The authors conclude that even though parents exhibit motivation to achieve healthy eating goals, the presence and persistence of psychosocial goals often lead to less-healthy practices.…”

Section: Discussionsupporting

confidence: 81%

“…The authors conclude that even though parents exhibit motivation to achieve healthy eating goals, the presence and persistence of psychosocial goals often lead to less-healthy practices. It is important for health professionals in antenatal care to acknowledge and recognize the presence of conflicting types of motivations to help pregnant women to develop strategies to deal with these different motivations (Schuster et al, 2019). Low SES patients may also have fatalistic beliefs and mindsets which can hinder the opportunity to create an open dialogue and to work towards empowerment (Frederick & Lee, 2019).…”

Section: Discussionmentioning

confidence: 99%

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Understanding empowerment for a healthy dietary intake during pregnancy

Super

Wagemakers

2020

International Journal of Qualitative Studies on Health and Well

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Purpose : In order for health professionals to encourage pregnant women with a low socioeconomic status (SES) to move towards empowerment for a healthy dietary intake, crucial steps are to understand the perspectives of pregnant women of food and eating and to identify opportunities for empowerment. This study aimed to examine the perspectives of pregnant women on food and eating and to identify the opportunities for empowerment towards a healthy dietary intake. Methods : This was a qualitative participatory study. Thirteen semi-structured interviews were conducted with low SES pregnant women in the Netherlands and analysed using an inductive approach. Results : Five perspectives on food and eating emerged: 1) health-promoting foods and products, 2) challenges in healthy eating, 3) risky products, 4) strategies for healthy eating, and 5) motivational aspects. Opportunities for empowerment were: searching balanced and personalized information, developing strategies to implement healthy diets, navigating the social environment, and dealing with different motivations. Conclusion : Pregnant women hold diverse perspectives regarding food and eating, signalling the need to adjust dietary support from health-care professionals. Professionals in antenatal care could optimize their interactions by engaging in pregnant women’s empowerment processes to make healthy modifications to their dietary intake.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Understanding empowerment for a healthy dietary intake during pregnancy

Super

Wagemakers

2020

International Journal of Qualitative Studies on Health and Well

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“…And maternal self‐efficacy predicts optimal breastfeeding behaviors (Dennis, ; Nichols, Schutte, Brown, Dennis, & Price, ) and mediates uptake of complementary feeding interventions and behaviors (Sanghvi, Jimerson, Hajeebhoy, Zewale, & Nguyen, ; Zhang, Shi, Chen, Wang, & Wang, ; Zongrone et al, ). Our findings suggest that water insecurity further complicates the already‐difficult context that caregivers are forced to navigate to feed their child; this is important because it is often not a lack of knowledge but rather exactly those contextual barriers that shape caregiver behavior related to child feeding (Schuster, Szpak, Klein, Sklar, & Dickin, ). Future research on the effects of water insecurity on infant feeding should include assessments of caregiver self‐efficacy to unpack this relationship.…”

Section: Discussionmentioning

confidence: 92%

“If there is no water, we cannot feed our children”: The far‐reaching consequences of water insecurity on infant feeding practices and infant health across 16 low‐ and middle‐income countries

Schuster

Butler

Wutich

et al. 2019

American J Hum Biol

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Objectives: Infant feeding plays a critical role in child health and development.Few studies to date have examined the link between household water insecurity and infant feeding, and none in a cross-cultural context. Therefore, we examined the perceived impact of household water insecurity in four domains: breastfeeding, non-breastmilk feeding, caregiver capabilities, and infant health. Our research was conducted as part of the Household Water Insecurity Experiences (HWISE) study. Methods:We interviewed respondents from 19 sites in 16 low-and middleincome countries (N = 3303) about the link between water insecurity and infant feeding. We then thematically analyzed their open-ended textual responses. In each of the four domains (breastfeeding, non-breastmilk feeding, caregiver capabilities, infant health), we inductively identified cross-cultural metathemes. We analyzed the distribution of themes across sites quantitatively and qualitatively.Results: Water was perceived to directly affect breastfeeding and nonbreastmilk feeding via numerous pathways, including timing and frequency of feeding, unclean foods, and reduced dietary diversity. Water was perceived to indirectly affect infant feeding through caregiver capabilities by increasing time demands, exacerbating disease, undernutrition, and mortality, and requiring greater efficacy of caregivers. Respondents made connections between water challenges and infant health, for example, increased risk of infectious diseases, undernutrition, and mortality.Conclusions: These findings suggest that water presents many, and sometimes unexpected, challenges to infant feeding. By systematically investigating HWISE-RCN Co-Authors: Jam

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“…A structured discussion guide (see Supplementary Materials) was developed after reviewing the literature to establish content validity [33,37,38] and to ensure alignment with the objectives of the research. Development of the guide followed the methods used by Krueger and Casey [39].…”

Section: Script Development and Testingmentioning

confidence: 99%

“…For example, just under half of the participants in this study indicated they infrequently introduced new foods to their child. Limited time is a pressure that can result in authoritarian feeding practices that override strategies to develop autonomy [18,[37][38][39][40][41][42][43][44][45][46][47][48][49][50].…”

Section: Autonomy Enhancingmentioning

confidence: 99%

Exploring Feeding Practices and Food Literacy in Parents with Young Children from Disadvantaged Areas

Tartaglia

McIntosh

Jancey

et al. 2021

IJERPH

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Early childhood provides an opportunity to optimize growth and development and parents play a fundamental role in forming healthy eating habits in their children. A healthy diet improves quality of life and wellbeing and reduces the risk of chronic disease. The aim of this research was to explore parents’ experiences of feeding 0–5-year-old children and food literacy behaviors. This qualitative study employed a general inductive inquiry approach. Participants were recruited through community-based parenting organizations in disadvantaged areas. Eight focus groups were conducted with 67 parents (92.5% female) living in socially disadvantaged areas within metropolitan Perth of Western Australia. Ten themes emerged from the preliminary analysis and were aligned with domains of relatedness, autonomy, and competence within the self-determination theory. Themes included relatedness (1) feeding is emotional, (2) variations in routine and feeding structures, (3) external influences, autonomy (4) power struggles, (5) it must be quick and easy, (6) lack of strategies for feeding autonomy, competency (7) whatever works, (8) healthy is important but for some unattainable, (9) improvements in food literacy skills, and (10) conflicting information overload. This research informed the development of a food literacy program for parents. Parents faced many challenges when trying to provide healthy food. This research has shown parents would benefit from support to achieve healthy eating practices for their families.

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“I try, I do”: Child feeding practices of motivated, low-income parents reflect trade-offs between psychosocial- and nutrition-oriented goals

Cited by 40 publications

References 46 publications

Understanding empowerment for a healthy dietary intake during pregnancy

Understanding empowerment for a healthy dietary intake during pregnancy

“If there is no water, we cannot feed our children”: The far‐reaching consequences of water insecurity on infant feeding practices and infant health across 16 low‐ and middle‐income countries

Exploring Feeding Practices and Food Literacy in Parents with Young Children from Disadvantaged Areas

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