Influences on infant feeding decisions of first-time mothers in five European countries

Gage, Heather; Williams, Peter; Hoewel, Julia A. von Rosen-Von; Laitinen, Kirsi; Jakobik, Viktoria; Martín-Bautista, Elena; Schmid, Martina; Egan, Bernadette; Morgan, Jane; Décsi, Támas; Campoy, Cristina; Koletzko, Berthold; Raats, Monique M.

doi:10.1038/ejcn.2012.56

Cited by 32 publications

(40 citation statements)

References 41 publications

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“…The DoH adopted that recommendation in 2003, also stating that solid foods should never be given to babies under 17 weeks 1 2. Premature introduction of solid foods has long been a concern in the UK, and following the change in recommendations, the proportion of infants introduced to solid foods before 4 months of age dropped from 51% in 2005 to only 30% in 201018 and similar trends have also been reported in the USA9 and other European countries 19. Despite this, 43% of infant foods were labelled as being suitable ‘from age 4 months’ which, while compatible with the EC Directive that ‘the stated age shall not be less than 4 months for any product’,20 seems likely to offer encouragement to introduce complementary foods before 6 months.…”

Section: Discussionmentioning

confidence: 65%

Nutritional content of infant commercial weaning foods in the UK

García

Raza

Parrett

et al. 2013

Archives of Disease in Childhood

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Section: Discussionmentioning

confidence: 65%

Nutritional content of infant commercial weaning foods in the UK

García

Raza

Parrett

et al. 2013

Archives of Disease in Childhood

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“…Some studies have shown that mothers from a disadvantaged background were less likely to use the Internet as a source of information for infant feeding [47]. A strength of our study was that approximately equal number of participants of both high and low educational background were recruited unlike other mHealth programs targeted at addressing infant feeding [48].…”

Section: Discussionmentioning

confidence: 99%

Assessing User Engagement of an mHealth Intervention: Development and Implementation of the Growing Healthy App Engagement Index

Taki

Lymer

Russell

et al. 2017

JMIR Mhealth Uhealth

112

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BackgroundChildhood obesity is an ongoing problem in developed countries that needs targeted prevention in the youngest age groups. Children in socioeconomically disadvantaged families are most at risk. Mobile health (mHealth) interventions offer a potential route to target these families because of its relatively low cost and high reach. The Growing healthy program was developed to provide evidence-based information on infant feeding from birth to 9 months via app or website. Understanding user engagement with these media is vital to developing successful interventions. Engagement is a complex, multifactorial concept that needs to move beyond simple metrics.ObjectiveThe aim of our study was to describe the development of an engagement index (EI) to monitor participant interaction with the Growing healthy app. The index included a number of subindices and cut-points to categorize engagement.MethodsThe Growing program was a feasibility study in which 300 mother-infant dyads were provided with an app which included 3 push notifications that was sent each week. Growing healthy participants completed surveys at 3 time points: baseline (T1) (infant age ≤3 months), infant aged 6 months (T2), and infant aged 9 months (T3). In addition, app usage data were captured from the app. The EI was adapted from the Web Analytics Demystified visitor EI. Our EI included 5 subindices: (1) click depth, (2) loyalty, (3) interaction, (4) recency, and (5) feedback. The overall EI summarized the subindices from date of registration through to 39 weeks (9 months) from the infant’s date of birth.Basic descriptive data analysis was performed on the metrics and components of the EI as well as the final EI score. Group comparisons used t tests, analysis of variance (ANOVA), Mann-Whitney, Kruskal-Wallis, and Spearman correlation tests as appropriate. Consideration of independent variables associated with the EI score were modeled using linear regression models.ResultsThe overall EI mean score was 30.0% (SD 11.5%) with a range of 1.8% - 57.6%. The cut-points used for high engagement were scores greater than 37.1% and for poor engagement were scores less than 21.1%. Significant explanatory variables of the EI score included: parity (P=.005), system type including “app only” users or “both” app and email users (P<.001), recruitment method (P=.02), and baby age at recruitment (P=.005).ConclusionsThe EI provided a comprehensive understanding of participant behavior with the app over the 9-month period of the Growing healthy program. The use of the EI in this study demonstrates that rich and useful data can be collected and used to inform assessments of the strengths and weaknesses of the app and in turn inform future interventions.

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“…andChow, 2010, Johnson et al, 2013). A growing body of literature suggests that fathers play a vital role in their wives' breastfeeding decision and behaviors (Harwood, 2011;Bonia et al, 2013;Moore and Rempel, 2010;Swarts, Salome, Kruger and Robin, 2010;Solomon, 2010;Gage et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Fathers And Breastfeeding Process: Determining Their Role And Attitudes

Abu-Abbas

Kassab

Shelash

2016

ESJ

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Breastfeeding is a vital for infants during their early stage of life and it is considered that fathers have an important role to make this process succeed; this study was done to determine father’s attitudes and involvement in the breastfeeding process. A study survey instrument designed to measure father’s attitudes regarding breastfeeding process, the degree of their involvement and fathers` surrounded cultural effect on their involvement. Instrument were piloted with 22 fathers who met the inclusion criteria and Cronbach's alpha was 0.73 for both measures : fathers` attitudes regarding breastfeeding and fathers` involvement in the process. Then a total of 198 fathers in King Abdullah University Hospital (KAUH) in Jordan completed a self-administered questionnaire. Means and standard deviations were calculated for the measures of fathers` breastfeeding attitudes and involvement, then Pearson’s correlation analysis was conducted with an alpha level of 0.05 between the measure of fathers` involvement in breastfeeding process and surrounded cultural effect on their involvement. Result shows that fathers in had a negative attitudes and poor involvement in the breastfeeding process, and a significant correlation found between fathers` involvement in the breastfeeding process and surrounded cultural effect regarding this role (P- value = 0.01). Father may play an important role to positively influence a mother's decision to initiate and continue breastfeeding. Therefore, efforts to increase breastfeeding rates should focus on involving fathers in interventions and programs to change their attitudes and make them aware regarding their role in the breastfeeding process.

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Influences on infant feeding decisions of first-time mothers in five European countries

Cited by 32 publications

References 41 publications

Nutritional content of infant commercial weaning foods in the UK

Nutritional content of infant commercial weaning foods in the UK

Assessing User Engagement of an mHealth Intervention: Development and Implementation of the Growing Healthy App Engagement Index

Fathers And Breastfeeding Process: Determining Their Role And Attitudes

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