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

Matvienko‐Sikar, Karen; Kelly, Colette; Sinnott, Carol; McSharry, Jenny; Houghton, Catherine; Heary, Caroline; Toomey, Elaine; Byrne, Molly; Kearney, Patricia M.

doi:10.1111/obr.12653

Cited by 42 publications

(77 citation statements)

References 85 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In considering these recommendations and all other responsibilities of caring for an infant, parents encounter challenges in adhering to infant feeding guidelines. These include mistrust of guidance from health professionals (particularly if they do not have children), early solid feeding to promote sleep, conflicting advice, and distractions of daily life/lack of time as barriers (Matvienko‐Sikar et al, ; McAndrew et al, ; O'Donovan et al, ; Redsell et al, ; Russell et al, ; Tarrant, Younger, Sheridan‐Pereira, White, & Kearney, ). Nationally representative data from the Republic of Ireland (ROI) showed that 14% of infants received solids by 16 weeks (Castro, Kearney, & Layte, ), whereas in Northern Ireland (NI), the most recently available data suggest that 35% of infants received solids before 17 weeks (McAndrew et al, ).…”

Section: Introductionmentioning

confidence: 99%

Solid advice: Complementary feeding experiences among disadvantaged parents in two countries

Tully

Allen-Walker

Spyreli

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

The initiation of complementary feeding (CF; introducing infants to food/drink other than milk) is recommended close to 6 months and not before 4 months of age. Low socio-economic status (SES) is a determinant of nonadherence to CF recommendations, but there is an evidence gap around reasons for nonadherence among these parents. This study investigated knowledge, attitudes, and practices of disadvantaged families (in terms of SES and social support) and use of guidance for CF, in the Republic of Ireland and Northern Ireland. Parents of infants aged 3-14 months were recruited via community groups. Semistructured focus groups aided by vignettes were used. Data were analysed using an inductive thematic approach. Nineteen focus groups took place with parents (n = 83). A range of factors influence parents when introducing solids. Sources of guidance extend to family, friends, the internet, and commercial resources. Parents experience uncertainty and anxiety during this time, driven by lack of knowledge and conflicting advice. Five major themes were identified: (a) more guidance that is accessible, timely, and respectfully needed; (b) the challenge of choosing safe, nutritious food; (c) "everybody has an opinion"; (d) feelings of inadequacy, embarrassment, and guilt; and (e) decisions are ultimately based on individual circumstances. CF advice should be culturally appropriate, practical, and empowering, emphasising the rationale behind updates to recommendations and consequences of nonadherence. Future training of health professionals for delivery of CF advice and guidance should consider these findings. Compliance with CF recommendations is influenced by health professionals, the wider family, and the commercial baby-food sector.

show abstract

Section: Introductionmentioning

confidence: 99%

Solid advice: Complementary feeding experiences among disadvantaged parents in two countries

Tully

Allen-Walker

Spyreli

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

show abstract

“…This is because primary care HCPs are a trusted source of information for parents (Bourgeois, Brauer, Simpson, Kim, & Haines, ; Horodynski et al , ), and come into regular contact with parents during early infancy, such as during routine vaccination visits. However, the existing evidence for the effectiveness of infant feeding interventions to prevent childhood obesity, including those delivered by HCPs in health care contexts, is inconsistent (Blake‐Lamb et al , ; Graziose, Downs, O’Brien, & Fanzo, ; Hesketh & Campbell, ; Laws et al , ; Matvienko‐Sikar et al , ; Redsell, Edmonds, Swift, & et al , ). Several systematic reviews have previously demonstrated variable effects of infant feeding interventions on both feeding and weight outcomes (Blake‐Lamb et al , ; Graziose et al , ; Hesketh & Campbell, ; Laws et al , ; Matvienko‐Sikar et al , ; Redsell et al , ).…”

Section: Introductionmentioning

confidence: 99%

“…However, the existing evidence for the effectiveness of infant feeding interventions to prevent childhood obesity, including those delivered by HCPs in health care contexts, is inconsistent (Blake‐Lamb et al , ; Graziose, Downs, O’Brien, & Fanzo, ; Hesketh & Campbell, ; Laws et al , ; Matvienko‐Sikar et al , ; Redsell, Edmonds, Swift, & et al , ). Several systematic reviews have previously demonstrated variable effects of infant feeding interventions on both feeding and weight outcomes (Blake‐Lamb et al , ; Graziose et al , ; Hesketh & Campbell, ; Laws et al , ; Matvienko‐Sikar et al , ; Redsell et al , ). However, these reviews identified a number of methodological flaws and quality issues within existing interventions, including poor application or use of behaviour change theory (Hesketh & Campbell, ; Matvienko‐Sikar et al , ; Redsell et al , ), a lack of systematic approach to intervention development (Graziose et al , ), significant heterogeneity in outcome measurement and reporting (Laws et al , ; Matvienko‐Sikar et al , ), and an insufficient focus on the internal and external validity of the intervention (e.g., intervention fidelity delivery and adherence) (Redsell et al , ; Toomey et al , ).…”

Section: Introductionmentioning

confidence: 99%

“…Several systematic reviews have previously demonstrated variable effects of infant feeding interventions on both feeding and weight outcomes (Blake‐Lamb et al , ; Graziose et al , ; Hesketh & Campbell, ; Laws et al , ; Matvienko‐Sikar et al , ; Redsell et al , ). However, these reviews identified a number of methodological flaws and quality issues within existing interventions, including poor application or use of behaviour change theory (Hesketh & Campbell, ; Matvienko‐Sikar et al , ; Redsell et al , ), a lack of systematic approach to intervention development (Graziose et al , ), significant heterogeneity in outcome measurement and reporting (Laws et al , ; Matvienko‐Sikar et al , ), and an insufficient focus on the internal and external validity of the intervention (e.g., intervention fidelity delivery and adherence) (Redsell et al , ; Toomey et al , ). Overall, the findings of these reviews suggested that multi‐component interventions underpinned by theory that incorporate a responsive feeding focus may have the most potential to impact on feeding and weight outcomes (Blake‐Lamb et al , ; Graziose et al , ; Hesketh & Campbell, ; Laws et al , ; Matvienko‐Sikar et al , ; Redsell et al , ).…”

Section: Introductionmentioning

confidence: 99%

“…However, these reviews identified a number of methodological flaws and quality issues within existing interventions, including poor application or use of behaviour change theory (Hesketh & Campbell, ; Matvienko‐Sikar et al , ; Redsell et al , ), a lack of systematic approach to intervention development (Graziose et al , ), significant heterogeneity in outcome measurement and reporting (Laws et al , ; Matvienko‐Sikar et al , ), and an insufficient focus on the internal and external validity of the intervention (e.g., intervention fidelity delivery and adherence) (Redsell et al , ; Toomey et al , ). Overall, the findings of these reviews suggested that multi‐component interventions underpinned by theory that incorporate a responsive feeding focus may have the most potential to impact on feeding and weight outcomes (Blake‐Lamb et al , ; Graziose et al , ; Hesketh & Campbell, ; Laws et al , ; Matvienko‐Sikar et al , ; Redsell et al , ). The reviews also highlighted a limited focus on implementation and long‐term sustainability, and a need for future research to develop multi‐level behaviour change interventions that target beyond the individual/family level alone, and that can be embedded into routine service delivery (Blake‐Lamb et al , ; Graziose et al , ; Laws et al , ; Redsell et al , ; Waters et al , ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A collaborative approach to developing sustainable behaviour change interventions for childhood obesity prevention: Development of the Choosing Healthy Eating for Infant Health (CHErIsH) intervention and implementation strategy

Toomey

Matvienko‐Sikar

Doherty

et al. 2020

British J Health Psychol

View full text Add to dashboard Cite

Objectives and Design. There is growing recognition of the need for effective behaviour change interventions to prevent chronic diseases that are feasible and sustainable and can be implemented within routine health care systems. Focusing on implementation from the outset of intervention development, and incorporating multiple stakeholder perspectives to achieve this, is therefore essential. This study explores the development of the Choosing Healthy Eating for Infant Health (CHErIsH) childhood obesity prevention intervention and implementation strategy to improve infant feeding behaviours.Methods. Five qualitative and quantitative evidence syntheses, two primary qualitative studies, and formal/informal consultations were conducted with practice, policy, Results. The CHErIsH intervention targets parent-level behaviour change and comprises (1) brief verbal messages and (2) trustworthy resources, to be delivered by health care professionals (HCPs) during routine infant vaccination visits. The implementation strategy targets HCP-level behaviour change and comprises (1) a local opinion leader, (2) incentivized training, (3) HCP resources and educational materials, (4) electronic delivery prompts, (5) awareness-raising across all primary care HCPs, and (6) local technical support.Conclusions. This study provides a rigorous example of the development of an evidence-based intervention aimed at improving parental infant feeding behaviours, alongside an evidence-based behaviour change strategy to facilitate implementation and sustainability in primary care. This approach demonstrates how to systematically incorporate multiple stakeholder perspectives with existing literature and move from multiple evidence sources to clearly specified intervention components for both the intervention and implementation strategy. Statement of ContributionWhat is already known?Incorporating insights from practice, policy, and public/patient stakeholders plays a key role in developing behaviour change interventions that are feasible and sustainable and can be implemented within routine health care systems. However, there are limited examples that provide in-depth guidance of how to do this using a systematic approach.

show abstract

Parental food communication and child eating behaviours: A systematic literature review

Norton

Parkinson

Harris

et al. 2022

Health Prom J of Aust

View full text Add to dashboard Cite

Aim: To review current evidence for parental food communication practices and their association with child eating behaviours. Methods:The PRISMA framework guided the reporting of the review; registered with Prospero in July 2020. Eligible studies were critically appraised using the Joanna Briggs Institute tools. Only quantitative studies that included a parental measure of food communication and a child measure of eating behaviour were included.Results: From 11 063 articles 23 were eligible for synthesis. The vast majority (82%) of studies used observational cross-sectional designs. Three involved observing parentchild dyads, with the remainder using questionnaires. Two quasi-experimental designs tested interventions and two randomised control trial were reported. The majority of measures assessing parental food communication were subscales of larger questionnaires. The Caregiver's Feeding Style Questionnaire (CFSQ) was the most direct and relevant measure of parental food communication. Findings of reviewed studies highlighted that "how" parents communicate about food appears to impact child eating behaviours. Using child-centred communication provided promising outcomes for positive child eating behaviours, while parental "diet" communication was found to be associated with poorer dietary outcomes in children. Conclusions:Food communication research is in its infancy. However, evidence for the importance of parents' child-focused food communication is emerging, providing a focus for future research and interventions.So What?: Given the gaps in our understanding about prevention of disordered eating, there is a significant opportunity to explore what food communication strategies may assist parents to communicate about food in a positive way.

show abstract

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

Cited by 42 publications

References 85 publications

Solid advice: Complementary feeding experiences among disadvantaged parents in two countries

Solid advice: Complementary feeding experiences among disadvantaged parents in two countries

A collaborative approach to developing sustainable behaviour change interventions for childhood obesity prevention: Development of the Choosing Healthy Eating for Infant Health (CHErIsH) intervention and implementation strategy

Parental food communication and child eating behaviours: A systematic literature review

Contact Info

Product

Resources

About