Breastfeeding, Feeding Behavior, Infant Behavior, Pediatric Obesity
Conditions
Brief summary
The primary objective of this project is to evaluate the impact on infant growth and infant-feeding practices of a low-cost series of video trainings and tools targeted to medical staff and designed to support ongoing Baby Behavior education of WIC participants.
Detailed description
The primary objective of this project is to evaluate the impact on infant growth and infant-feeding practices of a low-cost series of video trainings and tools targeted to medical staff and designed to support ongoing Baby Behavior education of WIC participants. The intervention, currently used in all California WIC agencies, teaches caregivers to recognize and understand healthy infant behaviors such as the range of infant cues and common patterns for sleep and crying. This project will also evaluate the acceptance, knowledge transfer, and use of the tools by health care providers and medical staff. It is expected that trained staff will be prepared to share Baby Behavior messages with their patients and that the information will be delivered quickly and easily during well-baby visits.
Interventions
BEHAVIORALBaby Behavior
Sponsors
University of California, Davis
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Will attend a participating pediatric clinic for her well-baby visits * Primiparous, singleton pregnancy * Currently enrolled in WIC * At least 18 years of age * Speaks and reads English or Spanish * Has a telephone and access to the internet * Plans to stay in the area for 6 months after birth of infant * Abstained from smoking during pregnancy
Exclusion criteria
* Gave birth before 37 weeks gestation * She and/or her infant has health condition(s) or known health risks that contraindicate breastfeeding * She and/or her infant has health condition(s) or known health risks that impact infant growth and development
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weight-for-length growth trajectory | Up to 6 months postpartum | Weight-for-length Z scores calculated using the WHO Multicenter Growth Standards |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maternal depressive symptoms | 2 weeks and 6 months postpartum | Edinburgh Postnatal Depression Scale |
| Maternal self-efficacy | 1 week, 2 months, and 6 months postpartum | Perceived Maternal Parenting Self-Efficacy |
| Maternal perceived stress | 1 week, 2 months, and 6 months postpartum | Perceived Stress Scale Short-Form |
| Infant feeding practices | 1 week, 2 weeks, 2 months, 4 months, and 6 months postpartum | Breastfeeding duration and exclusivity, introduction of non-breast milk foods and fluids, use of sugary beverages, and intake of formula and select complementary foods |
| Infant development | 2 months, 4 months, and 6 months postpartum | Ages and Stages Questionnaire |
| Infant eating behavior | 4 months postpartum | Baby Eating Behavior Questionnaire |
| Infant sleep patterns | 2 months and 6 months postpartum | Brief Infant Sleep Questionnaire |
Countries
United States
Outcome results
None listed