Picky Eaters, Feeding Interaction, Good Enough Parenting, Family Meals, Emotional Eating Prevention
Conditions
Keywords
feeding interaction, infant eating habits, hunger satiety cues, childhood obesity
Brief summary
Rise in childhood obesity and poor eating habits and eating problems is apparent over the last decades. Parents are at lose what the correct way to tackle these problems may be. This study examined whether professional behavioral and nutritional training of first time mothers improves feeding relationship and infants eating habits at 12 months.
Detailed description
From 166 first time mother-infant recruited, 128 completed the trail. Intervention group, mother-infant dyads got a month long weekly based training in small workshop groups about nutrition, feeding and parenting when infants were 4-6 months old. training was given by a highly experience pediatric dietitian and social worker. Thereafter, internet-based support continued until infants reached 12 months. The control group received customary support via municipal mother-child health clinics. Mealtime interactions were videotaped at home setting at 12 months and were evaluated using the Chatoor feeding scale by blinded (to group) viewers.
Interventions
BEHAVIORALMother Infant Feeding Interaction very early training
weekly training meetings on 4 topics: 1. What - proper nutrition and supplements for solid feeding phase (dietitian); What - the meaning of feeding to mother and infant (social worker). 2. Who - feeding skills - knowledge and actual practices 3. From anxiety to serenity - knowledge concerning growth patterns and common physical and emotional issues troubling parents of infants 4-12 months old. 4. Prevention of obesity and emotional eating - practical advise and tips.
Sponsors
Rambam Health Care Campus
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Masking description
Mealtime interactions by videotaped home setting feeding were evaluated using the Chatoor feeding scale by blinded to group viewers.
Intervention model description
Intervention group got 4 sequential weekly training meetings, in small workshop groups setting, by a highly experience pediatric dietitian and social worker. The program covered nutritional aspects, as well as feeding and parenting topics. Training took place when infants were 4-6 months old. Thereafter, internet-based support continued until infants reached 12 months. The control group received customary support via municipal mother-child health clinics. Mealtime interactions by videotaped home setting feeding were documented at 12-13 months.
Eligibility
Sex/Gender
FEMALE
Age
23 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* normal and healthy pregnancy * full term delivery of infants * infants with a normal birth weight and no health problems * Mothers recruited had at least a high school education * mothers lived near to or in the city (important for video taping)
Exclusion criteria
* Mothers with mental illness in the present or the past (such as schizophrenia, depression or an eating disorder) * infants with chronic diseases that required specific diets (such as milk allergy) or gastrointestinal diseases (celiac disease, type 1 diabetes, Crohn's disease etc.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chatoor feeding scale | 12 months | the Chatoor observational scale for Mother-Infant interaction during feeding was purchased from the Chatoor Center. The Scale consists of 46 mother and infant behavior modes which are rated throughout the feeding session. Five subscale scores are derived: 1) Dyadic Reciprocity, 2) Dyadic Conflict, 3) Talk and Distraction, 4) Struggle for Control, and 5) Maternal Non-Contingency. The CFS has been demonstrated to discriminate between infants with and without feeding disorders and can be used with infants and toddlers ranging from 1 month to 3 years of age (Chatoor et al, 1997). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| eating habitts | 12 months | Self reported questionnaires of Golan et al checking eating habits and obesogenic environment at home |
Outcome results
None listed