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Mothers And careGivers Investing in Children

MAGIC: A Family Based Feeding Intervention Program

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04177472
Acronym
MAGIC
Enrollment
165
Registered
2019-11-26
Start date
2019-11-14
Completion date
2026-12-31
Last updated
2026-04-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity, Childhood, Parenting

Keywords

nutrition, parenting, intergenerational feeding influences, sensitive feeding

Brief summary

The incidence of childhood obesity in the United States has steadily increased over the past 30 years but has begun to level off in recent years. Epidemiological evidence indicates that obesity may transmitted across multiple generations. The current study seeks to: 1) evaluate the extent to which mothers and other important caregivers affect their mothers' parenting; 2) examine whether an intervention aimed at improving diet quality and enhancing responsive feeding to improves parental responsivity and feeding behavior and infants' weight trajectories over time; 3) examine the effects of early life feeding and caregiver sensitivity on health and development; and 4) examine feasibility of food distribution along with the feeding intervention.

Detailed description

The incidence of childhood obesity in the United States has steadily increased over the past 30 years, but has begun to level off in recent years. Children from minority groups may be disproportionately affected, such that Hispanic and non-Hispanic Black children have greater weight for recumbent length compared to White children. Similarly, socioeconomic status (SES) may affect child weight status. Epidemiological evidence indicates that obesity may transmitted across multiple generations. Genetics are a factor in determining weight status, but parents are largely responsible for regulating children's dietary environments. Grandparents increasingly provide care for their grandchildren, yet few studies have examined grandparent involvement or the role that grandparents or other significant caregivers play in feeding the child. The objective of the current study is two-fold: 1) to evaluate the extent to which mothers and other caregivers affect mothers' parenting surrounding feeding their infant, beginning when the infant is first introduced to solid foods; and 2) to examine whether an intervention aimed at providing both mothers and and other important caregivers with hands-on training regarding healthy foods and responsive and sensitive feeding behaviors improves mothers' and other caregivers' responsive and sensitive behaviors and infants' weight trajectories over time. The researchers will collect both self-report data on diet, child temperament, mothers and caregiver mental health, stress and support. Observational assessments will be obtained to code co-caregiver behavior and caregiver responsiveness during feeding.

Interventions

Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options.

BEHAVIORALObesity Prevention Group + Food Boxes

Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options. Parents will also be provided with grocery items (fruits, vegetables, meat) prior to each intervention visit to facilitate a healthy family diet.

BEHAVIORALInfant Safety and Injury Prevention Group

Parents will be provided with information about safe sleeping, car seats, baby-proofing, etc., delivered during home visits, newsletters, and reinforcing text messages.

Sponsors

University of Texas at Austin
Lead SponsorOTHER
St. David's Foundation
CollaboratorUNKNOWN
National Cattlemen's Beef Association, a contractor to the Beef Checkoff
CollaboratorINDUSTRY
Egg Nutrition Center
CollaboratorOTHER
National Pork Board
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)

Masking description

Primary - BMI percentile at 12 months of age, and 24 months of age Secondary- Proportion of infants with BMI percentile \>85th at 12 months of age, and 24 months of age Anthropometrics measured directly by trained study staff Infant dietary intake of fruits and vegetables, animal source foods, whole grains, desserts and sweets, and salty snacks at 10 to 11 months. Measured at 10 months using an Infant Diet History questionnaire adapted from the Infant Feeding Practices Study II. Measured at 10 months using the Nutrition Data System for Research (NDSR) Responsive feeding measured using the Infant Feeding Styles Questionnaire (IFSQ) full scale and Chatoor's feeding scale at 10 to 11 months.

Eligibility

Sex/Gender
ALL
Age
0 Years to 90 Years
Healthy volunteers
Yes

Inclusion criteria

* Mothers with babies aged 4 to 5 months * Other caregivers assisting the mother with the baby. * Babies aged 4 to 5 months

Exclusion criteria

* Babies with metabolic or feeding issues. * Mothers younger than 16 years of age.

Design outcomes

Primary

MeasureTime frameDescription
BMI percentile at 12 months of age12 monthsAnthropometrics measured by trained study staff
BMI percentile at 24 months of age24 monthsAnthropometrics measured by trained study staff

Secondary

MeasureTime frameDescription
Proportion of infants with BMI percentile >85th at 12 months of age12 monthsAnthropometrics measured by trained study staff
Proportion of infants with BMI percentile >85th at 24 months of age24 monthsAnthropometrics measured by trained study staff

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORDeborah Jacobvitz, PhD

University of Texas at Austin

PRINCIPAL_INVESTIGATORElizabeth Widen, PhD, RD

University of Texas at Austin

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 29, 2026