Lifestyle, activity, and feeding behaviours during early childhood set the foundation for subsequent lifelong metabolic health as an adult. The investigators have developed a digital tool, called Feeding, Lifestyle, Activity Goals (FLAGs) to assess lifestyle and feeding behaviours of young infants, simultaneously providing guidance and tailored advice for parents on ideal practices specific to their children. The investigators aim to assess its usability, acceptability, and feasibility , before proceeding to determine efficacy of the FLAGs intervention through conducting a randomized controlled trial, enrolling 440 infants from KK Women's and Children's Hospital. Half of them will receive standard routine infant care, whereas the other half will additionally receive the digital FLAGs assessment and advisory tool, complete with mobile nudges. The follow-up period will be over 12 months, with the main outcomes being i) indicators of good feeding and lifestyle behaviour at 12 months old, and ii) physical growth trends, body fat proportions. Demonstrating the benefits of using FLAGs will underscore the importance of integrating this digitalized tool into the screening and evaluation of well children, with the potential to be upscaled and adopted across hospitals, primary care, and community-based health programmes.
Women
34-36 weeks' pregnant, or 3 days post-delivery.
Pre-pregnancy BMI of at least 23 kg/m², and/or with the diagnosis of gestational diabetes mellitus or type 2 diabetes mellitus.
Women less than 21 years old
Unable to understand English
Not planning to reside in Singapore until baby is at least 1 year old
Premature birth of baby (defined as below 37 weeks' gestation)
Parallel
Feeding, Lifestyle, Activity Goals (FLAGs) Digital Health Application
BehavioralFeeding, lifestyle, activity goals (FLAGs) is a digital assessment and advisory tool developed by the investigators to facilitate early identification of lifestyle behaviour problems and abnormal feeding patterns in infants, with real-time feedback for caregivers. The FLAGs questionnaire examines the domains of energy regulation, timeliness and adequacy of weaning, dietary practices, and lifestyle habits. Tailored recommendations have been developed for each domain accordingly. The objective of FLAGs is shaping healthy lifestyle and feeding behaviours from birth, charting a trajectory to optimal metabolic health.
Longitudinal growth trajectories and markers of infant metabolic health
Weight (kilograms)
Longitudinal growth trajectories and markers of infant metabolic health
Length (meters)
Longitudinal growth trajectories and markers of infant metabolic health
Body mass index (kg/m\^2) will be determined by taking the weight (kilograms) divided by the squared value of the length (meters).
Longitudinal growth trajectories and markers of infant metabolic health
Weight for length percentile (%) will be determined using the WHO 2006 Child Growth Standards
Indicators of good feeding and lifestyle behaviour
Feeding Lifestyle Activity Goals score, % -higher score denotes better feeding and lifestyle behaviour
Indicators of good feeding and lifestyle behaviour
Baby Eating Behaviour Questionnaire * this is a psychometric measure of infant appetite and eating behavior * no scoring system available, findings are not reported on a scale
Indicators of good feeding and lifestyle behaviour
Children Eating Behaviour Questionnaire * psychometric measure of a child's appetite and eating behavior * no scoring system available, findings are not reported on a scale
Indicators of good feeding and lifestyle behaviour
Picky Eating Questionnaire * psychometric measure of dietary diversity * no scoring system available, findings are not reported on a scale
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options:
