Complementary Feeding Education & Fathers

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorIstanbul University

About this trial

The aim of this study is to investigate the effect of complementary feeding education provided to fathers on father-infant bonding and infant feeding behavior. To assess father-infant bonding, the study will use the Father-Infant Bonding Scale and the Karitane Parenting Self-Efficacy Scale. For assessing infant feeding behavior, the Behavioral Pediatric Feeding Assessment Scale will be employed. These scales will be administered to participants both before and 3 months after the training.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Infant born at term (>37 weeks)

Exclusively breastfed for the first 6 months and has completed postnatal month 6

Both parents live together

Infant feeding is done by mother, mother and father together, grandmother, or caregiver

Disqualifiers

Infant has a chronic disease

Infant has a known food allergy

Developmental milestones are not age-appropriate

Known swallowing dysfunction

Trial design

Design model

Parallel

Treatments tested in this trial

  • Complementary Feeding Education

    Behavioral

    This training program has been designed in accordance withWHO Guideline for Complementary Feeding of Infants and Young Children 6-23 Months of Age. The training will be delivered both in-person and via tablet, and will be supported by infographics and visuals created using WHO Guideline for Complementary Feeding of Infants and Young Children 6-23 Months of Age and the "Basic Information for Families on Child Health and Safety in the First 5 Years" booklet published by the Child Health Association, specifically the section on "Healthy Eating." At the end of the training, participants will be provided with a booklet containing the "Healthy Eating" section of the Child Health Association's booklet.

Treatment groups

112 Participants
are divided into 2 treatment groups
Group A: Intervention GroupExperimental treatment 1 intervention
Group B: Control GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Karitane Parenting Self Confidence Scale

The Karitane Parenting Self-Confidence Scale (KPSCS), developed by Crncec et al. in 2008 and adapted into Turkish by Yılmaz and Oskay in 2021, is a 15-item scale designed to assess parenting self-efficacy in parents of infants aged 0-12 months. Each item is rated on a 4-point Likert scale ranging from 0 (No, not at all) to 3 (Yes, very often). Higher total scores indicate greater parenting self-efficacy.

Time frame
6-month and 9-month infant check-ups
2

Paternal-infant attachment scale

The Father-Infant Bonding Scale (FIB Scale), developed by Condon et al. in 2008 and adapted into Turkish by Güleç et al. in 2010, is a 19-item scale designed to measure the strength of the father-infant bond. The scale consists of three subscales: patience and tolerance, enjoyment of interaction, and love and pride. Each item is rated on a 5-point Likert scale. The scale includes reverse-scored items (items 4, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 16). Higher total scores indicate a stronger father-infant bond.

Time frame
6-month and 9-month infant check-ups

Secondary outcomes

1

The Behavioral Pediatric Feeding Assessment Scale

The Behavioral Pediatric Feeding Assessment Scale (BPFAS), developed by Crist and colleagues and adapted into Turkish by Önal and colleagues, is a 35-item scale. The scale primarily focuses on the child's feeding behavior, with 25 items specifically addressing the child's feeding status. The Turkish adaptation study concentrated solely on these 25 items. Items on the scale are rated on a 5-point Likert scale. Among the 25 items related to children, 6 are positively worded (items 1, 3, 5, 6, 9, and 16) while 19 are negatively worded. Positively worded items are scored in reverse. The minimum possible score on the BPFAS is 35, and the maximum is 175. Higher scores indicate more severe feeding problems and habits. The scale includes four items related to specific feeding difficulties: 'Food selectivity', 'Early food refusal', 'Early refusal of textured foods', and 'Late food refusal'

Time frame
6-month and 9-month infant check-ups
2

The Generalized Anxiety Disorder-7

The Generalized Anxiety Disorder-7 Item Scale (GAD-7), developed by Spitzer et al. in 2006 and adapted into Turkish by Konkan et al. in 2011, is a 7-item, 4-point Likert scale designed to assess the severity of generalized anxiety disorder (GAD) over the past two weeks. Cut-off scores of 5, 10, and 15 represent mild, moderate, and severe anxiety, respectively. When a total score cutoff of 10 is used, the scale demonstrates a sensitivity of 89% and a specificity of 82% for diagnosing GAD.

Time frame
6-month and 9-month infant check-ups
3

The Edinburgh Postnatal Depression Scale

The Edinburgh Postnatal Depression Scale (EPDS), adapted into Turkish by Engindeniz, is a 10-item self-report questionnaire designed to assess symptoms of postnatal depression. Responses are scored on a 4-point Likert scale ranging from 0 to 3, with a total possible score of 30. Items 1, 2, and 4 are scored in a direct manner (0, 1, 2, 3), while items 3, 5, 6, 7, 8, 9, and 10 are reverse-scored (3, 2, 1, 0). A cutoff score of 13 is commonly used to identify women at risk for postnatal depression. Women scoring 13 or above are considered to be at risk.

Time frame
6-month and 9-month infant check-ups

Other outcomes

Sponsors and contacts

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