Learning Early Infant Feeding Cues

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age2+
SponsorFlorida State University

About this trial

The goal of this clinical trial is to learn more about responsive infant feeding (recognizing baby's signs of hunger and fullness) in mothers and infant enrolled in government-funded maternal-child home visiting programs. The main questions it aims to answer are:

* What are the contributors and barriers to use of responsive infant feeding? * How can we refine an intervention focused on responsive infant feeding (the Learning Early Infant Feeding Cues intervention) so that mothers will like it and learn skills to help their baby be healthy. * Will the refined intervention improve use of responsive feeding and be feasible and acceptable to mothers and home visiting programs?

Participants will be asked to:

* Participate in focus groups to talk about their experiences feeding their baby. * Participate in a study to learn about responsive feeding and how to use it with their baby. This study will start when mothers are in their final month of pregnancy and finish when their baby is 6 months old. Participation will include:

* Having someone come to the family home during a time when the baby is eating (either from the breast or the bottle). The mother will receive information on the baby's signs from an experienced coach. * Agreeing to be video recording during the session when the baby is eating. * Completing surveys online.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Enrolled in a government-funded maternal-child home visiting program

Maternal age 18 years or older

English or Spanish speaking

Anticipated to have custody of infant after birth

Disqualifiers

Gave birth to multiple fetuses

Age less than 18 years

Not fluent in English or Spanish

Expected to not have custody of the infant after birth

Trial design

Design model

Single group

Treatments tested in this trial

  • Learning Early Infant Feeding Cues

    Behavioral

    The LEIFc intervention includes individualized responsive feeding education and promotion using the SS-OO-PP-RR (or "super," Setting the Stage, Observation and Opportunities to Embed, Problem Solving and Planning, Reflection and Review coaching approach as a guide. An interventionists interacts with mother-infant dyads during a feeding session at infant ages of 1, 2, 3, 4, and 5 months and coaches the mother on responsive feeding. In particular infant cues of hunger and fullness and tips to assist the mother in making decisions regarding feeding her infant. This will begin with milk based feedings (either breastmilk from breast or bottle, or formula from a bottle), and continue through the transition to solid (complementary) foods.

Treatment groups

39 Participants
are divided into 1 treatment group
Group A: LEIFc InterventionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Responsive Feeding

Subjective (via survey) and objective (via video) measurement of responsive feeding will be collected. Participants will complete the Infant Feeding Questionnaire to provide a subjective measure of responsive feeding. A feeding session will be video recording then coded for instances of infant cues and maternal response to cues to provide an objective measure of responsive feeding.

Time frame
Pre (infant age of 2 weeks) and post (infant age of 6 weeks) intervention.

Secondary outcomes

1

Infant growth trajectory

Infant weight-for-length z-score (WLz) will be calculated from infant weight and length measurements obtained at each study visit. The difference in WLz between infant age of 2 weeks and 6 months will be calculated. Infants will be categorized into 3 growth categories: expected growth (WLz SD change between -0.67 and 0.67, rapid growth \> or equal to 0.67, or slow growth \< or equal to -0.67.

Time frame
Infant age of 2 weeks to 6 months.
2

Age of complementary food introduction

Current infant feeding practices are collected at each study visit. The infant age (in weeks) at which any foods other than breastmilk or formula were given will be tabulated into a variable.

Time frame
weeks or months since birth
3

Duration of any breastfeeding

Current infant feeding practices are collected at each study visit. Duration of any breastfeeding will be tabulated into a variable.

Time frame
weeks or months since birth

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: