About this trial
The study will use a longitudinal, randomized control trial design to determine intervention impact on parent and child behaviors, and infant health. The two intervention groups include: 1) MAGIC-FEED+; and 2) MAGIC-SAFE. This trial is an efficacy trial of the MAGIC-FEED and MAGIC-SAFE program that has been successfully implemented with families as part of the MAGIC 1.0 program trial (IRB#: 2015040017).
* The primary aim is to investigate each intervention's impact on infant BMIZ at 13 months. * The investigators will also assess the effect of MAGIC-FEED on caregiver nutrition knowledge and feeding practices, responsive feeding, infant diet, and child self-regulatory abilities and assess how these factors impact child self-regulation of eating and adiposity. * Finally, the investigators will determine if the interventions demonstrate the factors necessary to be a successful intervention as determined by the RE-AIM and PRISM frameworks.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
A singleton infant 3-9 weeks of age, born ≥37 weeks gestation.
The mother and other caregiver must be at least 18 years of age.
The infant must live with the mother.
Lives within the Austin metropolitan area.
Disqualifiers
Infant diagnosed with major physical disabilities and/or medical condition that affects feeding and growth, and/or born <37 weeks gestation.
Infant experienced NICU stay >7 days.
Twins, triplets, or other multiples.
Mothers and/or other caregivers younger than 18 years old.
Trial design
Parallel
Treatments tested in this trial
MAGIC-FEED
BehavioralParents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that includes bottle-/breast-feeding and complementary feeding in alignment with the Dietary Guidelines. The intervention is delivered via virtual visits, binder, website and newsletters.
MAGIC-SAFE
BehavioralParents will be provided with information about age-appropriate safety topics, including safe sleeping, car seats, baby-proofing, etc. The intervention is delivered via virtual visits, binder, website and newsletters.
Treatment groups
Trial outcomes
Primary outcomes
Infant Body Mass Index Z-score (BMIZ) at 13 and 24 months
Assessed via anthropometrics and WHO Child Growth Standards.
Infant dietary quality index
Infant dietary quality index (IDQI) score with higher scores indicating higher dietary quality (Au et al. J Nutr 2023, 153(3): 741-748). Calculated with questionnaire data from an adapted Infant Feeding Practices III Food Frequency Questionnaire.
Infant self-regulation during feeding
Infant self-regulation during feeding coded from video observation via the Nursing Child Assessment Feeding Scale.
Eating self-regulation
Assessed via 'Eating in the Absence of Hunger' experiment using standard protocols (Asta et al. Pediatrics 2016;137(5):e20153786).
Secondary outcomes
Caregiver nutrition knowledge
Caregiver nutrition knowledge assessed by the Infant Feeding Education Questionnaire.
Caregiver sensitivity
Caregiver responsive feeding/sensitivity with higher scores indicating greater sensitivity. Assessed by Chatoor's Feeding Scale, Hazen Sensitivity Scale and Nursing Child Assessment Feeding Scale.
Solid food introduction timing
Timing of solid food introduction (\<6 mo, \>=6 mo). Assessed by the adapted Infant Feeding Practices III Questionnaire.
Percentage body fat
Percentage body fat assessed via DXA.
Sponsors and contacts
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University of Texas at Austin
Lead sponsor
National Institutes of Health (NIH)
Collaborator