Supporting Baby Behavior Through Pediatric Offices

University of California, Davis423 enrolled

Overview

The primary objective of this project is to evaluate the impact on infant growth and infant-feeding practices of a low-cost series of video trainings and tools targeted to medical staff and designed to support ongoing Baby Behavior education of WIC participants. The intervention, currently used in all California WIC agencies, teaches caregivers to recognize and understand healthy infant behaviors such as the range of infant cues and common patterns for sleep and crying. This project will also evaluate the acceptance, knowledge transfer, and use of the tools by health care providers and medical staff. It is expected that trained staff will be prepared to share Baby Behavior messages with their patients and that the information will be delivered quickly and easily during well-baby visits.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

423

Conditions

Infant Behavior Feeding Behavior Breastfeeding Pediatric Obesity

Interventions

Baby BehaviorBEHAVIORAL

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Will attend a participating pediatric clinic for her well-baby visits * Primiparous, singleton pregnancy * Currently enrolled in WIC * At least 18 years of age * Speaks and reads English or Spanish * Has a telephone and access to the internet * Plans to stay in the area for 6 months after birth of infant * Abstained from smoking during pregnancy Exclusion criteria: * Gave birth before 37 weeks gestation * She and/or her infant has health condition(s) or known health risks that contraindicate breastfeeding * She and/or her infant has health condition(s) or known health risks that impact infant growth and development

Locations (1)

University of California, Davis

Davis, California, United States

Outcomes

Primary Outcomes

Weight-for-length growth trajectory

Weight-for-length Z scores calculated using the WHO Multicenter Growth Standards

Time frame: Up to 6 months postpartum

Secondary Outcomes

Infant feeding practices

Breastfeeding duration and exclusivity, introduction of non-breast milk foods and fluids, use of sugary beverages, and intake of formula and select complementary foods

Time frame: 1 week, 2 weeks, 2 months, 4 months, and 6 months postpartum

Maternal depressive symptoms

Edinburgh Postnatal Depression Scale

Time frame: 2 weeks and 6 months postpartum

Maternal self-efficacy

Perceived Maternal Parenting Self-Efficacy

Time frame: 1 week, 2 months, and 6 months postpartum

Maternal perceived stress

Perceived Stress Scale Short-Form

Time frame: 1 week, 2 months, and 6 months postpartum

Infant sleep patterns

Brief Infant Sleep Questionnaire

Time frame: 2 months and 6 months postpartum

Infant development

Ages and Stages Questionnaire

Time frame: 2 months, 4 months, and 6 months postpartum

Infant eating behavior

Baby Eating Behavior Questionnaire

Time frame: 4 months postpartum

Data from ClinicalTrials.gov

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