"Improved Mother Infant Feeding Interaction (MI-FI) at 12 Months With Very Early Parent Training"

Rambam Health Care Campus166 enrolled

Overview

Rise in childhood obesity and poor eating habits and eating problems is apparent over the last decades. Parents are at lose what the correct way to tackle these problems may be. This study examined whether professional behavioral and nutritional training of first time mothers improves feeding relationship and infants eating habits at 12 months.

From 166 first time mother-infant recruited, 128 completed the trail. Intervention group, mother-infant dyads got a month long weekly based training in small workshop groups about nutrition, feeding and parenting when infants were 4-6 months old. training was given by a highly experience pediatric dietitian and social worker. Thereafter, internet-based support continued until infants reached 12 months. The control group received customary support via municipal mother-child health clinics. Mealtime interactions were videotaped at home setting at 12 months and were evaluated using the Chatoor feeding scale by blinded (to group) viewers.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

166

Conditions

Picky Eaters, Feeding Interaction, Good Enough Parenting, Family Meals, Emotional Eating Prevention

Interventions

Mother Infant Feeding Interaction very early trainingBEHAVIORAL

weekly training meetings on 4 topics: 1. What - proper nutrition and supplements for solid feeding phase (dietitian); What - the meaning of feeding to mother and infant (social worker). 2. Who - feeding skills - knowledge and actual practices 3. From anxiety to serenity - knowledge concerning growth patterns and common physical and emotional issues troubling parents of infants 4-12 months old. 4. Prevention of obesity and emotional eating - practical advise and tips.

Eligibility

Sex: FEMALEMin age: 23 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * normal and healthy pregnancy * full term delivery of infants * infants with a normal birth weight and no health problems * Mothers recruited had at least a high school education * mothers lived near to or in the city (important for video taping) Exclusion Criteria: * Mothers with mental illness in the present or the past (such as schizophrenia, depression or an eating disorder) * infants with chronic diseases that required specific diets (such as milk allergy) or gastrointestinal diseases (celiac disease, type 1 diabetes, Crohn's disease etc.)

Outcomes

Primary Outcomes

Chatoor feeding scale

the Chatoor observational scale for Mother-Infant interaction during feeding was purchased from the Chatoor Center. The Scale consists of 46 mother and infant behavior modes which are rated throughout the feeding session. Five subscale scores are derived: 1) Dyadic Reciprocity, 2) Dyadic Conflict, 3) Talk and Distraction, 4) Struggle for Control, and 5) Maternal Non-Contingency. The CFS has been demonstrated to discriminate between infants with and without feeding disorders and can be used with infants and toddlers ranging from 1 month to 3 years of age (Chatoor et al, 1997).

Time frame: 12 months

Secondary Outcomes

eating habitts

Self reported questionnaires of Golan et al checking eating habits and obesogenic environment at home

Time frame: 12 months

Data from ClinicalTrials.gov

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