Supporting Baby Behavior Through Pediatric Offices

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Supporting Baby Behavior Through Pediatric Offices

Conditions
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Infant Behavior, Feeding Behavior, Breastfeeding, Pediatric Obesity

Intervention / Treatment
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* Behavioral: Baby Behavior


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Baby Behavior<br>The intervention is comprised of 2 components: HCP and medical staff training and participant education. The trainings will be video-based and aim to build providers' knowledge and skills to support parents' recognition and understanding of common healthy infant behaviors that may be misinterpreted by parents. The intervention does not include any specific recommendations for infant feeding, nor does it include any information related to the assessment, diagnosis or treatment for any medical condition. After completion of the intervention trainings, health care providers and medical staff will be asked to use what they learned with the mothers of infants in their care. Short handouts for mothers will be provided as tools to reinforce the verbal education. All educational materials will be focused only on supporting parents' abilities to recognize and understand common, healthy infant behaviors. | Behavioral: Baby Behavior<br> <br> |
| No Intervention: Control<br>The control arm will continue with standard well-baby visit practices during the intervention period and will be offered the option to complete the Baby Behavior online trainings for continuing education credits. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight-for-length growth trajectory | Weight-for-length Z scores calculated using the WHO Multicenter Growth Standards | Up to 6 months postpartum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 1 week, 2 weeks, 2 months, 4 months, and 6 months postpartum | 
| Maternal depressive symptoms | Edinburgh Postnatal Depression Scale | 2 weeks and 6 months postpartum | 
| Maternal self-efficacy | Perceived Maternal Parenting Self-Efficacy | 1 week, 2 months, and 6 months postpartum | 
| Maternal perceived stress | Perceived Stress Scale Short-Form | 1 week, 2 months, and 6 months postpartum | 
| Infant sleep patterns | Brief Infant Sleep Questionnaire | 2 months and 6 months postpartum | 
| Infant development | Ages and Stages Questionnaire | 2 months, 4 months, and 6 months postpartum | 
| Infant eating behavior | Baby Eating Behavior Questionnaire | 4 months postpartum |