Clinical trial NCT03086811: "Improved Mother Infant Feeding Interaction (MI-FI) at 12 Months With Very Early Parent Training"
Official title: "Improved Mother Infant Feeding Interaction (MI-FI) at 12 Months With Very Early Parent
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Picky Eaters, Feeding Interaction, Good Enough Parenting, Family Meals, Emotional Eating Prevention
Keywords: feeding interaction, infant eating habits, hunger satiety cues, childhood obesity
Lead sponsor: Rambam Health Care Campus
Sponsor class: OTHER
First posted: 2017-03-22
Enrollment: 166
Sex: FEMALE
Minimum age (years): 23
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Intervention group got 4 sequential weekly training meetings, in small workshop groups setting, by a highly experience pediatric dietitian and social worker. The program covered nutritional aspects, as well as feeding and parenting topics. Training took place when infants were 4-6 months old. Thereafter, internet-based support continued until infants reached 12 months. The control group received customary support via municipal mother-child health clinics. Mealtime interactions by videotaped home setting feeding were documented at 12-13 months.
Primary purpose: PREVENTION

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: 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.)

Primary outcomes:
measure: Chatoor feeding scale
timeFrame: 12 months
Secondary outcomes:
measure: eating habitts
timeFrame: 12 months
Other outcomes:
Locations:
Study officials:
affiliation: Pediatric Gastroenterology Unit, Ruth Rappaport Children's Hospital Rambam Health Care Campus, Haifa, Israel, Rappaport Faculty of Medicine;
name: Ron Shaoul, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Redsell SA, Edmonds B, Swift JA, Siriwardena AN, Weng S, Nathan D, Glazebrook C. Systematic review of randomised controlled trials of interventions that aim to reduce the risk, either directly or indirectly, of overweight and obesity in infancy and early childhood. Matern Child Nutr. 2016 Jan;12(1):24-38. doi: 10.1111/mcn.12184. Epub 2015 Apr 20.
citation: Bryant-Waugh R, Markham L, Kreipe RE, Walsh BT. Feeding and eating disorders in childhood. Int J Eat Disord. 2010 Mar;43(2):98-111. doi: 10.1002/eat.20795.
citation: Meadows N. Assessment and management of feeding difficulties in infants. Community Pract. 2015 Feb;88(2):45-7. No abstract available.
citation: Ammaniti M, Lucarelli L, Cimino S, D'Olimpio F, Chatoor I. Feeding disorders of infancy: a longitudinal study to middle childhood. Int J Eat Disord. 2012 Mar;45(2):272-80. doi: 10.1002/eat.20925. Epub 2011 Apr 14.