Anthropometric Outcomes of a Mobile Health Intervention for Eating Behaviour and Lifestyle in Infancy
NCT Number: NCT06457750
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Childhood Obesity Prevention
Interventions: BEHAVIORAL: Feeding, Lifestyle, Activity Goals (FLAGs) Digital Health Application
Sponsor: KK Women's and Children's Hospital
Sex: ALL
Age: CHILD, ADULT, OLDER_ADULT
Enrollment: 440
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: PREVENTION
Start Date: 2024-07-01
Completion Date: 2026-12-30
Locations: KK Women's and Children's Hospital, Singapore, 229899, Singapore

Summary:
Lifestyle, activity, and feeding behaviours during early childhood set the foundation for subsequent lifelong metabolic health as an adult. The investigators have developed a digital tool, called Feeding, Lifestyle, Activity Goals (FLAGs) to assess lifestyle and feeding behaviours of young infants, simultaneously providing guidance and tailored advice for parents on ideal practices specific to their children. The investigators aim to assess its usability, acceptability, and feasibility , before proceeding to determine efficacy of the FLAGs intervention through conducting a randomized controlled trial, enrolling 440 infants from KK Women's and Children's Hospital. Half of them will receive standard routine infant care, whereas the other half will additionally receive the digital FLAGs assessment and advisory tool, complete with mobile nudges. The follow-up period will be over 12 months, with the main outcomes being i) indicators of good feeding and lifestyle behaviour at 12 months old, and ii) physical growth trends, body fat proportions. Demonstrating the benefits of using FLAGs will underscore the importance of integrating this digitalized tool into the screening and evaluation of well children, with the potential to be upscaled and adopted across hospitals, primary care, and community-based health programmes.

Primary Outcome Measures: Longitudinal growth trajectories and markers of infant metabolic health, Weight (kilograms), 12 months from recruitment|Longitudinal growth trajectories and markers of infant metabolic health, Length (meters), 12 months from recruitment|Longitudinal growth trajectories and markers of infant metabolic health, Body mass index (kg/m\^2) will be determined by taking the weight (kilograms) divided by the squared value of the length (meters)., 12 months from recruitment|Longitudinal growth trajectories and markers of infant metabolic health, Weight for length percentile (%) will be determined using the WHO 2006 Child Growth Standards, 12 months from recruitment|Longitudinal growth trajectories and markers of infant metabolic health, Body composition, using skinfold thickness measurements (centimeters), 12 months from recruitment
Secondary Outcome Measures: Indicators of good feeding and lifestyle behaviour, Feeding Lifestyle Activity Goals score, %

-higher score denotes better feeding and lifestyle behaviour, 12 months from recruitment|Indicators of good feeding and lifestyle behaviour, Baby Eating Behaviour Questionnaire

* this is a psychometric measure of infant appetite and eating behavior
* no scoring system available, findings are not reported on a scale, 12 months from recruitment|Indicators of good feeding and lifestyle behaviour, Children Eating Behaviour Questionnaire

* psychometric measure of a child's appetite and eating behavior
* no scoring system available, findings are not reported on a scale, 12 months from recruitment|Indicators of good feeding and lifestyle behaviour, Picky Eating Questionnaire

* psychometric measure of dietary diversity
* no scoring system available, findings are not reported on a scale, 12 months from recruitment