Ecological momentary assessment of using food to soothe during infancy in the INSIGHT trial

Autor: Elizabeth L. Adams, Michele E. Marini, Timothy R. Brick, Ian M. Paul, Leann L. Birch, Jennifer S. Savage
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: International Journal of Behavioral Nutrition and Physical Activity, Vol 16, Iss 1, Pp 1-11 (2019)
Druh dokumentu: article
ISSN: 1479-5868
DOI: 10.1186/s12966-019-0837-y
Popis: Abstract Background Use of food to soothe infant distress has been linked to greater weight in observational studies. We used ecological momentary assessment to capture detailed patterns of food to soothe and evaluate if a responsive parenting intervention reduced parents’ use of food to soothe. Methods Primiparous mother-newborn dyads were randomized to a responsive parenting intervention designed for obesity prevention or a safety control group. Responsive parenting curriculum included guidance on using alternative soothing strategies (e.g., swaddling), rather than feeding, as the first response to infant fussiness. After the initial intervention visit 3 weeks after delivery, mothers (n = 157) were surveyed for two 5–8 day bursts at infant ages 3 and 8 weeks. Surveys were sent via text message every 4 h between 10:00 AM-10:00 PM, with 2 surveys sent at 8:00 AM asking about nighttime hours. Infant fusses and feeds were reported for each 4-h interval. Food to soothe was defined as “Fed First” and “Not Fed First” in response to a fussy event. Use of food to soothe was modeled using random-intercept logistic regression. Results The control group had greater odds of having Fed First, compared to the responsive parenting group at ages 3 and 8 weeks (3 weeks: OR = 1.9; 95% CI = 1.4–2.7; p
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