Erika Hernandez, Justin A Lavner, Amy M Moore, Brian K Stansfield, Steven R H Beach, Jessica J Smith, Jennifer S Savage
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This secondary analysis of data from the Sleep SAAF (Strong African American Families) RCT tests the effects of an RP intervention designed to prevent rapid infant weight gain on African American mothers' infant feeding practices.</p><p><strong>Methods: </strong>Primiparous African American mother-infant dyads (n = 194) were randomized to an RP or safety control intervention delivered by community research associates at infant age 3 and 8 weeks. At 16 weeks, mothers completed the Babies Need Feeding questionnaire, the Infant Feeding Styles Questionnaire, and the Babies Need Soothing questionnaire. Logistic regression and general linear models examined the effect of study group on infant feeding practices. Moderation analyses explored whether effects varied by feeding mode (any breast milk versus exclusive formula), maternal age (≥ 20 years versus < 20 years), and maternal pre-pregnancy BMI (with obesity versus not).</p><p><strong>Results: </strong>RP mothers reported more responsive feeding (p = 0.005, partial η<sup>2</sup> = 0.02), lower likelihood of using beverages other than breast milk/formula to soothe their infant (p = 0.01, OR = 0.42, 95% CI [0.2-0.8]), and less pressure with cereal than control mothers (p = 0.09, partial η<sup>2</sup> = 0.02). RP mothers also reported less pressure to finish/soothe than controls (p = 0.007, partial η<sup>2</sup> = 0.04); feeding mode (B = 0.74, p = 0.003) and maternal age (B = 0.53, p = 0.04) moderated this effect. There were no significant group differences in bottle-feeding practices (e.g., adding cereal to bottle, using an appropriate nipple/bottle size), or in context-based or emotion-based food to soothe.</p><p><strong>Conclusions: </strong>Responsive parenting education influenced some feeding practices of African American mothers. Mothers reported using less pressure, a control-based feeding practice, and more responsive feeding than controls.</p><p><strong>Trial registration: </strong>Sleep SAAF: A Strong African American Families Study. www.</p><p><strong>Clinicaltrials: </strong>gov NCT03505203. 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Responsive parenting (RP) interventions such as INSIGHT have improved maternal infant feeding practices, but have only been tested among predominantly White families. This secondary analysis of data from the Sleep SAAF (Strong African American Families) RCT tests the effects of an RP intervention designed to prevent rapid infant weight gain on African American mothers' infant feeding practices.</p><p><strong>Methods: </strong>Primiparous African American mother-infant dyads (n = 194) were randomized to an RP or safety control intervention delivered by community research associates at infant age 3 and 8 weeks. At 16 weeks, mothers completed the Babies Need Feeding questionnaire, the Infant Feeding Styles Questionnaire, and the Babies Need Soothing questionnaire. Logistic regression and general linear models examined the effect of study group on infant feeding practices. Moderation analyses explored whether effects varied by feeding mode (any breast milk versus exclusive formula), maternal age (≥ 20 years versus < 20 years), and maternal pre-pregnancy BMI (with obesity versus not).</p><p><strong>Results: </strong>RP mothers reported more responsive feeding (p = 0.005, partial η<sup>2</sup> = 0.02), lower likelihood of using beverages other than breast milk/formula to soothe their infant (p = 0.01, OR = 0.42, 95% CI [0.2-0.8]), and less pressure with cereal than control mothers (p = 0.09, partial η<sup>2</sup> = 0.02). RP mothers also reported less pressure to finish/soothe than controls (p = 0.007, partial η<sup>2</sup> = 0.04); feeding mode (B = 0.74, p = 0.003) and maternal age (B = 0.53, p = 0.04) moderated this effect. 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引用次数: 2
摘要
背景/目的:父母塑造了孩子早期对食物的体验，影响了提供的食物、孩子的食物选择以及孩子吃多少。响应式育儿(RP)干预措施，如INSIGHT改善了母婴喂养实践，但只在主要白人家庭中进行了测试。本文对来自Sleep SAAF(强大的非裔美国家庭)随机对照试验的数据进行了二次分析，测试了旨在防止婴儿体重快速增加的RP干预对非裔美国母亲婴儿喂养实践的影响。方法:在婴儿3周和8周时，将194名初产的非裔美国母婴随机分为RP组或由社区研究人员提供的安全控制干预组。在16周时，母亲们完成了婴儿需要喂养问卷、婴儿喂养方式问卷和婴儿需要抚慰问卷。Logistic回归和一般线性模型检验了研究组对婴儿喂养实践的影响。适度分析探讨了影响是否因喂养方式(纯母乳与纯配方奶)、母亲年龄(≥20岁与结果:RP母亲报告的喂养反应更积极(p = 0.005，偏η2 = 0.02)，使用母乳/配方奶以外的饮料抚慰婴儿的可能性更低(p = 0.01, OR = 0.42, 95% CI[0.2-0.8])，以及与对照组母亲相比，使用谷物的压力更小(p = 0.09，偏η2 = 0.02)。RP母亲也报告了比对照组更小的完成/安抚压力(p = 0.007，部分η2 = 0.04);喂养方式(B = 0.74, p = 0.003)和母亲年龄(B = 0.53, p = 0.04)对这种影响有调节作用。在奶瓶喂养方法(例如，在奶瓶中添加谷物，使用适当的乳头/奶瓶大小)，或基于情境或基于情绪的食物来安抚方面，没有显著的组间差异。结论:响应式育儿教育影响了非裔美国母亲的一些喂养方式。母亲们报告说，与对照组相比，他们使用了更少的压力，以控制为基础的喂养做法，以及更灵敏的喂养方式。试验注册:Sleep SAAF: A Strong African American Families Study。www.Clinicaltrials: gov NCT03505203。2018年4月3日注册。
Sleep SAAF responsive parenting intervention improves mothers' feeding practices: a randomized controlled trial among African American mother-infant dyads.
Background/objective: Parents shape children's early experiences with food, influencing what is served, children's food choices, and how much children eat. Responsive parenting (RP) interventions such as INSIGHT have improved maternal infant feeding practices, but have only been tested among predominantly White families. This secondary analysis of data from the Sleep SAAF (Strong African American Families) RCT tests the effects of an RP intervention designed to prevent rapid infant weight gain on African American mothers' infant feeding practices.
Methods: Primiparous African American mother-infant dyads (n = 194) were randomized to an RP or safety control intervention delivered by community research associates at infant age 3 and 8 weeks. At 16 weeks, mothers completed the Babies Need Feeding questionnaire, the Infant Feeding Styles Questionnaire, and the Babies Need Soothing questionnaire. Logistic regression and general linear models examined the effect of study group on infant feeding practices. Moderation analyses explored whether effects varied by feeding mode (any breast milk versus exclusive formula), maternal age (≥ 20 years versus < 20 years), and maternal pre-pregnancy BMI (with obesity versus not).
Results: RP mothers reported more responsive feeding (p = 0.005, partial η2 = 0.02), lower likelihood of using beverages other than breast milk/formula to soothe their infant (p = 0.01, OR = 0.42, 95% CI [0.2-0.8]), and less pressure with cereal than control mothers (p = 0.09, partial η2 = 0.02). RP mothers also reported less pressure to finish/soothe than controls (p = 0.007, partial η2 = 0.04); feeding mode (B = 0.74, p = 0.003) and maternal age (B = 0.53, p = 0.04) moderated this effect. There were no significant group differences in bottle-feeding practices (e.g., adding cereal to bottle, using an appropriate nipple/bottle size), or in context-based or emotion-based food to soothe.
Conclusions: Responsive parenting education influenced some feeding practices of African American mothers. Mothers reported using less pressure, a control-based feeding practice, and more responsive feeding than controls.
Trial registration: Sleep SAAF: A Strong African American Families Study. www.
Clinicaltrials: gov NCT03505203. Registered 3 April 2018.
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