Cognitive-behavioral Intervention to Increase the Practice of Responsive Feeding and Maintain Healthy Weight in Infants

NCT ID: NCT06617299

Last Updated: 2025-03-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

136 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-10

Study Completion Date

2025-02-25

Brief Summary

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Introduction: Childhood overweight and obesity in Mexico is a serious public health problem. Perceptive eating is a factor in the prevention of obesity and occurs when the caregiver recognizes the signs of hunger and satiety, responds in a timely manner to these needs. However, its implementation is often a challenge for parents. Studies show that there is low knowledge and self-efficacy, as well as erroneous beliefs about food. Teaching perceptive eating can lead to: the development of healthy eating habits, generate warm environments in which the interaction between parents and children is strengthened and promote self-regulation of hunger and satiety sensations and prevent overweight and obesity. Interventions on Responsive Feeding for the prevention of healthy weight in infants under six months of age are null in Mexico. Objective: To evaluate the effect of the intervention: \"Identify and Respond\" aimed at Mexican mothers to increase the practice of Responsive Feeding and maintain a healthy weight in children under 6 months of age. Methodology: The present study will be a pilot clinical trial type intervention study because the preliminary effect will be evaluated where the Experimental Group will receive the intervention aimed at increasing the practice of Responsive Feeding , there will be randomization of repeated measurements by virtue of which measurements will be made at three times: before the intervention (baseline) and follow-up (post-test 3 and 6 months later). The sample consisted of 72 mothers with children younger than 6 months for each group (N=144).

Detailed Description

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Conditions

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Prevention Childhood Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The present study will be a phase II intervention study of the pilot clinical trial type because the preliminary effect of an intervention will be evaluated where the Experimental Group (EG) will receive the intervention aimed at increasing the practice of RP and maintaining a healthy weight. The Control Group (CG) will receive the usual care, there will be randomization to both groups through a list with the number of rooms, the pilot clinical trial will be of repeated measurements by virtue of which measurements will be made at three times: before the intervention (baseline) and follow-up (post-test 3 and 6 months later) (Grove, Burns \& Gray, 2015).
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Responsive Feeding Group

Group to receive information on responsive feeding

Group Type EXPERIMENTAL

Intervention Identifies and Responds

Intervention Type BEHAVIORAL

The treatment of Experimental Group is described, which is made up of eight individual sessions taught over three months. Session one will be in face-to-face format, the content, resources and activities are described in tables 2 and 3. The remaining seven sessions will be follow-up sessions (four sessions by message (WhatsApp®) where motivational messages and reinforcement information will be sent; and 3 sessions by phone call for feedback, see details of time, content, activities and resources in tables 2 and 3.

The design of the intervention is aimed at increasing the practice of Responsive Feeding in mothers with children under 6 months of age, is based on the methodology of Sidani and Braden (2021); on CHW (Bandura, 1986); and behavior change techniques to help people have healthy eating habits (Michie et al., 2011).

Breastfeeding Group

Group to receive information disseminated by hospital staff on breastfeeding

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Intervention Identifies and Responds

The treatment of Experimental Group is described, which is made up of eight individual sessions taught over three months. Session one will be in face-to-face format, the content, resources and activities are described in tables 2 and 3. The remaining seven sessions will be follow-up sessions (four sessions by message (WhatsApp®) where motivational messages and reinforcement information will be sent; and 3 sessions by phone call for feedback, see details of time, content, activities and resources in tables 2 and 3.

The design of the intervention is aimed at increasing the practice of Responsive Feeding in mothers with children under 6 months of age, is based on the methodology of Sidani and Braden (2021); on CHW (Bandura, 1986); and behavior change techniques to help people have healthy eating habits (Michie et al., 2011).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Mother/child dyad, apparently healthy.
* Minimum of 12 hours postpartum and/or cesarean section.
* Mother who knows how to read and write.
* Mother who has a smartphone.
* Mother with internet access.
* Mother who agrees to participate in the study.

Exclusion Criteria

* Hospital stay of the mother/child dyad for more than 7 days after birth.
* Child-related exclusions:
* Gestational age under 37 weeks (SDG).
* Presence of a congenital anomaly.
* Physical disability that could affect feeding (e.g., cleft palate, cleft lip).
* Low birth weight (\< 2,500 g).
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad de la Sabana

OTHER

Sponsor Role collaborator

Universidad Autonoma de Nuevo Leon

OTHER

Sponsor Role lead

Responsible Party

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Jorge Alberto Mayo Abarca

Master in Nursing

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Velia M Cárdenas Villareal, PhD

Role: STUDY_DIRECTOR

Universidad Autónoma de Nuevo León - Facultad de Enfermería

Gabriela I Martínez Figueroa, Master

Role: STUDY_CHAIR

Universidad Autónoma de Nuevo León - Facultad de Enfermería

Gloria Carvajal Carrascal, PhD

Role: STUDY_CHAIR

Universidad de la Sabana

Locations

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Hospital Universitario Dr. José Eleuterio González

Monterrey, Nuevo León, Mexico

Site Status

Countries

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Mexico

References

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Related Links

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Other Identifiers

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FAEN-D-2017

Identifier Type: -

Identifier Source: org_study_id

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