Tools For Teen Moms: Reducing Infant Obesity Risk
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 14 - 19 |
| Updated: | 3/10/2019 |
| Start Date: | June 2014 |
| End Date: | September 2016 |
Tools for Teen Moms: Reducing Infant Obesity Risk
The purpose of this social media group randomized trial (GRT) is to test the feasibility of
our Baby Dayr for Teen Moms intervention to increase maternal responsiveness to infant cues
and implement healthy feeding practices through development of a healthy feeding style.
Aim 1: Evaluate the feasibility and acceptability of the Baby Dayr intervention administered
to the target population as it relates to their acceptance and satisfaction with the content,
format, delivery, and use of social media.
Aim 2: Explore efficacy of the Baby Dayr intervention administered to adolescent mothers of
infants 4 months of age or less as assessed by maternal responsiveness, feeding style, and
feeding practices evaluated at the completion of the intervention using self-report methods.
our Baby Dayr for Teen Moms intervention to increase maternal responsiveness to infant cues
and implement healthy feeding practices through development of a healthy feeding style.
Aim 1: Evaluate the feasibility and acceptability of the Baby Dayr intervention administered
to the target population as it relates to their acceptance and satisfaction with the content,
format, delivery, and use of social media.
Aim 2: Explore efficacy of the Baby Dayr intervention administered to adolescent mothers of
infants 4 months of age or less as assessed by maternal responsiveness, feeding style, and
feeding practices evaluated at the completion of the intervention using self-report methods.
Rapid weight gain during infancy is one of the strongest risk factors for obesity later in
childhood. Weight gain in infancy is closely linked with feeding practices. Unhealthy
mother-infant feeding practices contribute to rapid and/or excessive infant weight gain.
Lower-income, adolescent, first-time mothers are less likely to engage in infant-centered
feeding (ICF) which is characterized by maternal responsiveness (MR), healthy feeding styles
(FS), and healthy feeding practices (FP). ICF is needed to reduce rapid/excessive weight gain
during the first six months of life and to foster infant feeding self-regulation that is
associated with healthy growth. ICF is a critical factor in reducing infant obesity risk and
later adverse health conditions. Practical early intervention strategies are necessary to
promote ICF among adolescent mothers to reduce obesity risk. We propose Baby Dayr, a novel
social media intervention platform designed by the investigators which includes cell phone
text message reminders, an infant feeding website, and Facebook to increase ICF through daily
behavioral challenge activities ("challenges") for this population. Because cell phones
permit natural, frequent and non-intrusive contact as they are not time-or-place-dependent,
they offer an innovative strategy for intervening with adolescent mothers. However, this
approach is untested for its feasibility with this population regarding infant feeding
practices. We propose an exploratory, longitudinal, randomized, two-group study design. The
three specific aims are: 1) to establish preliminary efficacy of the intervention as assessed
by infant growth evaluated pre-intervention, immediately post intervention, and when the
infant is six months old; 2) establish preliminary efficacy of the Baby Dayr plus
Maternal-Infant Health Program (MIHP) care vs. MIHP care only on infant-centered feeding (MR,
FS, and FP) mediated by maternal knowledge and self-efficacy; and 3) establish the
feasibility, acceptability, and satisfaction of a social media intervention (Baby Dayr) for
low-income adolescent, first-time mothers by assessing: 1) rates of enrollment and completion
of daily challenges, 2) acceptability ratings of Baby Dayr; and 3) satisfaction with Baby
Dayr. Participants will be randomly assigned to the intervention (Baby Dayr and MIHP) (n =
40) or control group (MIHP care only) (n = 40). The intervention consists of six weeks of
daily challenges and will be delivered starting when the infant is four to six weeks old. The
study is innovative in its: 1) assessment of ICF to reduce rapid/excessive infant weight gain
in the first six months of life with low-income, adolescent, first-time mother-infant dyads,
and 2) combination of an infant-centered skill-building, educational, and coaching approach
using social media that is accessible and suitable for adolescents. The proposed research is
significant in that it will contribute to the science related to ICF and knowledge regarding
use of a social media platform in an at-risk population that can lead to reducing the risk of
infant obesity. Information gained from this study will be used to refine the intervention
for use in a larger-scale, longitudinal, randomized, controlled trial to reduce obesity risk
in infants of low-income, adolescent mothers.
childhood. Weight gain in infancy is closely linked with feeding practices. Unhealthy
mother-infant feeding practices contribute to rapid and/or excessive infant weight gain.
Lower-income, adolescent, first-time mothers are less likely to engage in infant-centered
feeding (ICF) which is characterized by maternal responsiveness (MR), healthy feeding styles
(FS), and healthy feeding practices (FP). ICF is needed to reduce rapid/excessive weight gain
during the first six months of life and to foster infant feeding self-regulation that is
associated with healthy growth. ICF is a critical factor in reducing infant obesity risk and
later adverse health conditions. Practical early intervention strategies are necessary to
promote ICF among adolescent mothers to reduce obesity risk. We propose Baby Dayr, a novel
social media intervention platform designed by the investigators which includes cell phone
text message reminders, an infant feeding website, and Facebook to increase ICF through daily
behavioral challenge activities ("challenges") for this population. Because cell phones
permit natural, frequent and non-intrusive contact as they are not time-or-place-dependent,
they offer an innovative strategy for intervening with adolescent mothers. However, this
approach is untested for its feasibility with this population regarding infant feeding
practices. We propose an exploratory, longitudinal, randomized, two-group study design. The
three specific aims are: 1) to establish preliminary efficacy of the intervention as assessed
by infant growth evaluated pre-intervention, immediately post intervention, and when the
infant is six months old; 2) establish preliminary efficacy of the Baby Dayr plus
Maternal-Infant Health Program (MIHP) care vs. MIHP care only on infant-centered feeding (MR,
FS, and FP) mediated by maternal knowledge and self-efficacy; and 3) establish the
feasibility, acceptability, and satisfaction of a social media intervention (Baby Dayr) for
low-income adolescent, first-time mothers by assessing: 1) rates of enrollment and completion
of daily challenges, 2) acceptability ratings of Baby Dayr; and 3) satisfaction with Baby
Dayr. Participants will be randomly assigned to the intervention (Baby Dayr and MIHP) (n =
40) or control group (MIHP care only) (n = 40). The intervention consists of six weeks of
daily challenges and will be delivered starting when the infant is four to six weeks old. The
study is innovative in its: 1) assessment of ICF to reduce rapid/excessive infant weight gain
in the first six months of life with low-income, adolescent, first-time mother-infant dyads,
and 2) combination of an infant-centered skill-building, educational, and coaching approach
using social media that is accessible and suitable for adolescents. The proposed research is
significant in that it will contribute to the science related to ICF and knowledge regarding
use of a social media platform in an at-risk population that can lead to reducing the risk of
infant obesity. Information gained from this study will be used to refine the intervention
for use in a larger-scale, longitudinal, randomized, controlled trial to reduce obesity risk
in infants of low-income, adolescent mothers.
Inclusion Criteria:
- Self-identified, English-speaking
- Low-income, adolescent
- First-time mothers between the ages of 14 and 19
- With daily web access and access to a cell phone that includes text messaging
capabilities
- Family income ≤ 185% of federal poverty
- Term birth (37≤42 weeks, 2500≤3750 grams birth weight)
- Mothers and infants with no special nutrients or feeding needs
- Infants less than six weeks old at study enrollment who have not started eating solid
foods
- Adolescent mothers must be a primary caretaker of the infant who feeds her infant at
least once a day, and who is willing to participate in a six-week intervention with
data collection at three defined time points (T1, T2, and T3)
Exclusion Criteria:
- Male caregivers
- Mothers and infants with diagnosed feeding/eating disorders
- Significant perinatal or postnatal complications
- Post partum depression or other mental health problems
- Adolescent mothers who do not share in the feeding responsibility of their infants
- Adolescents without daily web access nor a cell phone with text messaging capabilities
We found this trial at
1
site
East Lansing, Michigan 48824
Principal Investigator: Mildred A Horodynski, PhD
Phone: 517-355-8360
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