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Randomized controlled trial of bottle weaning intervention: a pilot study.

Richard Kahn1, Karen Bonuck, Michelle Trombley

  • 1Morrisania WIC Program, 454 Fort Washington Avenue #66, New York, NY 10033, USA. richard.kahn2@verizon.net

Clinical Pediatrics
|February 28, 2007
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Summary

A brief counseling intervention significantly reduced baby bottle use in toddlers, aiding in weaning. This intervention promotes healthier habits and parent satisfaction, addressing concerns like tooth decay and anemia.

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Area of Science:

  • Pediatric Nutrition
  • Public Health Interventions
  • Child Development

Background:

  • Inappropriate baby bottle use is linked to adverse health outcomes including tooth decay, anemia, and overweight.
  • Parental adherence to recommended weaning by 18 months is often suboptimal.
  • Early childhood feeding practices significantly impact long-term health and dietary patterns.

Purpose of the Study:

  • To pilot a brief, counseling-based intervention to reduce inappropriate baby bottle use.
  • To assess the intervention's effectiveness in promoting toddler weaning.
  • To evaluate parental satisfaction with the weaning process.

Main Methods:

  • A pilot study involving a brief, counseling-based weaning intervention was conducted.
  • The intervention was implemented in an urban Women, Infants, and Children (WIC) agency.
  • Participants included primarily Hispanic parent/toddler dyads.

Main Results:

  • At baseline, toddlers consumed a mean of 4.7 bottles per day.
  • At follow-up, the intervention group consumed significantly fewer bottles per day (0.09) compared to controls (2.0, P < .045).
  • Complete weaning was achieved by 50% of toddlers in the intervention group versus 33% in the control group.

Conclusions:

  • A brief, counseling-based intervention is effective in reducing bottle use among toddlers.
  • The intervention facilitated successful weaning and improved child health indicators.
  • Parents reported satisfaction with the outcomes of the weaning intervention.