Tools for teen moms to reduce infant obesity: a randomized clinical trial
Mildred A Horodynski1, Kami Silk2, Gary Hsieh3
1College of Nursing, Michigan State University, 1355 Bogue Street, Bott Nursing Building, East Lansing, MI, 48824, USA. millie@msu.edu.
Insights
This study tested a social media program to help teen mothers improve infant feeding practices and reduce rapid infant weight gain. The intervention aims to prevent early childhood obesity by coaching mothers on healthy feeding behaviors.
Area of Science:
- Pediatrics
- Public Health
- Maternal-Child Health
Background:
- Unhealthy infant feeding practices, including formula and early solids, can lead to excessive infant weight gain.
- Adolescent mothers often exhibit less knowledge and skill in infant feeding compared to adult mothers, impacting infant growth.
- Rapid infant weight gain in the first year is a risk factor for early-onset childhood obesity.
Purpose of the Study:
- To evaluate a social media intervention designed to promote healthy infant feeding practices among low-income, adolescent, first-time mothers.
- To assess the intervention's impact on infant weight, maternal responsiveness, and feeding styles and practices.
- To reduce the risk of rapid or excessive infant weight gain in the first six months of life.
Main Methods:
- A randomized control trial involving 100 low-income adolescent mothers of infants aged 2 months or younger.
- Participants were recruited from Maternal-Infant Health Programs in Michigan and randomized to an intervention or control group.
- The intervention utilized a social media platform with daily challenges, reminders, and forums over 6 weeks, alongside standard care.
Main Results:
- Maternal outcomes measured include responsiveness, feeding style, and feeding practices.
- The primary infant outcome is infant weight, with data collected at baseline, 3 months, and 6 months.
- The study protocol is registered on ClinicalTrials.gov (NCT02244424).
Conclusions:
- The social media intervention is expected to be effective in guiding teen mothers toward healthier infant feeding behaviors.
- The study aims to contribute to reducing the incidence of early-onset childhood obesity.
- Findings will inform future interventions targeting maternal-child health and nutrition.
Background:
Unhealthy infant feeding practices, such as a combination of formula feeding and early introduction of solids may lead to rapid or excessive weight gain in early infancy. Adolescent mothers' feeding behaviors are most directly related to infant weight gain in the first year of life. Compared to adult mothers, adolescent mothers are less knowledgeable, less responsive, more controlling, and less skilled in infant feeding, which interferes with infants' healthy growth. The Tools for Teen Moms trial aims to compare the effect of a social media intervention for low-income adolescent, first-time mothers of infants 2 months of age or younger, versus standard care on infant weight, maternal responsiveness, and feeding style and practices. The intervention is conducted during the infant's first four months of life to promote healthy transition to solids during their first year. Tools for Teen Moms is an intervention delivered via a social media platform that actively engages and coaches low-income adolescent mothers in infant-centered feeding to reduce rapid/excessive infant weight gain in the first six months of life.
Methods/Design:
We describe our study protocol for a randomized control trial with an anticipated sample of 100 low-income African- American and Caucasian adolescent, first-time mothers of infants. Participants are recruited through Maternal-Infant Health Programs in four counties in Michigan, USA. Participants are randomly assigned to the intervention or the control group. The intervention provides infant feeding information to mothers via a web-based application, and includes daily behavioral challenges, text message reminders, discussion forums, and website information as a comprehensive social media strategy over 6 weeks. Participants continue to receive usual care during the intervention. Main maternal outcomes include: (a) maternal responsiveness, (b) feeding style, and (c) feeding practices. The primary infant outcome is infant weight. Data collection occurs at baseline, and when the baby is 3 and 6 months old.
Discussion:
Expected outcomes will address the effectiveness of the social media intervention in helping teen mothers develop healthy infant feeding practices that contribute to reducing the risk of early onset childhood obesity.
Trial Registration:
Clinical Trials.Gov NCT02244424, June 24, 2014.
Related Concept Videos
Obesity
Drug Dosing: Obese Patients
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Regression Toward the Mean
Drug Dosing: Infants and Children


