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Feeding Infants and Toddlers: A Qualitative Study to Determine Parental Education Needs
Rebecca L Heller1, Jesse D Chiero1, Michael Puglisi1
1Department of Nutritional Sciences, University of Connecticut, Storrs, CT.
Insights
Parents need more guidance on infant and toddler feeding to prevent obesity. Educational needs vary by socioeconomic status, highlighting the importance of tailored support for healthy eating habits from birth to 24 months.
Area of Science:
- Pediatrics
- Nutrition Science
- Public Health
Background:
- Limited evidence-based guidance exists for preventing early childhood obesity (birth to 24 months).
- Responsive feeding is crucial for establishing healthy eating patterns.
- Parental knowledge and practices significantly influence child nutrition.
Purpose of the Study:
- To explore current child feeding practices.
- To identify barriers to implementing optimal feeding strategies.
- To determine educational needs for preventing early obesity in children aged birth to 24 months.
Main Methods:
- Qualitative study utilizing one-on-one interviews with 66 parents.
- Interviews analyzed using classical qualitative analysis with NVivo software.
- Participants represented diverse socioeconomic backgrounds (low-income and non-low-income).
Main Results:
- Parents require information on meal preparation, optimal intake, and affordable healthy foods.
- Low-income parents sought guidance on affordable options and avoiding overfeeding.
- Non-low-income parents inquired about food allergens, transitioning to solids, and structured mealtimes.
Conclusions:
- Targeted outreach is necessary to provide parents with optimal feeding practices information.
- Addressing socioeconomic disparities in feeding knowledge is essential.
- Focus on complementary feeding and the transition to solid foods is critical.
Abstract:
Limited evidence-based guidance is available to parents regarding optimal child feeding practices to prevent early childhood obesity from birth to 24 months of age (B-24). The objective of this qualitative study was to determine current child feeding practices, barriers to implementation, and educational needs of parents of varying socioeconomic backgrounds as it relates to responsive feeding to prevent early obesity in children of ages B-24. One-on-one interviews were conducted with parents (n = 66) of children ages B-24 from both low-and non-low-income households. Interviews were audiorecorded, transcribed verbatim, and analyzed with NVivo using classical qualitative analysis. Participants were primarily female (91%), married (53%), low-income (59%), and were not first-time parents (72%). The results revealed overarching themes, including parents' reported need for information on preparing child meals, optimal dietary intake, affordable healthy foods, promoting child self-feeding, and food and nutrition knowledge. Low-income parents more frequently requested guidance about identifying affordable healthy options and overfeeding while non-low-income parents requested information about food allergens, transitioning to solids, and creating structured mealtimes. Additional and focused outreach to parents of children ages B-24 regarding optimal feeding practices is needed especially on topics related to complementary feeding during the transition to solid food.
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