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What Outcome Measurement Instruments Are Used to Measure Caregiver Infant-Feeding Practices and the Feeding
Karen Matvienko-Sikar1, Moira Duffy1, Eibhlín Looney1
1School of Public Health, University College Cork, Cork, Ireland.
This review examined how infant feeding practices and environments are measured in obesity prevention trials. Current methods, mainly questionnaires, often lack clarity, hindering accurate assessment of intervention effects.
Area of Science:
- Pediatric Obesity Prevention
- Nutritional Sciences
- Public Health Interventions
Background:
- Accurate measurement of caregiver infant-feeding practices and feeding environment outcomes is vital for evaluating obesity prevention interventions.
- This scoping review focuses on outcome measurement instruments (OMIs) used in trials targeting infants up to one year old.
Purpose of the Study:
- To identify and categorize the OMIs used to measure infant-feeding practices and feeding environment outcomes in obesity prevention trials.
- To assess the methods employed in measuring these outcomes within the context of intervention research.
Main Methods:
- A comprehensive search of Embase, MEDLINE, CINAHL, and PsycINFO databases was conducted up to September 2023.
- Included trials focused on infants up to one year old and utilized at least one OMI for feeding practices or environment.
- Data from 25 trials were narratively synthesized after duplicate screening of titles, abstracts, and full texts.
Main Results:
- Questionnaires were the most common OMI (n=18), alongside individual questions, ecological momentary assessment, vignettes, and video interaction ratings.
- Responsive infant-feeding and child pressure to eat were the most frequently measured feeding practices; the feeding environment was underrepresented (five trials).
- A significant lack of clarity and completeness was noted in the reporting of OMIs.
Conclusions:
- The findings highlight critical gaps in the measurement of infant feeding practices and environments within obesity prevention research.
- Improving the clarity and completeness of OMI reporting is essential for accurately assessing intervention effectiveness and advancing childhood obesity prevention strategies.
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