睡眠南非空军育儿干预措施可改善母亲的喂养行为：一项针对非裔美国母婴对子的随机对照试验。
Sleep SAAF responsive parenting intervention improves mothers' feeding practices: a randomized controlled trial among African American mother-infant dyads.
机构信息
Center for Childhood Obesity Research, The Pennsylvania State University, University Park, State College, PA, USA.
Department of Psychology, Psychology Building, University of Georgia, Athens, GA, 30602-3013, USA.
出版信息
Int J Behav Nutr Phys Act. 2022 Oct 1;19(1):129. doi: 10.1186/s12966-022-01366-1.
BACKGROUND/OBJECTIVE: Parents shape children's early experiences with food, influencing what is served, children's food choices, and how much children eat. Responsive parenting (RP) interventions such as INSIGHT have improved maternal infant feeding practices, but have only been tested among predominantly White families. This secondary analysis of data from the Sleep SAAF (Strong African American Families) RCT tests the effects of an RP intervention designed to prevent rapid infant weight gain on African American mothers' infant feeding practices.
METHODS
Primiparous African American mother-infant dyads (n = 194) were randomized to an RP or safety control intervention delivered by community research associates at infant age 3 and 8 weeks. At 16 weeks, mothers completed the Babies Need Feeding questionnaire, the Infant Feeding Styles Questionnaire, and the Babies Need Soothing questionnaire. Logistic regression and general linear models examined the effect of study group on infant feeding practices. Moderation analyses explored whether effects varied by feeding mode (any breast milk versus exclusive formula), maternal age (≥ 20 years versus < 20 years), and maternal pre-pregnancy BMI (with obesity versus not).
RESULTS
RP mothers reported more responsive feeding (p = 0.005, partial η = 0.02), lower likelihood of using beverages other than breast milk/formula to soothe their infant (p = 0.01, OR = 0.42, 95% CI [0.2-0.8]), and less pressure with cereal than control mothers (p = 0.09, partial η = 0.02). RP mothers also reported less pressure to finish/soothe than controls (p = 0.007, partial η = 0.04); feeding mode (B = 0.74, p = 0.003) and maternal age (B = 0.53, p = 0.04) moderated this effect. There were no significant group differences in bottle-feeding practices (e.g., adding cereal to bottle, using an appropriate nipple/bottle size), or in context-based or emotion-based food to soothe.
CONCLUSIONS
Responsive parenting education influenced some feeding practices of African American mothers. Mothers reported using less pressure, a control-based feeding practice, and more responsive feeding than controls.
TRIAL REGISTRATION
Sleep SAAF: A Strong African American Families Study. www.
CLINICALTRIALS
gov NCT03505203. Registered 3 April 2018.
背景/目的：父母塑造了孩子早期的食物体验，影响了食物的供应、孩子的食物选择以及孩子的进食量。响应式育儿（RP）干预措施，如 INSIGHT，已经改善了母亲的婴儿喂养实践，但仅在以白种人为主的家庭中进行了测试。本研究对来自睡眠 SAAF（Strong African American Families）RCT 的数据进行了二次分析，测试了一种旨在防止婴儿快速增重的 RP 干预措施对非裔美国母亲的婴儿喂养实践的影响。
方法
将 194 对初产妇非裔美国家庭母婴对子随机分配到 RP 或安全对照组，由社区研究助理在婴儿 3 周和 8 周龄时进行干预。在 16 周时，母亲完成了“婴儿需要喂养”问卷、“婴儿喂养方式问卷”和“婴儿需要安抚”问卷。逻辑回归和一般线性模型检验了研究组对婴儿喂养实践的影响。通过调节分析，探讨了这些影响是否因喂养模式（任何母乳与纯配方奶）、母亲年龄（≥20 岁与<20 岁）和母亲孕前 BMI（肥胖与不肥胖）而异。
结果
RP 母亲报告的响应式喂养更多（p=0.005，偏 η²=0.02），用母乳/配方奶以外的饮料来安抚婴儿的可能性更低（p=0.01，OR=0.42，95%CI[0.2-0.8]），与对照组母亲相比，用谷类食品来安抚婴儿的压力更小（p=0.09，偏 η²=0.02）。RP 母亲报告的完成/安抚压力也比对照组小（p=0.007，偏 η²=0.04）；喂养模式（B=0.74，p=0.003）和母亲年龄（B=0.53，p=0.04）调节了这种影响。两组在奶瓶喂养实践（如在奶瓶中添加谷类食品、使用适当的奶嘴/奶瓶大小）或基于情境或基于情绪的食物安抚方面均无显著差异。
结论
响应式育儿教育影响了非裔美国母亲的一些喂养实践。与对照组相比，母亲报告的压力更小，采用了基于控制的喂养方式，并且更有响应性。
试验注册
Sleep SAAF：一项 Strong African American Families 研究。www.clinicaltrials.gov NCT03505203。于 2018 年 4 月 3 日注册。
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