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WIC 顾问和照护者对响应式奶瓶喂养的认知和支持:一项形成性定性研究。

Awareness and Support of Responsive Bottle Feeding Among WIC Counselors and Caregivers: A Formative Qualitative Study.

机构信息

School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC.

Department of Kinesiology and Public Health and Center for Health Research, California Polytechnic State University, San Luis Obispo, CA.

出版信息

J Nutr Educ Behav. 2024 May;56(5):342-350. doi: 10.1016/j.jneb.2024.01.009. Epub 2024 Mar 10.

DOI:10.1016/j.jneb.2024.01.009
PMID:38466247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11081858/
Abstract

OBJECTIVE

To understand the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) counselor experiences discussing responsive bottle feeding during counseling and WIC participants' knowledge, understanding, and use of responsive bottle feeding.

METHODS

Qualitative descriptive, semistructured interviews with 23 participants (8 WIC counselors and 15 WIC participants) were conducted online via Zoom. The WIC counselors and mothers of WIC-enrolled bottle-fed infants were recruited through a network of WIC clinics in North Carolina. Interviews were recorded, transcribed, and collaboratively analyzed using content analysis.

RESULTS

The WIC participants received responsive infant feeding support from WIC counselors but often in the context of breastfeeding. WIC counselors provided valuable support for families but were challenged by limited training on responsive bottle feeding, balancing promoting breastfeeding with supporting mothers' feeding decisions, and time constraints.

CONCLUSIONS AND IMPLICATIONS

Findings provide preliminary support for the need to develop and pilot an intervention focused on promoting responsive feeding for parents of bottle-fed infants.

摘要

目的

了解妇女、婴儿和儿童特别补充营养计划(WIC)顾问在咨询中讨论响应式奶瓶喂养的经验,以及 WIC 参与者对响应式奶瓶喂养的知识、理解和使用情况。

方法

采用定性描述性方法,对 23 名参与者(8 名 WIC 顾问和 15 名 WIC 参与者)进行了在线 Zoom 半结构式访谈。WIC 顾问和 WIC 注册奶瓶喂养婴儿的母亲通过北卡罗来纳州的 WIC 诊所网络招募。使用内容分析法对访谈进行记录、转录和协作分析。

结果

WIC 参与者从 WIC 顾问那里获得了响应式婴儿喂养支持,但通常是在母乳喂养的背景下。WIC 顾问为家庭提供了有价值的支持,但受到响应式奶瓶喂养培训有限、平衡促进母乳喂养与支持母亲喂养决策以及时间限制的挑战。

结论和意义

研究结果初步支持需要开发和试点一项干预措施,重点是促进奶瓶喂养婴儿的父母进行响应式喂养。

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Knowledge and Use of Paced Bottle-Feeding Among Mothers of Young Infants.母亲对早产儿奶瓶喂养知识及使用情况的调查。
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"It Was Actually Pretty Easy": COVID-19 Compliance Cost Reductions in the WIC Program.“实际上相当容易”:妇女、婴儿和儿童营养补充计划中新冠疫情合规成本的降低
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Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach.促进 WIC 内的响应式奶瓶喂养:政策、系统和环境变化方法的评估。
J Acad Nutr Diet. 2022 Jan;122(1):99-109.e2. doi: 10.1016/j.jand.2021.05.003. Epub 2021 Jun 3.
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Nutrition- and feeding practice-related risk factors for rapid weight gain during the first year of life: a population-based birth cohort study.生命第一年体重快速增加的营养与喂养习惯相关风险因素:一项基于人群的出生队列研究
BMC Pediatr. 2020 Nov 5;20(1):507. doi: 10.1186/s12887-020-02391-4.
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Childhood obesity: rapid weight gain in early childhood and subsequent cardiometabolic risk.儿童肥胖:幼儿期体重快速增加及随后的心脏代谢风险。
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The Sociocultural Factors Underlying Latina Mothers' Infant Feeding Practices.拉丁裔母亲婴儿喂养方式背后的社会文化因素。
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