A Multimethod Evaluation of the Futuros Fuertes Intervention to Promote Healthy Feeding, Screen Time, and Sleep Practices
Beck AL, Mora R, Joseph G, Perrin E, Cabana M, Schickedanz A, Fernandez A
Academic pediatrics · 11 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Organización sin fines de lucro
- Hellman Foundation
- Gobierno
- National Institute of Diabetes and Digestive and Kidney Diseases
- Gobierno
- National Institute of Child Health and Human Development
- Gobierno
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Gobierno
- NICHD NIH HHS
- Gobierno
- NIDDK
- Subvenciones
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD099308); Eunice Kennedy Shriver National Institute of Child Health and Human Development (1K23HD080876); Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23 HD080876); National Institute of Child Health and Human Development (1K23HD080876-01A1); Eunice Kennedy Shriver National Institute of Child Health and Human Development (1K23HD080876-01A1)
Según 6 financiadores declarados.
Publicación
- Publicado
- 2023-05-19 · Acad Pediatr · vol. 23 · número 7 · págs. 1351–1360
- Editorial
- Elsevier BV
- Citado
- 13 citas · más que el 91% de estudios similares · 3.0× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 41 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Obesity, Physical Activity, Diet · Mobile Health and mHealth Applications · Breastfeeding Practices and Influences
- Palabras clave
- infant feeding practices, screen time, infant sleep practices, breastfeeding, fruit consumption, lay health educators, text messaging, financial coaching, mechanism of action, parental trust, child BMI z-score
- MeSH
- humans, body mass index, feeding behavior, health behavior, parenting, parents, infant, female, male, pediatric obesity, screen time
7 autores
- Amy L. Beck🇺🇸 · autor de correspondenciaUniversity of California, San Francisco
- Rosa V. Mora🇺🇸University of California, San Francisco
- Galen Joseph🇺🇸University of California, San Francisco
- Eliana Miller Perrin🇺🇸Johns Hopkins University
- Michael D. Cabana🇺🇸Albert Einstein College of Medicine
- Adam B. Schickedanz🇺🇸University of California, Los Angeles
- Alicia Fernández🇺🇸University of California, San Francisco
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
1) To evaluate the impact of the Futuros Fuertes intervention on infant feeding, screen time, and sleep practices and 2) To use qualitative methods to explore mechanisms of action.
Methods
Low-income Latino infant-parent dyads were recruited from birth to 1 month and randomized to Futuros Fuertes or a financial coaching control. Parents received health education sessions from a lay health educator at well-child visits in the first year of life. Parents received two text messages per week that reinforced intervention content. We assessed infant feeding, screen time, and sleep practices via surveys. body mass index z-score (BMI-z) was measured at 6 and 12 months. Seventeen parents from the intervention arm participated in a semi-structured interview that explored parental experiences with the intervention.
Results
There were n = 96 infant-parent dyads randomized. Fruit intake was higher in the intervention group at 15 months (1.1 vs 0.86 cups p = 0.05). Breastfeeding rates were higher in intervention participants at 6 months (84% vs 59% p = 0.02) and 9 months (81% vs 51% p = 0.008). Mean daily screen time was lower among intervention participants at 6 months (7 vs 22 min p = 0.003), 12 months (35 vs 52 min p = 0.03), and 15 months (60 vs 73 min p = 0.03). Major qualitative themes include 1) parental trust in intervention messaging 2) changes in feeding and screen time parenting practices, 3) text messages supported behavior change for parents and family members, and 4) varying effectiveness of intervention on different health behaviors.
Conclusions
Low-income Latino infants participating in the Futuros Fuertes intervention had modestly healthier feeding and screen time practices compared to control participants.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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