A web-based and mobile randomised controlled trial providing complementary feeding guidelines to first-time parents in France to promote responsive parental feeding practices, healthy children's eating behaviour and optimal body mass index: the NutrienT trial study protocol.
Humans
Infant
France
Child, Preschool
Feeding Behavior
Parents
/ psychology
Body Mass Index
Double-Blind Method
Female
Infant Nutritional Physiological Phenomena
Mobile Applications
Male
Pediatric Obesity
/ prevention & control
Nutrition Policy
Pamphlets
Internet-Based Intervention
Health Promotion
/ methods
Appetite control
Childhood obesity
Complementary feeding
Infant eating behaviour
Parental feeding practices
Responsive feeding
Weight status
eHealth
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
27 Sep 2024
27 Sep 2024
Historique:
received:
28
07
2023
accepted:
12
09
2024
medline:
28
9
2024
pubmed:
28
9
2024
entrez:
28
9
2024
Statut:
epublish
Résumé
Childhood obesity is a crucial public health issue. Early childhood is a critical time to foster the establishment of healthy eating behaviours and growth, which are partly shaped by parental feeding practices. To inform French parents of the recently updated national complementary feeding guidelines for 0-3 years (in terms of nutrition and responsive feeding as a mean to encourage infant appetite control skills and promote healthy growth), an official printed brochure was developed and nationally disseminated in 2021 by the French public health agency, Santé publique France. This randomised controlled trial aims to investigate whether the provision of guidelines through digital (smartphone application) and printed (brochure) tools (vs. the printed brochure alone, usual service) results in healthier parental feeding practices, infant eating behaviours and weight status. This double-blinded monocentric 2-arm trial is currently conducted among first-time parents living in the area of Dijon (France) and recruited in a maternity ward. From child age 3 to 36 months (mo), an app provides a range of 106 age-adapted messages, including dietary recommendations, educational advice, recipes, and tips (intervention group only). Additionally, parents of both groups are provided with 48 messages related to child general development and the printed brochure at child age 2.7 mo. The primary outcome is the body mass index (BMI) z-score at child age 36 mo. Secondary outcome measures include a combination of online parents' reports and behavioural assessments (experimental meals) of parental feeding practices and infant eating behaviours from inclusion to 36 months of age. Analyses of covariance on these outcomes will assess the effect of the intervention, adjusted for relevant confounders. Complementary mediation and moderation analyses will be conducted. Sample size was determined to be n = 118 in each arm of the trial, plus 20% to compensate for potential attrition. This is the first public eHealth randomised control trial in France to assess the effect of a web-based and mobile intervention targeted to first-time parents to improve child feeding practices and child growth. This trial was registered at clinicaltrials.gov as NCT05285761 (March 18, 2022).
Sections du résumé
BACKGROUND
BACKGROUND
Childhood obesity is a crucial public health issue. Early childhood is a critical time to foster the establishment of healthy eating behaviours and growth, which are partly shaped by parental feeding practices. To inform French parents of the recently updated national complementary feeding guidelines for 0-3 years (in terms of nutrition and responsive feeding as a mean to encourage infant appetite control skills and promote healthy growth), an official printed brochure was developed and nationally disseminated in 2021 by the French public health agency, Santé publique France. This randomised controlled trial aims to investigate whether the provision of guidelines through digital (smartphone application) and printed (brochure) tools (vs. the printed brochure alone, usual service) results in healthier parental feeding practices, infant eating behaviours and weight status.
METHODS
METHODS
This double-blinded monocentric 2-arm trial is currently conducted among first-time parents living in the area of Dijon (France) and recruited in a maternity ward. From child age 3 to 36 months (mo), an app provides a range of 106 age-adapted messages, including dietary recommendations, educational advice, recipes, and tips (intervention group only). Additionally, parents of both groups are provided with 48 messages related to child general development and the printed brochure at child age 2.7 mo. The primary outcome is the body mass index (BMI) z-score at child age 36 mo. Secondary outcome measures include a combination of online parents' reports and behavioural assessments (experimental meals) of parental feeding practices and infant eating behaviours from inclusion to 36 months of age. Analyses of covariance on these outcomes will assess the effect of the intervention, adjusted for relevant confounders. Complementary mediation and moderation analyses will be conducted. Sample size was determined to be n = 118 in each arm of the trial, plus 20% to compensate for potential attrition.
DISCUSSION
CONCLUSIONS
This is the first public eHealth randomised control trial in France to assess the effect of a web-based and mobile intervention targeted to first-time parents to improve child feeding practices and child growth.
TRIAL REGISTRATION
BACKGROUND
This trial was registered at clinicaltrials.gov as NCT05285761 (March 18, 2022).
Identifiants
pubmed: 39334106
doi: 10.1186/s12889-024-20057-z
pii: 10.1186/s12889-024-20057-z
doi:
Banques de données
ClinicalTrials.gov
['NCT05285761']
Types de publication
Journal Article
Randomized Controlled Trial
Clinical Trial Protocol
Langues
eng
Sous-ensembles de citation
IM
Pagination
2649Subventions
Organisme : Conseil régional de Bourgogne-Franche-Comté
ID : RECO-ALIM-BB
Organisme : Conseil régional de Bourgogne-Franche-Comté
ID : RECO-ALIM-BB
Organisme : Conseil régional de Bourgogne-Franche-Comté
ID : RECO-ALIM-BB
Organisme : EU ITN-EDULIA
ID : Marie Skłodowska-Curie grant agreement No 764985
Organisme : EU ITN-EDULIA
ID : Marie Skłodowska-Curie grant agreement No 764985
Organisme : EU ITN-EDULIA
ID : Marie Skłodowska-Curie grant agreement No 764985
Informations de copyright
© 2024. The Author(s).
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