OBJECTIVE: To assess the effectiveness of a home-based early intervention on infant feeding practices and "tummy time" for infants in the first year of life. DESIGN: Randomized controlled trial with follow-up measures scheduled at 6 and 12 months. SETTING: Socially and economically disadvantaged areas of Sydney, Australia. PARTICIPANTS: We recruited 667 first-time mothers and their infants in 2007 and 2008. INTERVENTIONS: The intervention consisted of 5 or 6 home visits from a specially trained research nurse delivering a staged home-based intervention in the antenatal period and at 1, 3, 5, 9, and 12 months. MAIN OUTCOME MEASURE: Changes in infant feeding practices and "tummy time." RESULTS: The intervention group had a significantly higher median duration of breastfeeding at 12 months than the control group (17 weeks [95% confidence interval, 13.9-20.4 weeks] vs 13 weeks [95% confidence interval, 10.1-15.0 weeks]; P = .03). Compared with the control group, the hazard ratio for stopping breastfeeding in the intervention group was 0.82 (95% confidence interval, 0.68-0.99). The intervention also resulted in a significantly later introduction of solid foods (P < .001 for trend), reducing the proportion of mothers who introduced solids before 6 months by 12% (95% confidence interval, 4%-20%) from 74% to 62%. The intervention also decreased the age at which infants started tummy time (P = .03 for trend) and increased the daily practice of tummy time by 7% from 76% to 83% (P = .05). CONCLUSION: The home-based early intervention delivered by trained community nurses significantly improved some infant feeding practices and resulted in earlier daily practice of tummy time. TRIAL REGISTRATION: anzctr.org.au Identifier: ACTRN012607000168459.
RCT Entities:
OBJECTIVE: To assess the effectiveness of a home-based early intervention on infant feeding practices and "tummy time" for infants in the first year of life. DESIGN: Randomized controlled trial with follow-up measures scheduled at 6 and 12 months. SETTING: Socially and economically disadvantaged areas of Sydney, Australia. PARTICIPANTS: We recruited 667 first-time mothers and their infants in 2007 and 2008. INTERVENTIONS: The intervention consisted of 5 or 6 home visits from a specially trained research nurse delivering a staged home-based intervention in the antenatal period and at 1, 3, 5, 9, and 12 months. MAIN OUTCOME MEASURE: Changes in infant feeding practices and "tummy time." RESULTS: The intervention group had a significantly higher median duration of breastfeeding at 12 months than the control group (17 weeks [95% confidence interval, 13.9-20.4 weeks] vs 13 weeks [95% confidence interval, 10.1-15.0 weeks]; P = .03). Compared with the control group, the hazard ratio for stopping breastfeeding in the intervention group was 0.82 (95% confidence interval, 0.68-0.99). The intervention also resulted in a significantly later introduction of solid foods (P < .001 for trend), reducing the proportion of mothers who introduced solids before 6 months by 12% (95% confidence interval, 4%-20%) from 74% to 62%. The intervention also decreased the age at which infants started tummy time (P = .03 for trend) and increased the daily practice of tummy time by 7% from 76% to 83% (P = .05). CONCLUSION: The home-based early intervention delivered by trained community nurses significantly improved some infant feeding practices and resulted in earlier daily practice of tummy time. TRIAL REGISTRATION: anzctr.org.au Identifier: ACTRN012607000168459.
Authors: Alison McFadden; Anna Gavine; Mary J Renfrew; Angela Wade; Phyll Buchanan; Jane L Taylor; Emma Veitch; Anne Marie Rennie; Susan A Crowther; Sara Neiman; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2017-02-28
Authors: Alexander G Fiks; Rachel S Gruver; Chanelle T Bishop-Gilyard; Justine Shults; Senbagam Virudachalam; Andrew W Suh; Marsha Gerdes; Gurpreet K Kalra; Patricia A DeRusso; Alexandra Lieberman; Daniel Weng; Michal A Elovitz; Robert I Berkowitz; Thomas J Power Journal: Child Obes Date: 2017-05-30 Impact factor: 2.992
Authors: Li Ming Wen; Chris Rissel; Huilan Xu; Sarah Taki; Limin Buchanan; Karen Bedford; Philayrath Phongsavan; Louise A Baur Journal: JAMA Pediatr Date: 2020-07-01 Impact factor: 16.193
Authors: Eng Joo Tan; Victoria Brown; Stavros Petrou; Mario D'Souza; Marjory L Moodie; Li Ming Wen; Louise A Baur; Chris Rissel; Alison J Hayes Journal: Qual Life Res Date: 2018-07-10 Impact factor: 4.147