Stephanie Anzman-Frasca1, Ian M Paul2, Kameron J Moding3, Jennifer S Savage4, Emily E Hohman4, Leann L Birch5. 1. Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY. 2. Pediatrics and Public Health Sciences, Penn State College of Medicine, Hershey, PA. 3. Department of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, CO. 4. Center for Childhood Obesity Research and Department of Nutritional Sciences, Penn State College of Health and Human Development, University Park, PA. 5. Department of Foods and Nutrition, University of Georgia, Athens, GA.
Abstract
OBJECTIVE: Infants higher on negative reactivity and lower on regulation, aspects of temperament, have increased obesity risk. Responsive parenting (RP) has been shown to impact the expression of temperament, including the developing ability to regulate negative emotions. The aim of this analysis was to test the effects of the INSIGHT study's RP intervention designed for the primary prevention of obesity on reported and observed infant negativity and regulation. METHODS: The sample included 240 mother-infant dyads randomized 2 weeks after birth to the RP intervention or a safety control intervention. Both groups received 4 home visits during the infant's first year. In the RP group, nurses delivered RP guidance in domains of sleep, feeding, soothing, and interactive play. At 1 year, mother-reported temperament was measured by a survey, and a frustration task was used to observe temperament in the laboratory. Effects of the RP intervention were tested using general linear models. RESULTS: The RP intervention reduced overall reported infant negativity, driven by lower distress to limitations (p < 0.05) and faster recovery from distress (p < 0.01) in the RP group versus controls. There were no intervention effects on reported regulation or observed negativity. The intervention did increase observed regulation, particularly the use of self-comforting strategies (p < 0.05) during the frustration task. DISCUSSION: An RP intervention designed for early obesity prevention affected reported infant negativity and observed regulation, outcomes that have been linked with subsequent healthy development. Interventions grounded in an RP framework have the potential for widespread effects on child health and well-being.
RCT Entities:
OBJECTIVE:Infants higher on negative reactivity and lower on regulation, aspects of temperament, have increased obesity risk. Responsive parenting (RP) has been shown to impact the expression of temperament, including the developing ability to regulate negative emotions. The aim of this analysis was to test the effects of the INSIGHT study's RP intervention designed for the primary prevention of obesity on reported and observed infant negativity and regulation. METHODS: The sample included 240 mother-infant dyads randomized 2 weeks after birth to the RP intervention or a safety control intervention. Both groups received 4 home visits during the infant's first year. In the RP group, nurses delivered RP guidance in domains of sleep, feeding, soothing, and interactive play. At 1 year, mother-reported temperament was measured by a survey, and a frustration task was used to observe temperament in the laboratory. Effects of the RP intervention were tested using general linear models. RESULTS: The RP intervention reduced overall reported infant negativity, driven by lower distress to limitations (p < 0.05) and faster recovery from distress (p < 0.01) in the RP group versus controls. There were no intervention effects on reported regulation or observed negativity. The intervention did increase observed regulation, particularly the use of self-comforting strategies (p < 0.05) during the frustration task. DISCUSSION: An RP intervention designed for early obesity prevention affected reported infant negativity and observed regulation, outcomes that have been linked with subsequent healthy development. Interventions grounded in an RP framework have the potential for widespread effects on child health and well-being.
Authors: Ian M Paul; Jennifer S Savage; Stephanie Anzman-Frasca; Michele E Marini; Jodi A Mindell; Leann L Birch Journal: Pediatrics Date: 2016-07 Impact factor: 7.124
Authors: Jennifer S Savage; Leann L Birch; Michele Marini; Stephanie Anzman-Frasca; Ian M Paul Journal: JAMA Pediatr Date: 2016-08-01 Impact factor: 16.193
Authors: Rachel S Gross; Mary Jo Messito; Perri Klass; Caitlin F Canfield; H Shonna Yin; Pamela A Morris; Daniel S Shaw; Benard P Dreyer; Alan L Mendelsohn Journal: Acad Pediatr Date: 2021 Nov-Dec Impact factor: 3.107
Authors: Holly A Harris; Stephanie Anzman-Frasca; Michele E Marini; Ian M Paul; Leann L Birch; Jennifer S Savage Journal: Pediatr Obes Date: 2020-05-05 Impact factor: 4.000
Authors: Alexis V Hyczko; Cara F Ruggiero; Emily E Hohman; Stephanie Anzman-Frasca; Jennifer S Savage; Leann L Birch; Ian M Paul Journal: Acad Pediatr Date: 2021-05-19 Impact factor: 2.993