The objective of this study was to assess the impact of a brief home-visiting approach, Family Spirit Nurture (FSN), on sugar-sweetened beverage (SSB) consumption, responsive parenting and infant feeding practices, and optimal growth through 12 months post partum. This study was a 1:1 randomized clinical trial comparing FSN with an injury prevention education control condition in a reservation-based community. Participants were Navajo mothers 13 years or older with infants younger than 14 weeks. The 6-lesson FSN curriculum, delivered 3 to 6 months post partum by Navajo paraprofessionals, targeted optimal responsive and complementary feeding practices and avoidance of SSBs. The control group received 3 injury prevention lessons. Mothers who received the Family Spirit Nurture infant nutrition and responsive feeding home-visiting intervention vs those who did not reported feeding children substantially fewer sugar-sweetened beverages and having better responsive feeding practices. In turn, their infants had lower body mass index z scores. Results of this trial suggest that a home-visiting intervention created in partnership with and for Native American individuals is an effective strategy for promoting healthy infant feeding and growth in the first year of life.
Published: November 2020
ID #: 74132
Journal: JAMA Pediatrics
Authors: Rosenstock S, Ingalls A, Cuddy R, et al.
Race/Ethnicity: American Indian
Focus Area: Early Childhood
Keywords: Home, Infant Feeding, Sugar-sweetened beverages
Resource Type: Journal Article
State: New Mexico
Age Group: Pregnant women, infants and toddlers (ages 0 to 2)
Examining Home-Visiting Strategies to Prevent Obesity Among American Indians, Focusing on Early Childhood Outcomes and Water InsecurityReservation-based American Indian (AI) children suffer the highest rates of childhood obesity in the United States. This project will provide evidence to support the integration of childhood obesity prevention modules into government-funded home-visiting programs. It will also identify the role of water insecurity in sugar-sweetened beverage (SSB) intake. The specific aims of the study are More
“It has a lot to do with the cumbersome paperwork”: Barriers and facilitators of center-based early care and education (ECE) program participation in the Child and Adult Care Food Program (CACFP)The Child and Adult Care Food Program (CACFP) is a federally-regulated feeding program that reimburses early care and education (ECE) programs for providing nutritious meals to low-income children. Participation in CACFP is voluntary and varies widely across states. This study assessed barriers and facilitators of center-based ECE program participation in CACFP and identified potential strategies More