Mothers And careGivers Investing in Children

Parenting Clinical Trial

— MAGIC  

Official title:

MAGIC: A Family Based Feeding Intervention Program

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04177472
• Other study ID #: StDavids2017
• Status: Recruiting
• Phase: N/A
• Start date: November 14, 2019
• Est. completion date: August 31, 2023

Study information

• Verified date: November 2019
• Source: University of Texas at Austin
• Contact: Deborah Jacobvitz, PhD
• Phone: 512-232-5879
• Email: debj[@]austin.utexas.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The incidence of childhood obesity in the United States has steadily increased over the past 30 years but has begun to level off in recent years. Epidemiological evidence indicates that obesity may transmitted across multiple generations. The current study seeks to: 1) evaluate the extent to which grandmothers or other important caregivers affect their mothers' parenting surrounding feeding their child, and 2) examine whether an intervention aimed at improving diet quality and enhancing responsive feeding to improves parental responsivity and feeding behavior and infants' weight trajectories over time.

Description:

The incidence of childhood obesity in the United States has steadily increased over the past 30 years, but has begun to level off in recent years. Children from minority groups may be disproportionately affected, such that Hispanic and non-Hispanic Black children have greater weight for recumbent length compared to White children. Similarly, socioeconomic status (SES) may affect child weight status. Epidemiological evidence indicates that obesity may transmitted across multiple generations. Genetics are a factor in determining weight status, but parents are largely responsible for regulating children's dietary environments. Grandparents increasingly provide care for their grandchildren, yet few studies have examined grandparent involvement or the role that grandparents or other significant caregivers play in feeding the child.

The objective of the current study is two-fold: 1) to evaluate the extent to which grandmothers and/or other caregivers affect mothers' parenting surrounding feeding their infant, beginning when the infant is first introduced to solid foods; and 2) to examine whether an intervention aimed at providing both mothers and grandmothers or other important caregivers with hands-on training regarding healthy foods and responsive feeding behaviors improves mothers' and grandmothers' feeding behaviors and infants' weight trajectories over time. The researchers will collect both self-report data on diet, child temperament, mothers and other caregivers' mental health, stress and support. Observational assessments will be obtained to code co-caregiver behavior and caregiver responsiveness during feeding.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 150
• Est. completion date: August 31, 2023
• Est. primary completion date: August 31, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A to 90 Years

Eligibility

Inclusion Criteria:

• Mothers with babies aged 4 to 5 months

• Other caregivers assisting the mother with the baby.

• Babies aged 4 to 5 months

Exclusion Criteria:

• Babies with metabolic or feeding issues.

• Mothers younger than 16 years of age.

Related Conditions & MeSH terms

• Obesity, Childhood
• Parenting
• Pediatric Obesity

Intervention

Behavioral:
• Obesity Prevention Group
Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options.

Locations

Country	Name	City	State
United States	Dell Pediatric Research Institute	Austin	Texas
United States	Sarah M. & Charles E. Seay Building	Austin	Texas

Sponsors (1)

Lead Sponsor	Collaborator
University of Texas at Austin

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Infant dietary intake of fruits and vegetables, animal source foods, whole grains, desserts and sweets, and salty snacks at 11 months of age	Measured at 10-11 months using an Infant Diet History questionnaire adapted from the Infant Feeding Practices Study II. Measured at 10 to 11 months using the Nutrition Data System for Research (NDSR)	10 to 11 months of age
Other	Responsive feeding at 10 to 11 months of age	Measured using the Infant Feeding Styles Questionnaire (IFSQ) full scale	10 to 11 months of age
Other	Responsive feeding at 10 to 11 months of age	Measured during mealtime observations using the Chatoor's feeding scale.	11 months of age
Primary	BMI percentile at 12 months of age	Anthropometrics measured by trained study staff	12 months
Secondary	Proportion of infants with BMI percentile >85th at 12 months of age	Anthropometrics measured by trained study staff	12 months