Parenting Clinical Trial
Official title:
The GAIN Study: Understanding What Helps Children Learn to Like and Eat New Foods
Nutrition supplements have tremendous impact upon the nutritional and developmental status of
malnourished children. These products have been designed to be acceptable to children (often
by adding nutritive sweeteners to make them more palatable), but to date there has been
little rigorous testing of their palatability for infants, toddlers and young children. The
overall goal of this project is to investigate whether:
1. children's acceptance of a nutrition supplement is associated with maternal persistence
in offering the food to her child over a 2-week period;
2. an unsweetened version of the nutrition supplement differs in short- and long-term
acceptance; and
3. maternal liking of the supplement is associated with her persistence in offering the
food to her child.
More rigorous pre-testing of nutrition supplements, with a focus on palatability (i.e.,
observations of behavioral and facial responses to its taste) and its relation to children's
acceptance (defined here as consumption), could provide important insights into the capacity
for these products to transition from being perceived as "medicine" to being accepted as
"food," or part of the usual child diet. A clearer understanding of the relation between
observed child indicators of palatability and acceptance, both initially and over time (i.e.,
repeated exposure effects), is important for predicting the longer-term impacts on children's
dietary intake, growth and health. Further, a better grasp of caregiver perceptions of the
acceptability of these products, both their child's and their own, is critical in paving the
way for overcoming barriers and identifying facilitators associated with longer-term
acceptance of these nutritional supplements.
We secondarily will also explore the effects of potential mediators on caregiver persistence
and infant acceptance of a sweetened and an unsweetened small-quantity lipid nutrition
supplement (SQ-LNS) such as:
- Maternal feeding self-efficacy
- Caregiver food neophobia
- Caregiver feeding styles using the Infant Feeding Style Questionnaire
- Infant feeding history and food experience
- Toddler eating behaviors using the Child Eating Behavior Questionnaire for Toddlers
- Infant behaviors using the Infant Behavior Questionnaire-Revised (Garstein & Rothbart
2003 Inf Behav Dev)
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